Insurtech & Financial Services

Insurance Claims Automation for Australian Financial Services

Insurance claims automation moves a claim through intake, validation and status communication without a person retyping the same details at each step. LYRIQ's AgentConnect pauses for human approval wherever a decision affects a payout or a policyholder's cover.

AgentConnect automates first notification of loss, policy servicing, and renewal outreach, with a timestamped decision trail an auditor can follow.

Precision service. Regulatory confidence. Operational clarity.

The Second Brain

Your Adjusters Already Know Which Claims Need Scrutiny

That judgment already lives with your team. The Second Brain gives agents the same context.

  • Routine versus flagged
  • Standard versus exception
  • An audit trail for every decision made.
The AgentConnect Brain: company knowledge as linked notes, including Approvals & Governance and Compliance & Deadlines, that agents read for context.

The pressure

Regulated Communication Requires Precision

Insurance and financial services teams operate in highly regulated environments.

  • Customers expect clear answers

  • Regulators expect documentation

  • Outdated systems and fragmented channels create risk at every touchpoint

LYRIQ handles first notification of loss, policy servicing and renewal outreach across voice, chat and email. Each contact is logged against the policy record with a timestamped decision trail an auditor can follow.

Every message must be audit-ready. LYRIQ makes it automatic.

Capabilities

Deliver Service That Builds Trust

Customers judge insurers by how quickly and accurately they respond. LYRIQ automates claims, policy updates, account inquiries and compliance workflows, each logged, traceable and protected.

  • Claims & Case Automation

    Collects details, verifies information, and updates customers automatically.

  • Predictive Outreach

    Follows up on renewals, payments, and missing documents with precision.

  • Secure Knowledgebase

    Uses only verified data sources to prevent misinformation.

  • Audit-Ready Logs

    Every message is time-stamped and stored for compliance reporting.

  • 24/7 AI Support

    Consistent, multilingual coverage across all channels.

Regulatory alignment

Stay Aligned With Every Regulation

Privacy, consent and record-keeping rules, enforced automatically. Each interaction is validated, encrypted and visible for internal and external review.

  • Built to sit inside obligations licensees already carry, including AFSL conduct requirements and the Australian Privacy Principles.
  • Claims, renewals and member contact handled against your own policy rules, with an execution trace behind each action.
  • Real-time compliance checks for inbound and outbound activity
  • Secure encryption for stored and transmitted data
  • Configurable retention and audit controls
  • Automatic alerts for policy breaches or anomalies
An AgentConnect approval gate: the workflow is paused, showing what led here, with Approve and Reject buttons. Nothing proceeds until a person decides.

How a claim conversation runs

Automate. Learn. Improve.

Open APIs into policy, claims and account systems give teams a single view of each interaction. Patterns across claims conversations show where handling time is genuinely lost, which is rarely where the dashboard suggests.

  1. 01

    Start Request

    Customer starts a chat or call.

  2. 02

    Verify Details

    LYRIQ confirms identity and retrieves data.

  3. 03

    Advisor Handoff

    Complex cases go to an advisor with full context.

  4. 04

    Auto Summary

    Summary and feedback logged automatically.

Outcomes

Reliable Service Without Risk

Deliver faster support, reduce errors and stay compliant while managing high-volume communication across every channel.

  • Reduced handling time and operational cost.
  • Consistent service quality across all channels.
  • Measurable compliance and performance metrics.
  • Better insight into customer behavior.
  • Seamless integration with existing systems.

Deployment

Set Up Once. Grow Continuously.

Structured onboarding, compliance validation, and ongoing optimization. Your adjusters and servicing teams stay on cases while we keep the platform performing, secure and evidenced.

  1. 01

    Plan

    We map workflows and compliance requirements.

  2. 02

    Configure

    Connects to policy, claims, and underwriting systems.

  3. 03

    Validate

    Claims and policy handling validated before go-live.

  4. 04

    Evolve

    Performance is monitored and refined continuously.

FAQ

AI in claims and client service, answered

How does this fit our AFSL compliance obligations?

The licensee remains responsible for the conduct of its representatives and its systems; a platform does not absorb that. What it can do is make the obligation evidenceable. Every interaction is traceable, anything that would constitute advice or a claim determination pauses for a person, and the record of what was said is available without a reconstruction exercise.

What parts of a claim can actually be automated?

First notice of loss is the clearest case: capturing what happened, confirming policy details, gathering documents and setting expectations. Triage and routing follow well. The determination itself, and any conversation about a declined or disputed claim, is where a person belongs and where automating produces both a bad outcome and a complaint.

How does it handle a distressed customer?

By recognising that it should not be handling them. Sentiment detection exists to route, not to sympathise. A caller who is distressed, escalating, or describing a serious loss should reach a person quickly, and the useful measure of an automated first line is how fast it gets out of the way in those cases.

Can each product line have its own rules?

Yes, and for an insurer that is usually the requirement. Each configuration carries its own escalation paths, thresholds and knowledge, on shared infrastructure with data isolated per account.

Do we have to replace our policy administration system?

No. AgentConnect connects to the systems you run rather than replacing them, so the policy administration and claims systems stay the record of truth. There is no migration step.

Your workflow, live

Built for Compliance. Designed for Connection.

Claims, servicing and renewals generate the same conversations every day. Bring one of them to a call and we will show what handling it through AgentConnect looks like end to end.

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