Series Seed · Q3 2026

Agentic process automation
for insurance.

Not another point solution. A platform that automates your entire operations stack — from first notice of loss to renewal, with embedded compliance and a human always in the loop.

SOC 2 Type II HIPAA-aligned Human-in-the-loop by default
cw://agents/claims-fnol · runtime v0.42
● LIVE
Inputs
Email · ACORD formPDF
Phone transcriptVOICE
Policy admin sysAPI
Photos · receiptsIMG
Cover Wave agent · claims-001
01Extract claim data from FNOL → 47 fields✓ 1.2s
02Validate against policy schedule✓ 0.4s
03Run fraud signals · severity model✓ 2.1s
04Draft acknowledgement & reserve✓ 0.8s
05Route to adjuster · waiting on review● hitl
Outputs
Reserve set · $14,200PAS
Ack. letter sentEMAIL
Audit trailLOG
Compliance checkPASS

Built for the systems insurance already runs on

Guidewire
Duck Creek
Salesforce FSC
Snowflake
Origami Risk
ACORD
The status quo

Insurance operations are stuck
between sticky notes and BPOs.

Carriers, MGAs, and brokers run on a sprawl of point tools and offshore teams. The work is high-volume, deeply regulated, and almost entirely manual — exactly the shape of work agents should do.

Tool sprawl
12+
Disconnected systems an average claims org touches in a single file — PAS, document AI, comms, fraud, sub-rogation, comp.
Where the time goes
70%
Of mid-office work is still manual: keying ACORD forms, chasing brokers, reconciling exposure, drafting letters.
Outsourced today
$8B+
Annual spend on insurance BPO — work that maps directly onto agentic automation, not headcount.
The platform

Four agents. One operations stack.

Cover Wave ships purpose-built agents across the full insurance lifecycle. They share memory, policies, and audit trails — so a decision in claims is informed by the underwriting that wrote it.

01 / CLAIMS

Claims

Triage FNOL across email, phone, and forms. Set reserves, run fraud signals, draft correspondence, and route the edge cases to a human adjuster — every step logged.

  • FNOL intake · 47 fields, 1.2s avg
  • Reserve setting with severity model
  • Subrogation discovery
  • Adjuster co-pilot & SLA tracking
02 / UNDERWRITING

Underwriting

Ingest broker submissions, normalize loss runs, enrich with third-party data, and produce a quote-ready file with rationale. The agent drafts; the underwriter decides.

  • Submission triage · clearance
  • Loss-run normalization
  • Exposure enrichment
  • Quote letter drafting
03 / DISTRIBUTION

Distribution

Onboard agents and brokers, manage appointments, monitor CE and licensing, and answer the long tail of producer questions across email and Slack — at agency-of-record scale.

  • Producer onboarding · NIPR sync
  • Commission reconciliation
  • Broker concierge agent
  • Appointment lifecycle
04 / COMPLIANCE

Compliance

Every action is policy-checked before it ships. State-by-state filing rules, NAIC market conduct, unfair-claims acts — encoded as guardrails the agents must pass through.

  • State filing rule engine
  • Market-conduct audit trail
  • Privacy & PII redaction
  • Bias & fairness monitors
The category

Point solutions are too narrow.
Horizontal platforms don't speak insurance.

Every insurance AI startup is a single function. Every horizontal agent platform is a generic toolbox. Cover Wave is the only platform built across the lifecycle, with insurance encoded at the model layer.

Point solutions Horizontal agent platforms Cover Wave
Approach Single function (claims OR UW)
e.g. Liberate · Pace · FurtherAI
Generic agent builder, BYO domain
e.g. Sierra · Decagon · Crew
Insurance-native platform across the full lifecycle
claims · UW · distribution · compliance
Insurance depth Deep, but in one workflow None — generalist Encoded: ACORD, NAIC, state rules
Lifecycle coverage One stage Whatever you build FNOL → renewal, one graph
Embedded compliance Bolt-on Not opinionated Guardrails by default
Human-in-loop Per workflow DIY First-class, with adjuster UX
Buyer fit Function head (VP Claims) Eng / RevOps COO / CIO — operations as a whole
Onboarding 6 design partners · Q3

Run insurance operations
at agent speed.

If you're a carrier, MGA, or broker rethinking the mid-office, we'd like to build with you.