Roberto Panucci and Marcelo De Callis attended InsureTech Connect on behalf of PSNA.
In the masterclass by Anthropic, the creator of Claude, Tom Deaney built a claims analysis agent live in Claude Code in under an hour.
With basic instructions only: 0% accuracy. With the claims manual: 60%. With an unwritten internal adjustment criterion (reservation of rights for old roofs): 100%. The model was the same. What changed was what it consulted.
For insurers, the opportunity is significant: faster and more consistent claims adjustment, fewer denials and improper payments, and less litigation.
But the agent is only as good as the rules it receives:
- Manuals written to be consulted, with section and effective date.
- Up-to-date law and regulation: Law 15,040/2024 and CNSP Resolution 496/2026.
- Precedents reread and, in many cases, qualified in light of the new rules.
- Test cases with real files and the correct answer defined in advance.
The insurer designs the rules. The legal team helps ensure they comply with the law, regulation and case law, acting more before the problem arises, not only after.
