Insurance - Microsoft Solutions Partner | Cambay Solutions
Insurance - Microsoft Solutions Partner | Cambay Solutions
Industry Solutions

Microsoft Solutions for
Insurance

Transform policy administration, automate claims from FNOL to settlement, and build a precision risk analytics engine — powered by Microsoft Dynamics 365, Azure AI, and a cloud platform purpose-built for insurers operating in a regulated, data-intensive market.

Policy Management Claims Automation Risk Analytics FCA Compliant
38%
Reduction in claims handling cost
52%
Faster claims settlement
160+
Insurers implemented
13 wks
Avg. time to go-live
Insurance
Claims Settled Today
184
52% faster avg
Fraud Detected
$340k
This month
Industry Challenges

What's Holding Insurers Back?

The insurance market is under pressure from claims inflation, fraud sophistication, regulatory complexity, and customer expectations shaped by digital-first challengers — all while operating on decades-old legacy platforms.

The Challenge

Slow & Costly Claims Processing

Manual claims intake, paper-based assessments, and disconnected adjuster tools mean average claims cycle times of 28+ days — driving customer dissatisfaction, high handling costs, and leakage through poor reserve accuracy.

Microsoft Solution

D365 Claims Management with Azure AI automates FNOL intake, triage, and low-complexity settlement — reducing average claims cycle time by 52% and cutting handling costs by 38% while improving reserve accuracy.

The Challenge

Claims Fraud & Leakage

Insurance fraud costs the US industry $3.1B annually. Rules-based fraud detection misses sophisticated staged accidents, identity fraud, and ghost brokering — while over-flagging legitimate claims and creating costly disputes.

Microsoft Solution

Azure AI fraud scoring with network analysis, social graph detection, and vehicle telematics integration identifies fraudulent claims at FNOL — saving an average of $340k per month for our insurer clients.

The Challenge

Legacy Policy Administration

Brittle 1990s policy admin systems are the single biggest barrier to product innovation — preventing insurers from launching new products, testing pricing models, or integrating with InsurTech partners at the pace the market demands.

Microsoft Solution

D365 Policy Management with Azure API layer enables modern product configuration, real-time pricing integration, and InsurTech ecosystem connectivity — without the risk and cost of a full legacy replacement.

The Challenge

Pricing Accuracy & Profitability

Actuarial teams spending weeks running pricing analyses in Excel, disconnected from real-time loss data, claims trends, and external risk signals — leading to adverse selection, margin erosion, and growing combined ratios.

Microsoft Solution

Microsoft Fabric and Azure ML deliver real-time loss ratio monitoring, predictive pricing models, and automated GLM/GBM model deployment — cutting pricing cycle time from weeks to hours.

The Challenge

Broker & Intermediary Relations

Managing hundreds of broker relationships, commission structures, and bordereau submissions across disconnected spreadsheets and email creates administrative overhead, errors, and relationship management blind spots.

Microsoft Solution

D365 Sales and a dedicated Broker Self-Service Portal automates bordereau processing, commission calculation, scheme management, and new business pipeline tracking — centralising every broker relationship.

The Challenge

Regulatory & Conduct Risk

FCA Consumer Duty, Solvency II, and GDPR create overlapping compliance obligations that insurers struggle to evidence systematically — with board reporting relying on manual compilation of data from multiple teams and systems.

Microsoft Solution

D365 compliance accelerator automates Consumer Duty outcome monitoring, Solvency II capital reporting, and GDPR data subject rights fulfilment — with automated board MI generated on the first of every month.

How the Microsoft Stack Helps

One Platform from Policy to Claims to Profitability

Microsoft Dynamics 365 connects your policy administration, claims management, broker relationships, actuarial analytics, and regulatory reporting — giving underwriters, claims handlers, and the board a single source of truth for every risk in your book.

D365 Claims Management

End-to-end claims lifecycle — FNOL intake, reserve management, adjuster workflow, supplier management, litigation tracking, and settlement — with AI-powered triage and automated low-complexity settlement.

D365 Policy & Customer Service

Policy lifecycle management from quote through renewal, MTA, and cancellation — with omnichannel customer service, AI co-pilot for advisers, and automated renewal retention workflows.

Azure AI & Fraud Intelligence

Real-time fraud scoring at FNOL using ML models, social network analysis, telematics data, and external claims databases — catching fraud before it costs you, not after.

Microsoft Fabric & Actuarial BI

Unified loss data estate connecting claims, policy, and external risk data — powering real-time combined ratio monitoring, loss reserve analysis, and ML pricing model deployment.

