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Industries · Insurance

Protect the policy.
Protect the customer.

For general, life and health insurers. Premium collection, lapse prevention, renewals and claims contact, across the book and on approved wording.

Oscar, the MEGA.AI voice AI agent, holding an umbrella over a model family home

What MEGA.AI does for insurers

MEGA.AI provides deterministic voice AI for general, life and health insurers. It handles failed premiums, lapse prevention, renewals and premium arrears, and inbound claims contact including first notification of loss, claims status updates and policy queries after ID&V. The agent speaks only approved policy wording and live policy data, never interprets cover, and every call is recorded and auditable.

The customer journey

Early engagement. Pre-collection. Collection.

Most lapses start with a single failed premium. MEGA.AI reaches policyholders early and keeps cover in place, while handling high-volume inbound claims contact.

STAGE 01
Failed premiums and pre-renewal contact.
STAGE 02
Keep cover in place with payment options.
STAGE 03
Arrears, payment options and vulnerability.
STAGE 04
FNOL, document chasing and, once connected, status updates.
Outbound

Keep cover in place.

Failed premium payments

Contact policyholders quickly and resolve the missed payment before cover is at risk.
Payments

Lapse prevention

Explain the consequences clearly and offer approved options to keep cover.
Early Engagement

Renewal reminders

Renewal contact on wording your compliance team has approved against fair value and pricing rules.
Customer Care

Cancellation & lapse notices

Approved notices with confirmation on the record.
Collections & Recovery

Premium arrears

Payment links and promises to pay on outstanding premiums.
Arrangements & Affordability

Document & evidence chasing

Proactive outbound reminders for missing documents.
Customer Care
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Inbound

Claims contact, at any volume.

First notification of loss

Capture the facts of a claim in a structured, consistent format.
Service & Disputes

Claims status updates

Status updates from your claims data, once your claims system is connected.
Service & Disputes

Vulnerability & bereavement

Sensitive handling when a policyholder or their estate needs extra support, on any call.
Vulnerability

Policy queries with ID&V

Answers on cover, payments and dates from approved wording, after ID&V.
Verify
Buyer checklist

What should an insurer require from a voice AI platform?

Approved wording only

Every statement comes from wording your compliance team signed off. The agent cannot generate an unapproved response.

No interpretation of cover

The agent never interprets a policy or guesses about cover, so cover questions get approved answers.

Live policy and claims data

Payments, dates and claims status come from your data, or from your live systems once connected, inserted into approved fields only.

ID&V before policy detail

Identity verification comes first, before any policy information is shared.

Vulnerability and bereavement journeys

Policyholders in vulnerable circumstances and estates are handled on dedicated, approved journeys, with handover to a specialist where your policy requires.

A full audit trail

Every call is recorded, and each step and response traces back to the approved logic behind it.

Why deterministic matters in insurance

Cover questions need exact answers.

Tell a policyholder the wrong thing about their cover and you own the consequences.

MEGA.AI never interprets a policy and never guesses about cover. It speaks only approved wording and live policy data, so every statement can be defended.

No interpretation
Only approved policy wording.
Fair value
Consistent renewal and pricing contact.
Claims ready
Structured FNOL capture.
Auditable
Every call recorded.
For the executive team

What it delivers to the executive team.

Chief Executive

Protect premium income and retention across the book.

Chief Financial Officer

Fewer lapses from failed premiums and a lower cost to serve.

Chief Risk & Compliance Officer

No interpretation of cover. Only approved wording, fully auditable.

Chief Operating Officer

Claims and renewal peaks handled without additional headcount.

Chief Customer Officer

Fair value and consistent treatment at renewal and at claim.

CIO & CTO

Governed integration with policy administration, claims and payment systems.

FAQ

Insurance questions, answered.

Can a voice AI agent give policyholders wrong information about their cover?

It cannot make up an answer. MEGA.AI never interprets a policy and never guesses about cover. It speaks only approved policy wording and live policy data. Where it is not sure what the policyholder asked, it confirms before answering or hands over to a person, and every call is recorded, so each statement can be traced to the approved logic behind it.

Can MEGA.AI handle first notification of loss?

Yes. It captures the facts of a claim in a structured, consistent format. It can also chase missing documents on outbound calls, and give claims status updates once your claims system is connected.

How does it reduce lapses from failed premiums?

It calls policyholders promptly once you pass on a failed premium payment, explains the consequences clearly and offers your approved options to keep cover in place.

How are vulnerable policyholders and bereavement handled?

Through dedicated, approved journeys. The agent listens for vulnerability signals, applies approved responses and hands over to a specialist where your policy requires.

Can compliance teams audit every call?

Yes. Every call is recorded, and each step, decision and response is traceable to the approved logic behind it.

Which systems does it work with?

Policy administration, claims, CRM, payment and CCaaS platforms. A typical first journey is failed premiums, with deeper integration as you scale.

Last updated

Proof, not promises
Start with failed premiums.
Then cover the lifecycle.

Select an outbound or inbound journey to prove first. Integration with your policy administration, claims, CRM, payment and CCaaS platforms follows as you scale.