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Industry report: process capture in insurance.

The report describes how claims handling, policy onboarding, renewals and complaints typically run in an insurer, where the knowledge about them gets lost between the handbook, people's heads and the systems, which public frameworks make documented processes and controls a prerequisite, where AI agents can help once those processes are visible, and how to start with one process. This page is the summary; the full report is sent by email on request.

Key points

What the report says

Five chapters, one argument: an insurer that wants to improve, outsource or automate a process has to see it first, and the people who run it are the best source. Fictional examples, no client data.

1

The core processes are few and dense

Claims handling, policy onboarding, renewals and complaints carry most of the work and most of the hand-overs. Each has a clear start, a decision in the middle and an end the customer sees.

2

Knowledge lives in three places

The handbook describes the intended process, the systems record parts of it, and the actual sequence, including the exceptions, lives with experienced handlers and underwriters. The three rarely agree.

3

The frameworks expect visibility

VAG, Solvency II, IDD and DORA, described in general terms, all expect documented processes, defined responsibilities, controls that can be traced and a view of outsourced and ICT-dependent functions.

4

AI agents need lanes and limits

An agent can prepare, sort and draft inside a process that is visible; it cannot replace the coverage check or the four-eyes approval. The guardrails are a lane, a control step and a person who decides.

Contents

What the report covers

The full report has five chapters. It opens with the processes as they typically run, with lane sketches, moves to where the knowledge about them gets lost, then describes the regulatory context as general orientation on public frameworks, not as legal advice. The fourth chapter is about AI agents and their guardrails, and the last one about the first step.

Who it is forHeads of claims and operations, process owners, compliance and internal audit, and the person who has been asked to "finally write the processes down".
What you getA print-ready document with lane sketches, fictional example processes and a checklist for the first capture.
What it is notNot a legal commentary and not a product manual. Where a framework is mentioned, the report describes what it generally expects and why that makes process transparency a prerequisite.

Contents of the full report

1

Typical core processes

claims handling, policy onboarding, renewals, complaints

2

Where process knowledge gets lost

handbook, heads, systems; hand-overs; exceptions

3

Regulatory and audit context

VAG, Solvency II, IDD, DORA, in general terms

4

Where AI agents can help, and the guardrails they need

5

How to start

one process, captured from the people who run it; the patchley Pilot

The picture

Three places where a process lives

The report's second chapter compares the handbook, people's heads and a BPMN model as places where process knowledge lives. The table below is the short version; the diagram is one of the fictional example models used in the report.

In the handbookIn people's headsIn a BPMN model
What it describesThe intended process at the time it was written.The actual process, including the exceptions, as each person sees their part.The agreed actual process with roles, systems, documents and controls.
Who can read itAnyone, but few do.Only the person, and only when asked.People and software: a diagram for the team, a structure for the AI.
What happens at a changeNothing, until the next revision.The routine changes quietly.The change is shown, decided and versioned.
What an auditor seesA document that may not match reality.An interview.Control steps with owner and evidence, per step.
CustomerClaims handlerUnderwriteryesnoClaim reportedRegister claimCLAIMS SYSTEMProvide documentsCONTROLCheck coveragePOLICY FILE×Covered?Approve payoutCLAIMS SYSTEMDecline withreasonsPayout receivedDecline received
Fictional example model: motor claim from first notice to payout or decline. BPMN 2.0, three lanes, one gateway, one control step.

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