Explore D365 for Insurance
D365 Insurance Dashboard
52%
Average reduction in claims cycle time across our insurer clients
Microsoft Partner Designations
Solutions Partner — Business Applications Solutions Partner — Azure Insurance Industry Specialisation ISO 27001 Certified
Key Features

Capabilities That Drive Insurance Results

Purpose-built Microsoft capabilities mapped to the most critical claims, policy, distribution, and analytics priorities for US and international insurers.

Intelligent Claims Management & Fraud Detection

From FNOL to final settlement — D365 Claims Management with Azure AI automates triage, adjuster assignment, reserve management, and supplier coordination, while detecting fraud in real time before it drains your combined ratio.

Omnichannel FNOL Intake

Digital, phone, and portal FNOL capture with AI-powered data extraction — automatically populating the claim record, verifying policy cover, and triggering the appropriate adjuster workflow in under 60 seconds.

AI Claims Triage & Automation

ML model classifies incoming claims by complexity, fraud risk, and settlement pathway — automatically settling simple, low-value claims without human intervention, reducing handling cost by 38%.

Real-Time Fraud Scoring

Azure AI scores every claim at FNOL against 200+ fraud indicators — network connections, social media, vehicle telematics, and claims history — flagging suspicious claims for specialist investigation before any payment.

Reserve Management & IBNR

Automated reserve setting with actuarial benchmarks, dynamic reserve adequacy alerts, and IBNR model integration — giving your finance team accurate reserve positions without waiting for month-end.

Supplier & Repairer Network

D365 Field Service manages your approved repairer, loss adjuster, and restoration supplier network — with work allocation, SLA tracking, quality scoring, and automated invoice matching.

Settlement & Litigation

Structured settlement workflow with authority matrices, legal case management integration, Ogden rate calculations, and automatic settlement letter and payment generation with full audit trail.

Policy Administration & Underwriting Workbench

Modernise your policy lifecycle without replacing your core systems — D365 provides a modern underwriting workbench, policy servicing layer, and customer portal that sits over your existing policy admin platform and adds the intelligence it was never designed to deliver.

Quote & Bind Automation

D365 quote workflow with real-time rating engine integration, referral routing, and straight-through bind for standard risks — reducing quote-to-bind time from hours to minutes for personal and commercial lines.

Policy Lifecycle & MTA

Complete policy lifecycle management — new business, mid-term adjustment, renewal, cancellation, and reinstatement — with automated pro-rata premium calculation, endorsement generation, and document dispatch.

Underwriting Workbench

D365 underwriting referral queue with risk scoring, exposure analytics, peer comparison, and one-click access to all risk information — giving underwriters the intelligence to make faster, better decisions.

Renewal Retention Engine

AI-powered renewal propensity scoring identifies at-risk renewals 60 days in advance — triggering personalised retention campaigns, pricing adjustments, and proactive outreach to maximise retention without sacrificing margin.

Customer Self-Service Portal

Branded policyholder portal for document access, claims tracking, policy changes, payment management, and direct contact with their handler — reducing inbound call volumes by up to 44%.

FCA Consumer Duty Compliance

Automated product value assessment, consumer understanding monitoring, and support quality tracking — generating the FCA-required board report and evidence pack with a single button click each quarter.

Distribution Management & Broker Relationships

Centralise every broker, MGA, and intermediary relationship in D365 — automating bordereau processing, commission management, scheme administration, and pipeline reporting so your distribution team can focus on growing the book, not chasing spreadsheets.

Broker CRM & Pipeline

D365 Sales gives your distribution team a dedicated broker CRM — contact management, new business pipeline, renewal tracking, scheme performance dashboards, and activity logging for FCA compliance.

Bordereau Automation

AI-powered bordereau ingestion — automatically parsing Excel, CSV, and PDF bordereaux from brokers, validating data quality, reconciling against policy records, and flagging exceptions for review.

Commission & Brokerage

Automated commission calculation, statement generation, and BACS payment for all broker arrangements — handling flat, tiered, profit commission, and override structures without manual intervention.

MGA & Scheme Administration

Full scheme management for MGA and coverholder relationships — capacity monitoring, slip management, quarterly account settlement, and Lloyd's and company market reporting through a single D365 workflow.

Broker Self-Service Portal

Branded broker portal for new business submission, policy documents, claims tracking, commission statements, and MI reporting — available 24/7 without calls to your operations team.

Distribution Analytics

Power BI distribution dashboard tracking GWP, loss ratio, and profitability by broker, scheme, and product — giving your head of distribution a live view of every panel relationship's performance.

Risk Analytics, Pricing Intelligence & Actuarial BI

Microsoft Fabric and Azure ML give your actuarial, pricing, and risk teams a modern analytics platform — connecting claims, policy, external risk, and market data to deliver real-time combined ratio monitoring, ML pricing models, and Solvency II capital reporting.

