AI Coverage Verification Agent

Stop wrestling with complex policy language

Stop wrestling with complex policy language

V7 Go's coverage verification agent checks policy coverage by mapping provisions to requirements, identifying potential gaps, and verifying compliance with contractual obligations. Every finding links directly to source documents for immediate verification.

Why V7 Go

Why V7 Go

Coverage Mapping

Automatically map policy provisions to specific coverage requirements and exposures. Create comprehensive coverage matrices showing how each policy responds to potential risk scenarios.

Coverage Mapping

Automatically map policy provisions to specific coverage requirements and exposures. Create comprehensive coverage matrices showing how each policy responds to potential risk scenarios.

Coverage Mapping

Automatically map policy provisions to specific coverage requirements and exposures. Create comprehensive coverage matrices showing how each policy responds to potential risk scenarios.

Gap Analysis

Identify potential coverage gaps, limitations, and exclusions that could leave exposures uninsured. Flag discrepancies between intended and actual coverage across policy documents.

Gap Analysis

Identify potential coverage gaps, limitations, and exclusions that could leave exposures uninsured. Flag discrepancies between intended and actual coverage across policy documents.

Gap Analysis

Identify potential coverage gaps, limitations, and exclusions that could leave exposures uninsured. Flag discrepancies between intended and actual coverage across policy documents.

Requirement Verification

Check policy coverage against contractual insurance requirements, regulatory mandates, and internal standards. Verify compliance with specific coverage terms, limits, and conditions.

Requirement Verification

Check policy coverage against contractual insurance requirements, regulatory mandates, and internal standards. Verify compliance with specific coverage terms, limits, and conditions.

Requirement Verification

Check policy coverage against contractual insurance requirements, regulatory mandates, and internal standards. Verify compliance with specific coverage terms, limits, and conditions.

Policy Coverage Verification

Analyze policy documents to confirm coverage for specific risks, operations, and scenarios. Verify that policy language, endorsements, and declarations provide intended protection.

Policy Coverage Verification

Analyze policy documents to confirm coverage for specific risks, operations, and scenarios. Verify that policy language, endorsements, and declarations provide intended protection.

Policy Coverage Verification

Analyze policy documents to confirm coverage for specific risks, operations, and scenarios. Verify that policy language, endorsements, and declarations provide intended protection.

Gap Identification

Detect subtle coverage limitations, exclusions, and conditions that could create unintended exposures. Identify potential coverage issues before they lead to denied claims or unexpected losses.

Gap Identification

Detect subtle coverage limitations, exclusions, and conditions that could create unintended exposures. Identify potential coverage issues before they lead to denied claims or unexpected losses.

Gap Identification

Detect subtle coverage limitations, exclusions, and conditions that could create unintended exposures. Identify potential coverage issues before they lead to denied claims or unexpected losses.

Requirement Compliance

Evaluate insurance programs against contractual requirements, loan covenants, regulatory mandates, and best practices. Ensure all required coverages, limits, and provisions are in place.

Requirement Compliance

Evaluate insurance programs against contractual requirements, loan covenants, regulatory mandates, and best practices. Ensure all required coverages, limits, and provisions are in place.

Requirement Compliance

Evaluate insurance programs against contractual requirements, loan covenants, regulatory mandates, and best practices. Ensure all required coverages, limits, and provisions are in place.

