More connected insurance journeys, from request to resolution.
StaryaAI connects agents to operational rules, data, channels and systems to expand service, authorization, collections and back-office capacity with governance.
- Policy or benefit context
- System integration
- People in control
For insurers, health plans and assistance companies with critical journeys, high volumes and traceability requirements.
Figures that help put operations in perspective.
plug-and-play agents
users
messages exchanged
average response SLA
Figures consolidated by StaryaAI. Updated: July 2026.
Companies featured in case studies published by StaryaAI
Operations have grown. Has the insurance journey kept up?
Many bottlenecks look like staffing shortages. In practice, the cause may lie in how rules, data, systems and people participate in each stage.
Fragmented authorizations and referral forms
Rules, eligibility, documents and systems require repeated lookups and increase rework.
Customer service tied up in repetitive requests
Questions about coverage, provider networks, payment slips and status occupy professionals who should be handling exceptions.
Claims with limited continuity
Customers move through documents, channels and teams without clear visibility into pending items and next steps.
Collections and renewals depend on follow-up
Large portfolios require prioritization, context and continuity across contacts and negotiations.
Scattered knowledge and rules
Policies, products and criteria are spread across systems, documents and people.
Limited journey visibility
Managers struggle to track timing, exceptions, handoffs and operational indicators.
Agents connected to the journey, its rules and operations.
StaryaAI starts with the business priority. It then structures agent missions, connects authorized context and defines where the team should monitor, decide or intervene.
Understand the journey
We map objectives, rules, people, systems, risks and success criteria.
Design and integrate agents
Each agent receives a mission and works with the context it needs.
Monitor operations
The client participates in the journey and prioritizes improvements based on observed data.
Operational capacity where the journey needs it most.
The design can start with a priority area and expand into processes with more agents, channels and integrations.
Authorizations and referral forms
Connect rules, eligibility, documents and systems in flows that require traceability.
Customer service and triage
Organize recurring inquiries, record requests and route exceptions with the necessary history.
Claims journey
Guide documentation, pending items and next steps throughout the process.
Collections and renewals
Support prioritization, contact and continued negotiation under defined rules.
Back office and documents
Connect lookups, checks and records that depend on data and human participation.
Provider search and guidance
Support provider network and coverage inquiries and routing based on the available context.
A clear mission for each stage of the journey.
Agents are configured for the context, products, rules and intervention points defined by the organization.
Rafael
Supports referral form processing and eligibility and coverage rule lookups, connected to operational systems.
Customer service agents
Answer questions, record requests and escalate complex situations with context.
Kaito
Supports claim denials, billing, documents and back-office processes according to the rules defined for the operation.
Journey agents
Guide documentation, pending items and next steps, routing to the team when necessary.
Scope follows the complexity of the journey.
An agent applied to your process
For a defined operational problem, with a mission, integrations, success criteria and monitoring.
- Flow and mission design
- Integration with the organization's context
- Validation before operations begin
A coordinated team of agents
For processes that cross teams, channels and systems and need complementary functions.
- Agents with defined roles
- Routing and handoff rules
- Expansion through new journey stages
Agent operations do not become a black box.
Enterprise is the environment clients use to monitor and participate in the operation of the agents they purchase.
- Track journeys and indicators defined in the project.
- Test flows and monitor operational progress.
- Handle handoffs and intervene when necessary.
- Connect agents to organizational priorities.
Voice service connected to operations.
At Unicall and Unimed Paraná, agents were integrated with IVR for payment slip and authorization status flows, transferring to the team when needed.
From self-service to handoff with context.
The operation serves members of 18 cooperatives and began with two implemented flows.
The first month allowed measurement of resolution, retention and average handling time reduction within the published flows.Results supplied by StaryaAI within the case study's scope.
AHT reduction within the published scope
of calls resolved by AI in the first month
members across 18 cooperatives served by the operation
51% retention
Indicator reported for the published flow.
53% retention
Indicator reported for the published flow.
Results supplied by StaryaAI and presented within the case study's period and scope.
Calculate your ROI.
Estimate the impact of AI automation on your insurance operations. Actual results may vary.
View calculation breakdown
* Figures are calculated using the assumptions already used in the published calculator. Actual results may vary.
A method for turning priorities into execution.
Discovery
We understand the operation, its priority and the expected outcome.
Work Analysis
We map the mission, rules, KPIs, integrations and success criteria.
Design and preparation
We structure agents, flows, context and exception scenarios.
Integration and validation
We connect systems and validate behavior with the responsible team.
Go-live and improvement
We monitor operations and prioritize improvements based on data.
Connect agents to the insurance ecosystem.
Insurance systems, CRMs, ERPs, channels and enterprise APIs.
Insurance systems
Core insurance · Policy management · Claims systems
CRM
Salesforce · HubSpot · Pipedrive · RD Station
ERP
SAP · Oracle ERP · TOTVS · Protheus
Channels
WhatsApp Business · Voice · SMS · WebChat
Collaboration
Slack · Microsoft Teams · Google Workspace
APIs
REST APIs · Webhooks · GraphQL
Trust Center
Security, privacy and compliance at every layer of the platform.
Compliance by Design
LGPD work completed, with ISO 27001 and SOC 2 Type II certification processes underway. Controls and audit trails support project governance.
Data Protection
Integrated DLP, end-to-end encryption, immutable logs and configurable data residency.
Governance
RBAC/ABAC, auditing, usage policies and guardrails configurable to the context.
Observability
OpenTelemetry traces, alerts and dashboards to monitor technical and operational events.
Controls support governance and compliance. They do not replace legal assessment, internal policies or the client's regulatory responsibilities.
What often comes up before the first conversation.
How does a project for insurance operations begin?
We start with the business priority, current journey, rules, systems involved, risks and criteria that will indicate success.
Are agents adapted to coverage rules?
Yes. The design considers the mission, products, rules, access, integrations, exceptions and human intervention points defined for the project.
Does the solution replace insurance systems?
No. StaryaAI operates as an agent and orchestration layer connected to the systems and channels the organization already uses.
Does the platform guarantee regulatory compliance?
Not automatically. The project can apply access, traceability, security and governance controls that support compliance. Regulatory and legal assessment remains the responsibility of the parties involved.
What is the role of Enterprise?
Enterprise is the environment clients use to monitor agents, test flows, handle handoffs, intervene in operations and track the indicators defined in the project.
Which insurance journey needs to improve now?
Connect your priority to agents designed for your operational context.
Schedule a conversation.
Tell us which insurance journey needs to improve. Our team assesses context, integrations and success criteria.
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