Insurance AI QA

AI Agent Testing
for Insurance

Insurance AI agents that hallucinate policy coverage, wrong claim status, or incorrect waiting periods don't just frustrate customers โ€” they trigger IRDAI complaints and create misselling liability. We test before you go live.

Most Common Insurance AI Failures

Correct waiting period per policy71% pass rate
Accurate claim status from CRM78% pass rate
Correct sum insured / coverage84% pass rate
Right document list for claim73% pass rate
No hallucinated exclusions89% pass rate
Correct grievance escalation path82% pass rate
100+
Policy scenarios per audit
48hr
Report delivery
3
Insurance lines covered
IRDAI
Compliance framework

Free 100-Conversation AI Reliability Audit

100 insurance-specific test scenarios run against your AI agent โ€” policy accuracy, claims handling, IRDAI compliance, misselling detection. Full report in 48 hours.

1
Share agent or transcripts
2
100 insurance test scenarios
3
IRDAI compliance report
4
Paid sprint to fix issues
Claim Free Audit
What We Test in Insurance AI
๐Ÿ“‹

Policy Accuracy Testing

Does your agent serve correct policy details โ€” or confabulate coverage and exclusions?

  • Sum insured and coverage limits
  • Waiting periods per illness/condition
  • Exclusions and sub-limits
  • Premium amount and payment schedule
  • Network hospital list accuracy
๐Ÿ“

Claims Accuracy Testing

Wrong claim guidance causes rejection, delays, and IRDAI complaints.

  • Correct document list per claim type
  • Accurate claim status from CRM
  • Settlement timeline accuracy
  • Cashless vs. reimbursement guidance
  • Correct escalation for complex claims
โš–๏ธ

IRDAI Compliance Testing

We test for misselling indicators and regulatory disclosure requirements.

  • Mandatory free-look period disclosure
  • Return on investment disclaimers
  • No misleading premium-to-return claims
  • Grievance redressal process accuracy
  • Ombudsman escalation path
๐Ÿฅ

Health Insurance Specialist Tests

Health insurance has the most complex and high-stakes accuracy requirements.

  • Pre-existing disease waiting periods
  • Maternity benefit eligibility and timing
  • OPD vs. IPD coverage distinction
  • Day-care procedure list accuracy
  • Portability benefit accuracy
๐Ÿš—

Motor Insurance Tests

IDV, NCB, and add-on rider accuracy testing for motor insurance agents.

  • IDV calculation accuracy
  • NCB percentage and eligibility
  • Add-on rider details (zero dep, engine protect)
  • Claim intimation process steps
  • Surveyor assignment accuracy
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Renewal & Upsell Agent Testing

Renewal agents are high misselling risk โ€” we verify compliant upgrade guidance.

  • Premium increase justification accuracy
  • Upsell recommendations with full disclosure
  • Lapse consequences explained correctly
  • No fabricated discount claims
  • Grace period information accuracy
Insurance AI Evaluation Packages
IRDAI Compliance Audit
โ‚น3L โ€“ โ‚น8L
One-time compliance + accuracy audit
  • 100-conversation test suite
  • Policy accuracy testing
  • Claims guidance accuracy
  • IRDAI compliance check
  • Misselling risk assessment
  • Remediation report
Get Started
Enterprise QA
โ‚น25L โ€“ โ‚น75L
Full QA for large insurance platforms
  • Everything in Full Evaluation
  • Multi-line coverage (health/motor/life)
  • Multi-agent A/B evaluation
  • CI/CD evaluation API
  • Dedicated insurance QA team
  • IRDAI audit support documentation
Contact Us
Common Questions
What insurance lines do you cover in testing?
Health insurance (individual and group), motor insurance (car, bike, commercial), life insurance and term plans, general insurance (home, travel, liability), and credit life / loan protection insurance. We design test cases specific to the products your agent handles.
How do you detect misselling risk in AI agents?
We run test scenarios that probe common misselling patterns โ€” exaggerated return claims, downplaying exclusions, omitting waiting periods, misleading comparisons with competitors. We compare agent responses against your policy wordings and IRDAI guidelines, flagging any deviation.

An Insurance AI That Misleads
Is a Regulatory Liability

IRDAI complaints from AI-caused misselling are an emerging risk category. Test your agent before your customers do.

Free 100-Conversation Insurance Audit

Free Insurance AI Reliability Audit