Why V7 Go

Documents processed by the AI Coverage Verification Agent

Key data extracted for coverage verification

Workflow

Workflow

Import your files

Guidewire PolicyCenter

,

Applied Epic

,

Origami Risk

Insurance Policies

Insurance Policies

Insurance Policies

Insurance Policies

Policy Endorsements

Policy Endorsements

Policy Endorsements

Policy Endorsements

Contractual Requirements

Contractual Requirements

Contractual Requirements

Contractual Requirements

Certificates of Insurance

Certificates of Insurance

Certificates of Insurance

Certificates of Insurance

Risk Management Guidelines

Risk Management Guidelines

Risk Management Guidelines

Risk Management Guidelines

Regulatory Compliance Standards

Regulatory Compliance Standards

Regulatory Compliance Standards

Regulatory Compliance Standards

Coverage types and limits

Coverage types and limits

Coverage types and limits

Coverage types and limits

Named and additional insureds

Named and additional insureds

Named and additional insureds

Named and additional insureds

Policy exclusions and limitations

Policy exclusions and limitations

Policy exclusions and limitations

Policy exclusions and limitations

Special coverage conditions

Special coverage conditions

Special coverage conditions

Special coverage conditions

Contractual insurance requirements

Contractual insurance requirements

Contractual insurance requirements

Contractual insurance requirements

Waiver of subrogation provisions

Waiver of subrogation provisions

Waiver of subrogation provisions

Waiver of subrogation provisions

Claims reporting requirements

Claims reporting requirements

Claims reporting requirements

Claims reporting requirements

Policy territory and jurisdiction

Policy territory and jurisdiction

Policy territory and jurisdiction

Policy territory and jurisdiction

Self-insured retentions and deductibles

Self-insured retentions and deductibles

Self-insured retentions and deductibles

Self-insured retentions and deductibles

Notice and cancellation provisions

Notice and cancellation provisions

Notice and cancellation provisions

Notice and cancellation provisions

Time comparison

Time comparison

Time comparison

Time comparison

Traditional way

2-3 hours per program

2-3 hours per program

With V7 Go agents

15-20 minutes per program

15-20 minutes per program

Average time saved

80-85%

80-85%

V7 Go

V7 Go

V7 Go

V7 Go

AI-powered solutions

AI-powered solutions

for insurance professionals

Insurance professionals spend hours manually validating coverage details against requirements, often missing critical gaps hidden in policy language. This process of checking coverage across multiple documents and complex policy forms creates bottlenecks and increases exposure to uninsured risks. V7 Go's coverage verification agent automates coverage mapping, gap analysis, and requirement verification, ensuring accurate and thorough assessment with every finding linked to source documents.

Risk Managers

Ensure your insurance program meets all contractual and operational requirements. Identify potential coverage gaps before they lead to unexpected uninsured losses.

Risk Managers

Ensure your insurance program meets all contractual and operational requirements. Identify potential coverage gaps before they lead to unexpected uninsured losses.

Risk Managers

Ensure your insurance program meets all contractual and operational requirements. Identify potential coverage gaps before they lead to unexpected uninsured losses.

Risk Managers

Ensure your insurance program meets all contractual and operational requirements. Identify potential coverage gaps before they lead to unexpected uninsured losses.

Insurance Brokers

Verify client coverage against requirements quickly and accurately. Provide value-added services by identifying potential coverage improvements and ensuring compliance with obligations.

Insurance Brokers

Verify client coverage against requirements quickly and accurately. Provide value-added services by identifying potential coverage improvements and ensuring compliance with obligations.

Insurance Brokers

Verify client coverage against requirements quickly and accurately. Provide value-added services by identifying potential coverage improvements and ensuring compliance with obligations.

Insurance Brokers

Verify client coverage against requirements quickly and accurately. Provide value-added services by identifying potential coverage improvements and ensuring compliance with obligations.

FAQ

FAQ

FAQ

FAQ

Have questions?
Find answers.

How does the coverage verification agent handle complex policy structures?

The agent processes multi-layered policy structures including primary policies, excess layers, endorsements, and specialized coverage forms. It understands the hierarchical relationships between policy documents and how they interact to create the complete coverage picture. The system recognizes when endorsements modify base coverage forms and applies these changes when assessing overall protection. For complex program structures involving multiple carriers and coverage lines, the agent creates a consolidated view while maintaining links to specific policy sections for verification.

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How does the coverage verification agent handle complex policy structures?

The agent processes multi-layered policy structures including primary policies, excess layers, endorsements, and specialized coverage forms. It understands the hierarchical relationships between policy documents and how they interact to create the complete coverage picture. The system recognizes when endorsements modify base coverage forms and applies these changes when assessing overall protection. For complex program structures involving multiple carriers and coverage lines, the agent creates a consolidated view while maintaining links to specific policy sections for verification.

+

How does the coverage verification agent handle complex policy structures?

The agent processes multi-layered policy structures including primary policies, excess layers, endorsements, and specialized coverage forms. It understands the hierarchical relationships between policy documents and how they interact to create the complete coverage picture. The system recognizes when endorsements modify base coverage forms and applies these changes when assessing overall protection. For complex program structures involving multiple carriers and coverage lines, the agent creates a consolidated view while maintaining links to specific policy sections for verification.

+

How does the coverage verification agent handle complex policy structures?

The agent processes multi-layered policy structures including primary policies, excess layers, endorsements, and specialized coverage forms. It understands the hierarchical relationships between policy documents and how they interact to create the complete coverage picture. The system recognizes when endorsements modify base coverage forms and applies these changes when assessing overall protection. For complex program structures involving multiple carriers and coverage lines, the agent creates a consolidated view while maintaining links to specific policy sections for verification.

+

Can the agent check coverage against different types of requirements?

