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Use CaseOctober 14, 20265 min read

Answer Insurance Policy Questions on WhatsApp with AI

Clients ask about cover, waiting periods and renewals at all hours. See how to answer policy questions on WhatsApp from your own documents.

Insurance clients rarely ask questions at convenient times. Does this policy cover that? When does the waiting period end? What do I need to renew? They message on WhatsApp in the evening, and the answer is sitting in a policy document the advisor has to find.

Answering each one by hand takes time. Not answering costs trust.

How it works

An AI agent connected to your own documents can answer routine questions on WhatsApp or email. It looks up the answer in the right policy or knowledge base and replies in plain language, on your own WhatsApp Business number, so conversations come back to your team.

What it is good at

  • Questions with a clear answer in a document: cover, waiting periods, how to claim, what documents are needed
  • Answering at any hour, so clients are not left waiting overnight
  • Giving every client a consistent answer

What it should hand to a person

Some conversations should never be left to AI:

  • Advice about what a client should buy or change
  • Complaints and claim disputes
  • Anything the documents do not clearly answer

A good setup recognises these and passes the conversation to an advisor with the history attached.

Build trust with safeguards

  • Answer only from your approved documents
  • Say so clearly when it does not know, and escalate
  • Log every conversation, so you have a record
  • Use WhatsApp for clients who have agreed to be contacted, and check Meta's current messaging rules

What to measure

  • Share of questions answered without an advisor
  • Time to first answer
  • Escalations, and whether they were the right ones

Pair it with preparation

The same documents feed advisory preparation. See turning policy PDFs into advisory reports.

How we help

CognixAI Workflow connects your documents, WhatsApp and email, and we set it up and keep it running. See use cases for insurance or book a demo.

See how this would work for your team

Tell us what you want to automate. We'll show you with CognixAI Workflow and ClioIQ.