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[24]7.ai
  • Why [24]7.ai
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    [24]7 Engagement Cloud, an AI-powered omnichannel CX platform, equips you to excel at every stage of the customer journey, from the very first interaction to building enduring relationships. A complete package that helps you acquire new customers, nurture existing ones, and drive long-term retention – all on a single, unified platform.

    • [24]7 Engagement Cloud Overview >
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    Crafting Unforgettable Customer Experiences
    Go beyond meeting expectations and cultivate customer loyalty. We are passionate CX specialists dedicated to crafting unforgettable experiences. Leverage a powerful blend of expertise, teamwork, and cutting-edge technology to transform your CX strategy.
  • Solutions
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    US Retailer Transforms CX with [24]7.ai Managed Customer Engagement
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    Gold Awards at US Customer Experience Awards, 2024
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Designing Insurance CX for the Modern Customer: Smarter Self-Service with AI and Automation

  • By Hari Priya
  • Content Lead
  • 10/17/2025

A noticeable gap now exists between the expectations of the increasingly impatient insurance consumer and the legacy insurance experience. Customers used to think that insurance journeys were slow, paper-heavy, and call driven, which led to delays in issue resolution and higher levels of aggravation. This model is not sustainable in today’s digital world. The rise of AI and automation is helping insurance customer experience become not only smarter and faster, but more self-service based while retaining the personal touch modern customers still require.

The Modern Insurance Customer Profile

Modern insurance consumers are digital-first, and they expect access to support and policy management when it is needed – 24/7. They place convenience as a priority, so they expect seamless engagement across mobile and omnichannel touchpoints, whether that’s an app, web portal, or messaging platform. Trust and transparency are important, too; while loyalty is based on past experience, trustworthy and transparent communication about claims, renewals, and policy changes is a meaningful interaction – and it can affect how they make decisions.

Pain Points in Today’s Insurance CX

  • Lengthy claim processing delays drive 60% of dissatisfied customers to consider switching providers after a poor claims experience.
  • Complex and confusing updates, jargon and unclear documents erode trust and spark more inquiries.
  • Heavy reliance on human agents, even for your routine queries that increases operational costs and slows resolutions.
  • Fragmented experiences such as disjointed digital journeys across websites, mobile apps, and call centers frustrate customers.

Smarter Self-Service with AI and Automation

Claims Management
  • AI chatbots are currently helping customers navigate the often complicated claims process step-by-step by easing information gathering and document submission.
  • Automation of document verification cuts down on back-and-forth communication and ultimately, expedites the speed and accuracy of approvals.
  • Updates on predictive claim status inform the customer ahead of time about their claim and reassure them about the claim’s status.
  • Automated reminders, tailored for each customer’s needs, will increase renewal rates and foster opportunities to upsell.
Policy Renewals and Updates/strong>
  • Automated reminders, customized to the policyholder’s current situation, will increase renewal rates and drive upsell opportunities for agents.
  • Self-service policy changes through digital assistants will allow customers to change their policy on the spot, often without contact with an agent.
  • Dynamic FAQ engines through NLP deliver instantaneous context-aware answers to policy inquiries, enhancing service-level capabilities 24/7.
Customer Support Beyond Transactions
  • AI-enabled virtual assistants provide round-the-clock support, addressing recurring inquiries, efficiently facilitating support service expansion, eliminating the need for additional agents.
  • Voice bots field inbound requests for policy information and claims status, resulting in reduced average handling time (AHT).
  • With sentiment analysis included in AI support, sensitive issues or frustration can be flagged for agent reassignment with human empathy.

The Human + AI Balance in Insurance CX

Empathy is still important, particularly with sensitive topics like suspected fraud or denied claims, or emotionally charged conversations. AI and automation enable live agents to put their focus on high-value situations, as opposed to wasting energy on repetitive tasks. By using AI for the speed and efficiency it provides, while still getting personalized support, insurers are enhancing trust and deeper relationships.

Business Impact: Why AI-Driven Self-Service Matters

  • Reduced average handling times (AHT):AI chatbots and automation can cut manual effort by up to 80% in claims.
  • Higher First Contact Resolution (FCR) rates:more queries are resolved in one interaction.
  • Boosted satisfaction and retention levels: personalized, proactive service meets customer demand for transparency.
  • Significant operational savings:from automation at scale, freeing up resources for strategic work.

Implementation Roadmap: Building Smarter Insurance CX

  • Step 1: Audit the current customer journey to identify automation-ready pain points and opportunities.
  • Step 2: Start with pilot projects such as automating claim status or policy updates to demonstrate value quickly.
  • Step 3: Scale automation with omnichannel orchestration and advanced analytics, ensuring consistent experiences.
  • Step 4: Upskill and train agents to complement automation, focusing on empathy and expertise in complex cases.

The Future of AI in Insurance CX

The future of Insurance CX involves the use of AI for predictive servicing – determining needs before the customer articulates them. Expect hyper-personalized policies, AI-driven recommendations, and rapid voice biometric verification soon. Also, typically seen in claims handling, creating a proactive system to significantly enhance risk management and claim prevention through integration with IoT, wearables, and smart devices will undoubtedly revolutionize CX in insurance.

How [24]7.ai Helps Insurers Reimagine CX

[24]7.ai is transforming the insurance customer experience using conversational AI and digital-first solutions. This approach alleviates common pain points in claims, policy updates, and administrative tasks across every form of customer engagement. The platform does support transactional self-service needs via chat, voice, or social channels so customers can start, switch, and continue their journeys without friction, which facilitates lower engagement effort and greater retention.

Agent-assist AI supplies both suggestions and context in the moment, empowering insurance teams to more effectively, efficiently, and empathetically navigate complex queries. [24]7.ai has more than 200 full-service AI models tailored to the insurance space, digitally onboarding new policies, speeding up claims and policy updates, and personalizing every kind of engagement, which enhances customer satisfaction and retention. The integrated approach intertwines automation with people to provide prompt, efficient, tailored service in a scalable way.

Final Thoughts

Customers today expect insurers to deliver speed, convenience, and transparency. Hence, AI and automation are perfect for reshaping self-service, turning it from a cost-saving tool into a powerful driver of loyalty and satisfaction. The real opportunity lies in combining digital-first efficiency with a human, responsive touch. Insurers that partner with trusted players such as [24]7.ai will be best positioned to lead customer experience in the decade ahead.

FAQs

Do AI chatbots have the capability to address complex claims?
AI chatbots can facilitate simple claims and provide updates on potential claims, while more complicated and emotional claims are quickly transferred to agents for emotional responses.

What cybersecurity measures are available for digital insurance transactions?
Some of the largest insurance companies are now using authentication, voice biometrics, and encrypted communications to secure a digital, insurance CX channel.

How quickly can an insurance company deploy self-service that is powered by AI?
Modularity enables insurers to launch pilots within a few weeks, while ensuring they proceed with a deliberate pace of growing their use cases to mitigate risk as they learn.

Will automation obviate the need for agents?
Automation allows agents to focus on high-value, empathy-based work, so it does not eliminate their roles.

What KPIs will improve after launching self-service that is AI-based?
Common KPIs that improve after launching AI based self-service agents include AHT, FCR, and NPS.

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