Real-Time Combined Ratio

Live combined ratio dashboard — loss ratio, expense ratio, and combined ratio by product, cohort, distribution channel, and geography — updated in real time from D365 claims and policy data.

Pricing Model Deployment

Azure ML model registry and deployment pipeline — your actuarial team builds GLM, GBM, or neural network pricing models in Python or R, and deploys them to production in D365 through a governed release process.

Loss Reserve Analytics

Microsoft Fabric loss reserve model — chain-ladder, Bornhuetter-Ferguson, and development factor methods — with scenario testing, IBNR range analysis, and automated quarterly actuarial report generation.

External Risk Data Integration

Pre-built connectors to Flood Re, Icecat, Verisk, and weather data APIs — enriching every risk with geocoded peril scores, claims history, and market loss data for more accurate underwriting decisions.

Solvency II & Capital Reporting

Automated Solvency II SCR calculation, ORSA workflow, and QRT report generation from Microsoft Fabric — reducing quarterly regulatory capital reporting time from 3 weeks to 3 days.

Exposure Management

Real-time catastrophe exposure monitoring — aggregate PML by peril, geography, and reinsurance programme — with automatic reinsurance bordereau generation and inward/outward reinstatement tracking.

Implementation Approach

Our Proven Insurance Delivery Model

We follow an insurance-aware delivery model that respects your regulatory reporting calendar, claims handling obligations, and FCA change management governance.

PHASE 01
Claims & Policy Process Discovery
Discovery — Weeks 1–2

Claims workflow audit, policy admin integration assessment, fraud typology review, broker panel mapping, and regulatory obligation inventory. We engage your Head of Claims, CUO, and Compliance Director to define the implementation blueprint.

PHASE 02
Configure & Build
Configure — Weeks 3–7

D365 Claims configuration, Azure AI fraud model training on your claims history, policy admin integration build, broker portal deployment, and Power BI actuarial dashboards. FCA compliance workflows configured to your specific regulatory permissions.

PHASE 03
Pilot & UAT
Validate — Weeks 8–11

Parallel running of D365 Claims alongside legacy system on a controlled volume of live claims. Full UAT with claims handlers, underwriters, and compliance team. Fraud model precision and recall validated against your actual fraud history before go-live.

PHASE 04
Go-Live & Hypercare
Go-Live — Weeks 12–13

Production cutover with 30-day hypercare — dedicated insurance specialist on-call through your first month-end reserve review and first FCA reporting cycle in the new platform. SLA-backed support from day one.

PHASE 05
Optimise & Scale
Evolve — Ongoing

Quarterly business reviews, fraud model retraining, actuarial model updates, and proactive FCA regulatory horizon scanning — ensuring your platform evolves as your book and the market changes.

Why Insurers Choose Cambay

Insurance-Native Team

Our consultants include ex-claims directors, underwriting managers, and actuaries who understand the commercial realities of running an insurance operation.

Proven Fraud AI Models

Our Azure AI fraud models are pre-trained on 8 million US insurance claims — reducing the cold-start problem and delivering accurate fraud detection from day one.

FCA-Safe Delivery

Every implementation is reviewed by our in-house FCA compliance specialist to ensure no configuration creates regulatory risk for your firm or its Senior Managers.

13-Week Go-Live Commitment

We contractually commit to a 13-week go-live for core D365 Claims implementations. If we're late for reasons within our control, we absorb the cost — not you.

Estimated Investment

Transparent Cost Guidance

Every insurer is different. Here's a realistic investment range — we'll refine this in a free scoping session with no obligation.

Specialist / MGA
MGA, captive, or specialist insurer
$50,000
one-time implementation
+ from $120/user/month
  • D365 Claims (Core)
  • Azure AI Fraud Scoring
  • Broker Self-Service Portal
  • Power BI Claims Dashboard
  • FCA Consumer Duty Module
  • 13-week go-live
Get a Detailed Quote
⭐ Most Popular
Mid-Market Insurer
Regional insurer or composite carrier
$130,000
one-time implementation
+ from $185/user/month
  • D365 Claims + Policy Admin
  • Azure AI Fraud & Network Analysis
  • Actuarial BI on Microsoft Fabric
  • Bordereau Automation Suite
  • Solvency II Reporting Module
  • Renewal Retention Engine
Get a Detailed Quote
Enterprise
National insurer or Lloyd's syndicate
Custom
scoped to requirements
+ volume-discounted licensing
  • Full D365 Insurance Suite
  • Azure ML Pricing Deployment
  • Catastrophe Exposure Management
  • ORSA & Capital Modelling
  • Reinsurance Bordereau Automation
  • SLA-backed managed service
Get a Detailed Quote
Typical Client ROI

Break-even in under 18 months

Based on aggregated data from 160 insurer clients since 2018.

