# Agentic case management for insurance and financial services

fileShield turns nuanced, context-heavy consumer data into validated, governed intelligence that FSI service providers can trust. So you can scale with agility, localize quickly, and differentiate on customer experience whilst only paying for delivered outcomes, not effort.

## Trusted across enterprises

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## Agents & Core capabilities

### The intelligence layer that harmonizes agent workflows into a single governed platform

#### Case intake

##### Route & log cases as they enter your inbox

- #### Capture cases from an email/API source
  Read the email thread and its attachments as one conversation. Identifies intent, urgency, customer, product and risk, then extracts case facts and detects missing information.

- #### Categorize and route by case type
  Matches the correct case type, owner and next workflow. Drafts an appropriate acknowledgment.

- #### Automatically log new cases
  Create a case with unique identifier and populate with collected data.

### Automate SOP-driven claims processing workflows

#### Verify document completeness
   Understand how claim package files are related, review for missing proof and surface any suspicious evidence.

#### Assess policy coverage
   Test the claim against policy terms and eligibility.

#### Evaluate claims for review & investigation
   Low-complexity cases are routed for STP, while non-STP cases are reviewed with human-in-the-loop checks.

#### Generate assessment report
   Decision-ready assessment and audit evidence is delivered for straight-through action or human review.

### Strengthen policy operations management

#### Ingest policy packets
   Recognise new-business, renewal, endorsement and servicing packets, and identify the document and form version.

#### Understand what changed
   Read clauses, limits, schedules and parties, then compare against the approved policy and existing record.

#### Validate the update
   Detect missing or contradictory information and confirm the change is complete and consistent.

#### Post or flag exceptions
   File the correct policy data and documents into the policy admin system, or return an actionable exception.

### Streamline commercial underwriting

#### Centralize underwriting sources in a single record
   Ingest broker emails, customer profiles, UW guidelines and risk data into one connected record.

#### Validate documents against guidelines
   Normalize data, flag missing information and use Forensics to surface inconsistencies across documents.

#### Route to various authority levels for risk assessment
   Validate against UW and RI guidelines, score risk and route approvals to the right authority.

#### Draft policy and pricing recommendations
   Prepare decision-ready policy report with risk narratives, pricing recommendations and quotation model.

### Automate KYB / KYC workflows with assurance

#### Verify document packs
   Ingests identity, company, ownership and supporting documents, extracts and resolves people and entities, and flag for suspicious evidence or poor document integrity.

#### Resolve any discrepancies and assess for risk
   Builds the ownership and beneficial-owner picture, compares declared information with approved external data, and detects missing evidence and contradictions.

#### Generate risk assessment record
   Traceable risk and evidence summary is delivered for audit, human review when necessary across the compliance workflow.

## Why fileShield

### Why FSI enterprises choose to build with fileAI

More than automation, fileShield is designed to stay reliable as complexity, volume, and scrutiny increase.

### Scalable for enterprise-level production
   Built for scale from day one, fileShield processes more files for less, so production across new markets, lines, and volumes doesn’t mean multiplying your AI spend along with it.

### Built-in fraud detection
   Every file is screened for tampering, manipulation, duplication, and synthetic content before it ever reaches a workflow. Every action, decision, and approval logged and traceable.

### Compounding and repeatable intelligence
   When workflows run on a single platform instead of fragmented tools, it enriches your business’ unique knowledge base with every run—one you can draw on to adapt products and localize faster across markets.

### “Just one month into our project, fileAI is reducing our claims processing time by 60% and claims operating expenses by 18%.”

**Enny Halim**  
EVP Business Development & Digitalization at MSIG

90%
Time saved  
100%
Precision in ERP integration

## Ready to streamline case management with trusted AI workflows?

Explore the next best opportunities for automation to improve control, speed, and operational efficiency.