Yes, the agent verifies coverage against various requirement sources including client contracts, lease agreements, loan covenants, regulatory mandates, and internal risk management standards. It adapts its verification approach based on the requirement type, recognizing the different formats and terminology used across requirement sources. The system can simultaneously evaluate compliance with multiple requirement sets, prioritizing discrepancies based on severity and potential business impact. Each verification includes direct links to both the requirement and the corresponding policy provision.

+

Can the agent check coverage against different types of requirements?

Yes, the agent verifies coverage against various requirement sources including client contracts, lease agreements, loan covenants, regulatory mandates, and internal risk management standards. It adapts its verification approach based on the requirement type, recognizing the different formats and terminology used across requirement sources. The system can simultaneously evaluate compliance with multiple requirement sets, prioritizing discrepancies based on severity and potential business impact. Each verification includes direct links to both the requirement and the corresponding policy provision.

+

Can the agent check coverage against different types of requirements?

Yes, the agent verifies coverage against various requirement sources including client contracts, lease agreements, loan covenants, regulatory mandates, and internal risk management standards. It adapts its verification approach based on the requirement type, recognizing the different formats and terminology used across requirement sources. The system can simultaneously evaluate compliance with multiple requirement sets, prioritizing discrepancies based on severity and potential business impact. Each verification includes direct links to both the requirement and the corresponding policy provision.

+

Can the agent check coverage against different types of requirements?

Yes, the agent verifies coverage against various requirement sources including client contracts, lease agreements, loan covenants, regulatory mandates, and internal risk management standards. It adapts its verification approach based on the requirement type, recognizing the different formats and terminology used across requirement sources. The system can simultaneously evaluate compliance with multiple requirement sets, prioritizing discrepancies based on severity and potential business impact. Each verification includes direct links to both the requirement and the corresponding policy provision.

+

How does the agent identify potential coverage gaps?

The agent employs multiple gap detection methods including comparing policy wording against standard industry forms, analyzing exclusions and limitations, and evaluating policy conditions that could restrict coverage. It identifies both explicit gaps (outright exclusions) and implicit gaps (subtle limitations in definitions or conditions). The system also detects potential coverage issues in policy interaction, such as non-concurrency between primary and excess layers or contradictory provisions across different policies. Each identified gap includes a clear explanation and direct links to the relevant policy language.

+

How does the agent identify potential coverage gaps?

The agent employs multiple gap detection methods including comparing policy wording against standard industry forms, analyzing exclusions and limitations, and evaluating policy conditions that could restrict coverage. It identifies both explicit gaps (outright exclusions) and implicit gaps (subtle limitations in definitions or conditions). The system also detects potential coverage issues in policy interaction, such as non-concurrency between primary and excess layers or contradictory provisions across different policies. Each identified gap includes a clear explanation and direct links to the relevant policy language.

+

How does the agent identify potential coverage gaps?

The agent employs multiple gap detection methods including comparing policy wording against standard industry forms, analyzing exclusions and limitations, and evaluating policy conditions that could restrict coverage. It identifies both explicit gaps (outright exclusions) and implicit gaps (subtle limitations in definitions or conditions). The system also detects potential coverage issues in policy interaction, such as non-concurrency between primary and excess layers or contradictory provisions across different policies. Each identified gap includes a clear explanation and direct links to the relevant policy language.

+

How does the agent identify potential coverage gaps?

The agent employs multiple gap detection methods including comparing policy wording against standard industry forms, analyzing exclusions and limitations, and evaluating policy conditions that could restrict coverage. It identifies both explicit gaps (outright exclusions) and implicit gaps (subtle limitations in definitions or conditions). The system also detects potential coverage issues in policy interaction, such as non-concurrency between primary and excess layers or contradictory provisions across different policies. Each identified gap includes a clear explanation and direct links to the relevant policy language.

+

Can the coverage verification agent integrate with our existing insurance systems?

Yes, the agent integrates with major policy management systems, certificate platforms, and risk management information systems through our flexible API. It can pull policy and requirement data directly from your existing systems and push verification results back into your workflows. This integration enables seamless incorporation of coverage verification into your current processes, eliminating duplicate data entry and ensuring consistent information across platforms. The agent can also generate verification reports in formats compatible with your existing documentation standards.

+

Can the coverage verification agent integrate with our existing insurance systems?

Yes, the agent integrates with major policy management systems, certificate platforms, and risk management information systems through our flexible API. It can pull policy and requirement data directly from your existing systems and push verification results back into your workflows. This integration enables seamless incorporation of coverage verification into your current processes, eliminating duplicate data entry and ensuring consistent information across platforms. The agent can also generate verification reports in formats compatible with your existing documentation standards.

+

Can the coverage verification agent integrate with our existing insurance systems?

