The AI Underwriter For Life & Health

An AI agent that applies underwriting judgment to complex case analysis and delivers a clear recommendation, with the rationale behind it.

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Medical risk assessment page for Margaret Chen with case rating and detailed multi-system medical history summary.Chat interface with prompts about atrial fibrillation and stroke risk, input box, and pink Send button.Medical report on atrial fibrillation with borderline EKG and elevated stroke risk, showing clinical events and EKG tracing.
HOW IT WORKS

Medical findings, appetite-aligned assessments, and recommendations, all in one place.

Submission lands, the AI Underwriter begins the review.

Evaluates applications, medical records, and financials against the underwriting manual. Classifies each case from standard to complex.

A faster first look.

Simplifies triage with Narrative, a tailored one-pager covering the key details of a case, reducing unnecessary APS pulls and requests for more information.

Clear next steps, in every case.

Surfaces the key impairments with cited sources. Flags what's missing and delivers appetite-aligned rationale and recommendation: rating, refer, decline, or postpone.

Drives confident, consistent decision-making.

Every relevant impairment is rated and accounted for. See exactly how each one adds up to the case's overall table rating.

Built to work alongside underwriters.

Underwriters can ask follow-up questions, guide the agent, and adjust recommendations. They're the ones who own the final call.

INTEGRATIONS

Works with your existing systems

The AI Underwriter works where underwriters work. It can run on its own or plug into your existing workbench and policy admin systems.

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user feedback

What customers are saying

Guardian company logo with stylized green and blue letter G.

“Sixfold reduces underwriter review time by 50% for Guardian”

- Andrew Holshouser

Head of Individual Markets Underwriting Transformation

See how Guardian is enhancing individual life underwriting with Sixfold
ClearView company logo.

“Sixfold has helped our team save time by not having to manually chase down page references and missing details in medical reports. We’ve seen a 55% reduction in time to evaluate a case.”

- Peter Tilocca

Head of Underwriting at ClearView Wealth Limited.

Built-in security and compliance
AICOA SOC HIPPAGDPR

HIPAA, SOC 2, and GDPR certified with single-tenant environments for confidentiality

IMPACT

What Insurers Are Seeing

55%

Faster case processing

30%

More premium written per underwriter

45%

Faster onboarding of new underwriters

TEAMS AT LEADING INSURERS USE SIXFOLD
Lines of business

Built To Adapt To Every Line.

The AI Underwriter works within the appetite, classes, and judgment each line requires, whether that's term life, disability income, long-term care, or critical illness.

Structured Settlements

Individual Life

Individual Disability Income

High Net Worth

Critical Illness

FAQ

We've Got Answers

How do carriers control what the AI Underwriter recommends?
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Insurers define the manual it works against, by product, by line, and by class. Every recommendation is shown with its rationale, and underwriters can ask follow-up questions, guide the agent, or adjust any rating or recommendation before it's finalized.

How does a junior underwriter vs. a senior underwriter work with the AI Underwriter?
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For junior underwriters, it acts as a more experienced colleague, surfacing context and judgment they're still building. For senior underwriters, it's an added layer of intelligence that lets them move faster and make more confident decisions on every case.

Does the AI Underwriter work for different sizes of insurers?
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Yes. For a smaller carrier or MGA, it makes growth possible without hiring ahead of new business. For a global carrier, it brings consistent evaluation across every case, with richer visibility into book performance.

What makes the AI Underwriter different from other tools on the market?
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Most solutions solve one part of the problem: digitizing records, surfacing analytics, or summarizing a file. The AI Underwriter reasons across all of it, applying your underwriting manual the way an underwriter would, from intake to recommendation.

What's the difference between this and a rules-based system?
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Rules-based systems only do what they're programmed to do. The AI Underwriter reasons across medical records, impairments, and your manual simultaneously, flagging not just what's present but what's missing.