
🛡️ Insurance
Policy administration, underwriting, claims and fraud scoring. Open any template to see the finished diagram, then use it as the starting point for your own in the Studio.
11 templates
The states of an insurance claim from first notice of loss to payment or closure, including investigation and appeals.
The core system of an insurer: quoting, underwriting, policy issue, billing and claims, used by customers, agents and underwriters.
How a life or health insurance proposal is underwritten: automated rules, medical tests where needed, and the underwriter's decision.
How a customer buys motor insurance online: quote, add-ons, vehicle and previous-policy checks, payment and instant policy issue.
A relational schema for an insurer: customers, policies, coverages, insured objects, premiums, claims and payments.
How an insurer scores incoming claims for fraud: data enrichment, rules, an ML model and a special investigation unit queue.
What happens between a policyholder, the insurer's app, a surveyor and a garage when a car insurance claim is made.
A cloud deployment for an insurance claims platform: web and mobile channels, claims microservices, document AI and a data lake.
How a cashless hospital claim works between the hospital, the TPA and the insurer, from pre-authorisation to final settlement.
The automated renewal journey: reminders before expiry, a pre-filled renewal quote, online payment and the new policy document.
Where each unit of insurance premium goes: claims, commissions, operating costs, reinsurance and profit.
More Insurance templates are being added regularly.