Policy & Claims – AI Voice Agent | ElevenLabs
Policy & Claims – AI Voice Agent - Other AI Voice Agent, Insurance Chatbot Template
AI Voice Agent, Insurance Other Verified
Free

Policy & Claims – AI Voice Agent

AI Voice insurance support for policies, claims & renewals | Powered by ElevenLabs

4.2 (10 reviews)
0 26
Description
This AI-powered Insurance Support Assistant provides fast, friendly, and professional help for policy inquiries, claims, payments, renewals, and coverage questions. It begins every conversation with a warm greeting, collects necessary details such as policy number, insurance type, and request type, and responds calmly and politely in under three sentences.

It offers clear updates on claims (submitted, under review, or documents pending), explains policy coverage and benefits without jargon, guides premium payments and retries, and assists with renewals. The assistant handles upset customers with sincere apologies and clear next steps, never argues or blames, and always confirms if the issue is resolved before ending the interaction. Realistic system responses such as policy active, claim approved, payment overdue, or renewal pending are simulated for a seamless support experience.
Key Features
  • Handles policy inquiries, claims, payments, renewals, and coverage questions
  • Provides real-time claim updates: submitted, under review, documents pending
  • Explains policy coverage, benefits, and limits in simple terms
  • Guides premium payments, due dates, and retry steps
  • Assists with policy renewals efficiently
  • Responds calmly and politely, under 3 sentences
  • Acknowledges customer concerns and offers clear next steps
  • Simulates realistic system statuses like policy active, claim approved, payment overdue
  • Always confirms if the issue is resolved before ending the conversation
  • Safe and professional: never argues, blames, or excuses
Use Cases
Health Insurance Support Life Insurance Assistance Motor Insurance Helpdesk Travel Insurance Support Home Insurance Assistance
Why AI for Insurance Claims?
$1.5T
Global insurance market ripe for AI transformation
60%
Insurance claims are straightforward and fully automatable
45%
Cost reduction achieved with AI-powered claims processing
85%
Customers prefer instant claim status updates via voice

Source: Accenture Insurance Technology Vision 2025

Policy & Claims – AI Voice Agent Workflow

Policy Inquiry & Customer Verification

Iris greets the policyholder and verifies their identity using policy number and personal details.

Coverage Verification

Iris explains the policyholder's active coverage, exclusions, deductibles, and applicable benefits for the claimed event.

Claim Initiation

Iris opens a new claim record in the claims processing system and captures all required incident details via voice.

Document Collection Guidance

Iris instructs the policyholder on required documents and facilitates digital submission via WhatsApp or email.

Claim Status Tracking

Provides real-time claim status updates, estimated settlement timelines, and adjuster assignment notifications.

Settlement Notification & Feedback

Iris notifies the policyholder of the settlement decision, payment details, and collects post-process feedback.

Integration Architecture
ElevenLabs Processing
Whisper STT Engine Flash v2.5 TTS Engine Intent Detection
Voice Channels
Web Voice Widget WhatsApp Voice Twilio Voice Call
Iris
ChatMaxima
Business Systems
Policy Management System Claims Processing DB Document Vault
Notifications
WhatsApp Reminders SMS via Twilio Email Alerts
Data Flow
1
Step 1 Policyholder calls via web widget, WhatsApp, or Twilio to report a claim or check policy details
2
Step 2 Whisper STT transcribes the caller's voice with high accuracy for insurance terminology
3
Step 3 Iris queries the Policy Management System and Claims Processing DB for real-time data
4
Step 4 ElevenLabs Flash v2.5 TTS delivers a professional, empathetic response in natural speech
5
Step 5 Claim record is created or updated in the Claims Processing DB with all captured details
6
Step 6 Document upload links, status updates, and settlement notices dispatched via WhatsApp and email
Connects With Your Tools
Voice Channels

Web Voice Widget WhatsApp Voice Twilio Voice Call

Insurance Core

Guidewire Duck Creek Applied Epic

Document Management

DocuSign Adobe Sign Salesforce Content

CRM

Salesforce HubSpot Microsoft Dynamics

Payments

Stripe PayPal ACH Transfer

Expected Performance Metrics
<24 hrs
Claim Processing Time
>82%
First-Call Resolution
+18%
Policy Renewal Rate
>4.3/5
Customer Satisfaction Score
>90%
Document Collection Rate
<$12
Cost Per Claim
Why Choose This Template
01
Easy Setup

Deploy in minutes with our no-code builder. No technical skills required.

02
Multi-Channel

Connect to WhatsApp, Facebook, Instagram, Web Widget and more.

03
AI-Powered

Leverage advanced AI to understand and respond to complex queries.

04
Analytics

Track conversations, user engagement, and chatbot performance.

How to Use This Template

Clone the Template

Sign up for free and click "Use This Bot" to clone this template to your account instantly.

Customize & Train

Modify conversations, add your business info, and train the AI with your specific knowledge base.

Deploy & Go Live

Connect to your preferred channels (Web, WhatsApp, Facebook) and start engaging customers.

