Insurance Policy Management

Part of the worlds-biggest-software-project initiative.

An AI-native, open-source policy administration platform covering policy, claims, billing, and agent portals for P&C insurers, MGAs, and brokers.

Insurance Policy Management is a candidate open-source alternative to the entrenched, seven-figure-ACV core systems that dominate insurance IT. It targets carriers, MGAs, reinsurers, and independent agent networks who need modern, API-first policy administration without multi-year Guidewire- or Sapiens-style implementations.

Why Insurance Policy Management?

Tier-1 incumbents (Guidewire, Sapiens, Majesco, Insurity, Duck Creek) carry seven-figure annual contracts and 12–24 month implementation cycles, locking out smaller carriers and MGAs.
Mid-market alternatives (BriteCore, Insuresoft, SimpleINSPIRE) still run $200,000–$1M annual contracts with limited analytics or specialty-line depth.
According to the ACORD 2026 Digital Maturity Study, only 7% of the world's largest insurers fully leverage end-to-end digital capabilities — most are still replacing COBOL-era cores.
All major platforms are proprietary; carriers cannot inspect, extend, or self-host the systems running their book of business.
AI-assisted underwriting, automated FNOL triage, and embedded insurance distribution remain fragmented across vendor roadmaps rather than available as composable, open building blocks.

Key Features

Policy Lifecycle

Quoting, issuance, renewal, endorsement, and cancellation workflows
Multi-line support for personal and commercial coverage
Rate and underwriting rule configuration
Underwriting workflow with approval routing and history
Audit trails for all policy transactions

Billing & Claims

Premium billing and payment collection
First Notice of Loss (FNOL) intake
Claims lifecycle management with status tracking
Role-based access control across agent, customer, underwriter, and adjuster roles

Standards & Integration

ACORD XML (and emerging JSON / JRICS) import and export
REST APIs for policy and claim lookup
Webhook and EDI connectivity for reinsurance and agency integration
PCI DSS-aligned payment handling

AI-Assisted Capabilities (v1.1)

AI-assisted underwriting risk scoring
Automated rule-based claims triage and routing to adjusters
Advanced rating algorithms incorporating telematics and external data
BI dashboards with policy and claims analytics

Portals & Distribution (v1.1)

Customer portal with policy document access and online renewal
Agent portal with commission tracking and lead management
Mobile app for policyholder claim reporting
Reinsurance treaty management and reporting
Multi-currency support for international carriers

AI-Native Advantage

AI is woven through the platform rather than bolted on as a vendor add-on. ML models trained on historical loss data and external signals (telematics, satellite imagery, social data) generate real-time underwriting risk scores. Computer vision and NLP process FNOL claims from photos, voice, and documents to auto-route work and enable straight-through processing for low-complexity claims. LLMs draft bespoke policy endorsements and check them against state filing requirements, while predictive renewal and lapse models trigger retention workflows weeks before churn.

Tech Stack & Deployment

The project targets a cloud-native, API-first architecture with REST endpoints, webhooks, and EDI connectivity for reinsurance. ACORD XML/JSON support is a first-class concern, alongside ISO rating manuals, NAIC model-law alignment for US filings, HL7 FHIR for health-line integrations, and PCI DSS for premium payments. Deployment is intended to support both managed cloud and self-hosted modes so carriers can keep policy data inside their compliance perimeter.

Market Context

The insurance policy administration systems software market was valued at roughly $4.04B in 2026 and is projected to reach $6.37B by 2030 (12.1% CAGR), with the broader insurance policy software market growing from $15.8B in 2025 to $44.2B by 2035 (11.4% CAGR) per MakData Insights. Enterprise platforms charge seven-figure ACVs; mid-market platforms charge $200K–$1M annually. Primary buyers are P&C carriers replacing legacy cores, MGAs standing up new admin capabilities, reinsurers needing policy data integration, and independent agent networks needing integrated quoting and billing.

Project Status

This project is in the research and specification phase.
Contributions, feedback, and domain expertise are welcome.

Contributing

We welcome contributions from developers, domain experts, and potential users. See CONTRIBUTING.md for guidelines.

Important: All contributions must be your own original work or clearly attributed open-source material with a compatible licence. Copyright infringement and licence violations will not be tolerated and will result in immediate removal of the offending contribution. If you are unsure whether a piece of code, text, or other material is safe to contribute, open an issue and ask before submitting.

Licence

Licence to be determined. See discussion for context.