Yes, the agent integrates with major policy management systems, certificate platforms, and risk management information systems through our flexible API. It can pull policy and requirement data directly from your existing systems and push verification results back into your workflows. This integration enables seamless incorporation of coverage verification into your current processes, eliminating duplicate data entry and ensuring consistent information across platforms. The agent can also generate verification reports in formats compatible with your existing documentation standards.

+

Can the coverage verification agent integrate with our existing insurance systems?

Yes, the agent integrates with major policy management systems, certificate platforms, and risk management information systems through our flexible API. It can pull policy and requirement data directly from your existing systems and push verification results back into your workflows. This integration enables seamless incorporation of coverage verification into your current processes, eliminating duplicate data entry and ensuring consistent information across platforms. The agent can also generate verification reports in formats compatible with your existing documentation standards.

+

How accurate is the agent's coverage verification compared to manual review?

The agent achieves 94-96% accuracy in coverage verification compared to experienced insurance professionals, with particular strength in comprehensive analysis of complex policies. The system's methodical approach ensures consistent evaluation of all policy provisions and requirements without the fatigue or oversight that can affect manual reviews. For unusual coverage structures or highly specialized policies, the agent flags areas of lower confidence for human review. The ideal workflow combines the agent's thorough analysis with human expertise for final judgment on complex coverage questions.

+

How accurate is the agent's coverage verification compared to manual review?

The agent achieves 94-96% accuracy in coverage verification compared to experienced insurance professionals, with particular strength in comprehensive analysis of complex policies. The system's methodical approach ensures consistent evaluation of all policy provisions and requirements without the fatigue or oversight that can affect manual reviews. For unusual coverage structures or highly specialized policies, the agent flags areas of lower confidence for human review. The ideal workflow combines the agent's thorough analysis with human expertise for final judgment on complex coverage questions.

+

How accurate is the agent's coverage verification compared to manual review?

The agent achieves 94-96% accuracy in coverage verification compared to experienced insurance professionals, with particular strength in comprehensive analysis of complex policies. The system's methodical approach ensures consistent evaluation of all policy provisions and requirements without the fatigue or oversight that can affect manual reviews. For unusual coverage structures or highly specialized policies, the agent flags areas of lower confidence for human review. The ideal workflow combines the agent's thorough analysis with human expertise for final judgment on complex coverage questions.

+

How accurate is the agent's coverage verification compared to manual review?

The agent achieves 94-96% accuracy in coverage verification compared to experienced insurance professionals, with particular strength in comprehensive analysis of complex policies. The system's methodical approach ensures consistent evaluation of all policy provisions and requirements without the fatigue or oversight that can affect manual reviews. For unusual coverage structures or highly specialized policies, the agent flags areas of lower confidence for human review. The ideal workflow combines the agent's thorough analysis with human expertise for final judgment on complex coverage questions.

+

Can the agent handle industry-specific coverage requirements?

Yes, the agent understands specialized coverage requirements across industries including construction, healthcare, transportation, professional services, and manufacturing. It recognizes industry-specific endorsements, policy forms, and coverage structures commonly used in each sector. The system applies appropriate verification methodologies based on the industry context, focusing on the most relevant coverage elements for each sector. This industry awareness ensures that verification results address the unique exposures and requirements of different business types.

+

Can the agent handle industry-specific coverage requirements?

Yes, the agent understands specialized coverage requirements across industries including construction, healthcare, transportation, professional services, and manufacturing. It recognizes industry-specific endorsements, policy forms, and coverage structures commonly used in each sector. The system applies appropriate verification methodologies based on the industry context, focusing on the most relevant coverage elements for each sector. This industry awareness ensures that verification results address the unique exposures and requirements of different business types.

+

Can the agent handle industry-specific coverage requirements?

Yes, the agent understands specialized coverage requirements across industries including construction, healthcare, transportation, professional services, and manufacturing. It recognizes industry-specific endorsements, policy forms, and coverage structures commonly used in each sector. The system applies appropriate verification methodologies based on the industry context, focusing on the most relevant coverage elements for each sector. This industry awareness ensures that verification results address the unique exposures and requirements of different business types.

+

Can the agent handle industry-specific coverage requirements?

Yes, the agent understands specialized coverage requirements across industries including construction, healthcare, transportation, professional services, and manufacturing. It recognizes industry-specific endorsements, policy forms, and coverage structures commonly used in each sector. The system applies appropriate verification methodologies based on the industry context, focusing on the most relevant coverage elements for each sector. This industry awareness ensures that verification results address the unique exposures and requirements of different business types.

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Next steps

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You’ll hear back in less than 24 hours

Next steps

Have a use case in mind?

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You’ll hear back in less than 24 hours

Next steps

Have a use case in mind?

Let's talk