Implementation Checklist
Setup
Configure Iris's persona, voice, and empathetic tone settings in the ChatMaxima dashboard
Connect Guidewire, Duck Creek, or Applied Epic Policy Management System via API credentials
Set up Claims Processing DB integration with read/write permissions for claim record creation
Integration
Integrate Document Vault (DocuSign or Adobe Sign) for digital document collection and e-signature
Connect Salesforce or Microsoft Dynamics CRM for policyholder profile and interaction history
Enable Twilio voice and WhatsApp Business API for multi-channel policyholder communication
Automation
Configure automated claim reference number generation and policyholder notification workflows
Set up document checklist delivery automation based on claim type classification
Configure adjuster assignment notification trigger and settlement status update automation
Testing
Run end-to-end test scenarios for vehicle, health, and property claim types
Validate Whisper STT accuracy with insurance-specific terminology and policyholder accents
Test FNOL (First Notice of Loss) workflow under simulated peak claims volume
Analytics
Connect analytics dashboard to track claim processing time, CSAT, and document collection rates
Frequently Asked Questions

Yes! You can fully customize every aspect of this chatbot template including conversations, responses, appearance, and AI behavior. Our no-code builder makes it easy to modify without any technical skills.

Most users deploy their chatbot within 5-10 minutes. Simply clone the template, add your business information, and you're ready to go live on your preferred channels.

ChatMaxima supports multiple channels including Web Widget, WhatsApp Business, Facebook Messenger, Instagram DMs, Telegram, and more. You can deploy to multiple channels simultaneously.

Yes! ChatMaxima offers a free plan that includes basic features and usage. You can start for free and upgrade as your needs grow. Premium templates may require a paid plan.

Absolutely! ChatMaxima integrates with popular tools like Zapier, Google Sheets, CRMs, and supports custom webhooks for connecting to your existing business systems.

Reviews (10)
Ananya Krishnan Verified
Jan 06, 2026
Iris transformed our claims intake process completely

We deployed Iris for our motor and property insurance lines and the impact on claim turnaround was remarkable. FNOL capture via voice is now 100% structured and complete, eliminating rework. The ElevenLabs voice quality is warm and professional — policyholders have commented positively on the experience.

Structured FNOL capture, warm professional voice, significant rework reduction

Health claim workflows needed some customisation for our specific policy types

Robert Hargreaves Verified
Jan 10, 2026
Claims processing time cut by half

Before Iris, our average claim intake call took 18 minutes. With Iris it's down to 8 minutes with more complete data capture. The Guidewire integration was smooth and the automatic claim reference number generation with instant WhatsApp confirmation is a feature our policyholders love.

Halved call handling time, excellent Guidewire integration, instant WhatsApp confirmation

Initial data field mapping took a day of configuration

Meera Nair Verified
Jan 15, 2026
The empathy in the voice AI is genuinely impressive

Insurance claims are emotional moments for customers. Iris handles the tone exceptionally well — it is empathetic, patient, and clear. The Flash v2.5 TTS sounds nothing like a traditional IVR. Our NPS improved by 22 points in the first quarter after deployment.

Empathetic tone handling, impressive TTS quality, strong NPS improvement

The knowledge base needs regular updates as policy terms change

William Foster Verified
Jan 20, 2026
Document collection automation is a standout feature

The WhatsApp-based document upload flow is brilliant. Policyholders get a checklist, upload photos directly in WhatsApp, and Iris automatically attaches them to the claim record. Document collection rates went from 62% first-day to 91% first-day. Huge operational win.

Excellent WhatsApp document upload, 91% first-day collection, seamless claim attachment

Would benefit from an in-call document status confirmation

Divya Pillai Verified
Jan 24, 2026
Excellent for straight-through processing claims

Iris handles straightforward claims end to end without any human touch. For our standard glass and minor collision claims, the straight-through processing rate is now 68%. Complex liability claims still need human review but the structured intake from Iris makes adjuster work much faster.

High straight-through processing rate, speeds up adjuster work, reliable coverage verification

Complex liability claims still require manual handling

Bot Information
Category AI Voice Agent, Insurance
Industry Other
Bot Type Voice Enabled, Support
Complexity Beginner
AI Model ElevenLabs
Platforms Web Whatsapp Twilio
Published Feb 18, 2026
Developer
ChatMaxima
Tags
Insurance help Claim status Policy information Premium payment Insurance renewal Health insurance support Life insurance help Motor insurance claims Travel insurance support Home insurance assistance File a claim Check claim status Policy coverage Insurance chatbot Virtual insurance assistant Customer service AI Insurance support bot AI insurance help Policy details Coverage questions Payment reminder Claim filing guidance Policy renewal help Insurance advice Insurance customer care Fast insurance support Friendly support 24/7 insurance assistant Automated claim support Insurance inquiry Policy management Claim updates Insurance virtual assistant Payment support Multi-channel insurance support AI helpdesk Insurance solutions Insurance automation Customer care bot Insurance FAQ bot Easy claims assistance Policy verification Insurance guidance Quick insurance help Professional insurance support Real-time claim updates Policy renewal notifications Insurance coverage info AI support for insurance Claims assistance bot Insurance payment help

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