Insurance

Innovate, deploy, and adapt insurance products quickly to capture market opportunities with Digital Insurance. Manage the entire policy and claims lifecycle with ease and efficiency, supported by AI-driven automation with Agentforce. Design seamless experiences for producers and account managers on the flexible Insurance Brokerage platform. Consolidate data across geographies and lines of business for a 360-degree client view, automate routine processes, and create AI-assisted workflows with Agentforce.

• Group Benefits
  Enhance group insurance capabilities across census, quotes, contracts, and the policy lifecycle. Support enrollments, contract and policy endorsements, and renewals so carriers and employers can manage midterm changes and renewals at scale.
• Brokerage
  Configure agency billing faster by describing your setup goals to an AI coding assistant. Report on granular policy, participant, asset, and coverage attributes with custom report types. Manage high-volume books of business with brokerage policies that support up to 40,000 records across the full policy lifecycle.
• Claims Management
  Speed up claim payment approvals with built-in financial authority controls, protect claim budgets with automated reserve checks, and improve payouts by enforcing the policy terms defined for each insured asset or person.
• Simplify Claim Filing for Policyholders with an AI Agent
  Give policyholders a faster way to report a loss and file a claim over the phone or in your customer portal with the Claims Service Customer Assistance agent. The agent verifies a policyholder's identity, collects incident details, creates a claim, and emails the claim and case details for the policyholder's reference. Policyholders can also request a callback from a customer service rep at any time during the call for further assistance. With the agent completing the claim intake for the routine cases, your customer service reps can focus on helping policyholders with complex claims.
• Set Up Insurance Products with an AI Assistant
  Get your Digital Insurance org up and running and create insurance products with an AI coding assistant, reducing manual effort and setup errors. Have the AI assistant check licenses and settings and complete the initial org setup required for product configuration. Describe the product that you want to offer in natural language, or provide its structure in a CSV or JSON file. Review and confirm the product structure, and the assistant creates the product, coverages, benefits, and attributes from your specifications.
• Set Up Insurance Products Faster with an Agentic Advisor
  Use Insurance Design Advisor to check your product configuration against everything a quote or policy flow needs. The advisor validates selling models, pricebook entries, pricing procedures, attributes, user permissions, context definitions, and more, and then returns structured validation results with step-by-step remediation guidance. Ask in natural language through Agentforce or use your desired MCP client. Validations run independently and you see every issue in a single pass, rather than discovering them one at a time.
• New Connect REST APIs in Insurance Design Advisor
  Validate insurance product configuration at design time. Check product models, attributes, pricing setup, product discovery, CML models, API request bodies, and user permissions, look up error codes, and generate a sample rating input. These APIs validate setup data and don't update product details.
• New Connect in Apex Methods in Insurance Design Advisor
  Validate insurance product configuration at design time. Check product models, attributes, pricing setup, product discovery, CML models, API request bodies, and user permissions, look up error codes, and generate a sample rating input. These methods validate setup and don't update data.
• Rate Complex Quotes Faster by Processing Quote Line Items in Parallel
  Determine which products in a bundle can be priced independently by generating a dependency graph. The graph identifies groups of products that have no cross-dependencies. When your users rate a quote that includes the bundle, the rating engine processes each group simultaneously and then rolls up the prices to determine the net unit price. For example, on an auto policy with three vehicles, the rating engine prices each vehicle and its associated coverages as independent groups at once, instead of sequentially.
• Migrate More Insurance Setup Data Between Orgs
  Replicate clauses, underwriting rules, surcharges, group benefits products, and constraint modeling language (CML) rules between orgs with additional built-in dataset definitions for the sf data setup transfer command. Previously, only the insurance product model had a built-in dataset definition, requiring you to author custom definitions for other insurance setup data.
• Quote Insurance and Non-Insurance Products from One Org
  When your reps quote a non-insurance product, the Revenue Management workflow applies—with quantity-based pricing and external tax—and quotes convert into contracts and orders. When they quote an insurance product, the Digital Insurance workflow applies—with risk-based rating, premium proration, and internal tax and fee calculation—and quotes convert into policies. Both workflows exist in the same org and apply based on the quote type.
• Boost Tax and Fee Evaluation with the Constraint Rules Engine
  Define business rules for product surcharges with greater flexibility and include more criteria and actions by using the Constraint Modeling Language (CML). With the CML rules for product configuration, underwriting, exclusions and clauses, and product surcharges unified in a single constraint model, simplify maintenance and help new users learn the rules framework quickly. When your reps rate a quote, the Constraint Rules Engine evaluates the product surcharge rules faster and in a single pass to calculate taxes and fees more efficiently.
• New and Changed Objects in Insurance
  Do more with the new and updated Insurance objects.