18mo
Average payback
38%
Claims cost reduction
52%
Faster settlement
$2.1M
Avg. annual savings
Case Studies

Real Results from Real Insurers

Verified outcomes from insurers and MGAs who partnered with Cambay to transform their claims, policy, and analytics operations.

🏆 Featured Case Study — Regional Insurer

How a US Regional Insurer Cut Claims Handling Costs by 38% and Detected $4.1M in Fraudulent Claims in Year One with D365

A $290M GWP regional insurer was operating a labour-intensive claims operation with an average settlement cycle of 31 days and a fraud detection rate of just 3.2%. Cambay implemented D365 Claims Management with Azure AI fraud detection — achieving 52% faster settlement, 38% lower handling costs, and $4.1M in fraud identified in the first 12 months.

38%

Claims cost reduction

$4.1M

Fraud detected year one

52%

Faster settlement

13wks

Time to go-live
Read Full Case Study
Insurance D365 Case Study
"

We'd tried two previous claims system implementations that both failed. What made Cambay different was that they put a former Head of Claims on our project — someone who had actually managed 200 handlers and lived through a CAT event. The fraud model alone paid back the entire implementation cost within five months. I wish we'd done this three years ago.

— Chief Operating Officer, US Regional Insurer ($290M GWP, 18 product lines)
38%
Claims handling cost reduction
$4.1M
Fraud detected in year one
52%
Faster average settlement
9.5/10
Client satisfaction score
FAQ

Common Questions from Insurance Leaders

Can't find your answer? Talk to our team →

Yes — this is the most common deployment pattern for our insurer clients. We use Azure Integration Services to create a real-time integration layer between D365 and your policy admin platform (Guidewire, Duck Creek, Instanda, bespoke legacy, or any other system). D365 handles the CRM, claims management, broker portal, and analytics layers, while your existing policy admin system continues to handle policy rating and administration. This avoids the risk and cost of a full policy admin replacement.

Our claims fraud model is trained on 8 million anonymised US insurance claims and uses a combination of supervised ML (gradient boosted trees), unsupervised anomaly detection, and graph neural networks for network analysis. At FNOL, every claim is scored in real time against 200+ features — including claim narrative (NLP), claimant history, linked entity network, device fingerprint, social media signals, and third-party vehicle and address data. Scores above configurable thresholds are automatically routed to your Special Investigations Unit with an explanation of the top contributing factors.

Yes. D365 supports both Lloyd's syndicate and company market business in the same instance, with separate entity structures and reporting hierarchies. Our platform handles Lloyd's-specific requirements including ACORD messaging, DRI bordereau format, XIS claims reporting, and crystal signing — alongside standard FCA regulatory reporting for your company market business, all from a single D365 deployment.

Our broker portal accelerator is pre-built on Power Pages and can typically be deployed, configured with your branding, and connected to D365 within 4–6 weeks. This includes new business submission, policy document access, claims tracking, commission statement viewing, and MI reporting. Broker onboarding to the portal from email-based processes typically takes 2–4 weeks depending on your broker panel size and change management approach.

Yes. D365 supports personal lines (motor, home, travel, pet), commercial lines (SME, mid-market, specialty), and specialty/reinsurance products in a single platform. Product configuration, rating engine integration, workflow rules, and reporting are all configurable per product line — so your personal motor claims workflow and your commercial property underwriting referral process can have completely different configurations in the same system.

Our Solvency II accelerator for Microsoft Fabric includes pre-built QRT report templates (quarterly and annual), automated SCR calculation from D365 exposure data, ORSA workflow management, and group reporting consolidation. We work with your actuarial team to validate all capital models and reporting outputs against your internal model or standard formula approach before go-live. Post go-live, we provide regulatory horizon scanning and proactive notification of any changes to Solvency II technical standards that require platform updates.

Ready to Transform Your Claims, Reduce Fraud & Improve Your Combined Ratio?

Book a free 60-minute consultation with one of our insurance specialists. We'll review your claims operation, fraud detection capability, and distribution management — and outline a realistic improvement roadmap with no obligation.

✓ Free, no-obligation consultation ✓ Insurance-specialist consultants ✓ Response within 2 business hours ✓ Microsoft Insurance Industry Partner

Your information is never shared. We'll only contact you about your enquiry.

Explore More

Related Industries & Solutions

Ready to Start?

Ready to Solve Your Next Business Challenge?

Start the conversation today and unlock measurable growth with Microsoft technology.

🍪 We value your privacy

We use cookies to enhance your browsing experience, serve personalised ads or content, and analyse our traffic. By clicking "Accept All", you consent to our use of cookies.