Industries · Insurance

Where every claim, policy, and quote runs through architecture.

P&C carriers, life and long-term-care insurers, InsurTech platforms, and brokerage operators run businesses where underwriting, claims, fraud detection, and customer experience are increasingly software-defined. PEXIVA helps insurance technology leaders modernize legacy platforms, deploy AI inside regulated workflows, and build the cybersecurity posture state DFS examiners now demand.

Current pressures on carriers

The pressure shaping insurance architecture.

State DFS regulators are increasingly fluent in cloud, AI, and third-party risk. AI is restructuring underwriting, fraud detection, and claims adjudication. Legacy mainframe policy systems are reaching end-of-vendor-support. Customer expectations now reference InsurTech-grade digital experience — not the legacy IVR. The carriers and brokers winning are the ones modernizing without breaking what regulators already trust.

When Carriers Decide to Modernize

What typically drives a insurance leader to call us:

Policy admin platform migration. Claims modernization. Underwriting AI initiative. State DFS exam finding. Cyber incident. Post-M&A integration. New CIO with modernization mandate.

Forces reshaping insurance

  • State DFS Part 500 cybersecurity expectations tightening
  • AI in underwriting and claims moving from pilot to production
  • Legacy policy admin platforms reaching end-of-vendor-support
  • InsurTech competition setting customer-experience benchmarks
  • Post-M&A integration constant in PE-backed brokerage roll-ups
  • Long-term-care and specialty carriers facing legacy mainframe pressure
Three Focus Areas

Where PEXIVA delivers in Insurance.

Cloud, AI, data, applications, security, and workforce — mapped to the architecture decisions insurance leaders are actually making this year.

01
// Policy & Claims

Policy admin and claims modernization

Legacy modernization for Guidewire, Duck Creek, Majesco, Sapiens, and mainframe policy stacks. Strangler-fig patterns to wrap legacy without ripping. API layering for partner and broker integration. Phased migration plans that survive the regulator.

GuidewireDuck CreekMajescoSapiensAPI LayeringStrangler Fig
02
// AI in Underwriting & Claims

AI inside regulated insurance workflows

Production-grade ML for underwriting decision support, fraud detection, and claims triage. Document intelligence for FNOL, medical records, and policy documents. Adjuster copilots. Built on regulated data foundations with model governance for state DFS scrutiny.

Underwriting AIFraud DetectionClaims AIFNOL AutomationAdjuster CopilotsModel Governance
03
// Compliance & Cyber

DFS, NAIC, and insurance cyber posture

Cloud landing zones designed for state DFS Part 500, NAIC Insurance Data Security Model Law, and HIPAA where applicable. Evidence collection automated. Third-party risk management. Audit trails immutable.

DFS Part 500NAIC IDSMLHIPAA (health)GLBAThird-Party RiskCyber Recovery
Compliance

Insurance is a regulated environment.

Regulated under: State DFS (NY Part 500 et al.) · NAIC Insurance Data Security Model Law · GLBA · HIPAA (health insurance) · State insurance commissioners · Sarbanes-Oxley (public carriers)

Ready to talk?

Tell us about your insurance trigger event.

A 1-hour working session with our senior team — not a sales pitch. You'll walk away with an architecture and decision memo whether or not we engage further.

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