Industry Solutions

How can insurance companies use RAG for internal knowledge?

Insurance teams use RAG to search policy wordings, claims procedures, underwriting guidelines and broker questions. Cited retrieval keeps answers traceable to the current wording, scoped access separates lines of business, and audit logs support reviews. VPC or on-prem deployment keeps policyholder data inside the insurer's boundary.

Key facts

API surfaceOpenAI-compatible /v1/chat/completions; keep your existing SDK
GroundingEmbeddings and RAG are live for policy wording, claims and underwriting search
Models30+ models behind one API, from free tiers to frontier
DeploymentPlugsky cloud, your VPC, on-prem or air-gapped
Access controlScoped API keys, rotation and usage analytics; enterprise SSO and RBAC options
AuditabilityRequest and response logging with usage analytics
Pricing modelFlat monthly self-serve plans; no per-token billing on self-serve
Free tierFree plan with plugsky-micro and plugsky-lite; 14-day full-access trial

TL;DR

  • Ground insurance answers in approved internal content with RAG instead of model memory.
  • Keep policyholder or claims content inside VPC, on-prem or air-gapped deployments where policy requires it.
  • Scope retrieval per team, client or site so permissions and confidentiality hold at query time.
  • Keep a named human owner for every coverage or pricing decision.
  • A licensed adjuster approves every coverage outcome.

How it works, step by step

  1. Inventory the content to make searchable: policy wordings, claims procedures, underwriting guidelines and broker guidance.
  2. Define a data boundary for the pilot that excludes restricted material until controls are proven.
  3. Choose a deployment target: cloud for public content, VPC, on-prem or air-gapped for restricted data.
  4. Build an evaluation set with underwriters and claims leads so answer quality is judged by domain experts.
  5. Ingest, chunk and embed approved documents, and require citations on every answer.
  6. Add refusal behavior for questions outside the indexed, approved content.
  7. Review logged interactions on a schedule and expand only after accuracy and access checks pass.
1Inventory thecontent to makesearchable: policy2Define a databoundary for thepilot that excludes3Choose a deploymenttarget: cloud forpublic content,4Build an evaluationset withunderwriters and5Ingest, chunk andembed approveddocuments, and6Add refusalbehavior forquestions outside

Original data

OpenAI-compatiAPI surface30+ models behModelsFree plan withFree tierSource: Plugsky facts table · updated 2026-09-26

Try it yourself

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Where insurance teams start

Start with internal questions that already have a written answer. High-value first workloads include:

  • Policy wording search: answer coverage questions from current wording.
  • Claims procedures: retrieve handling steps and documentation rules.
  • Underwriting guidelines: surface risk appetite and referral guidance.
  • Broker and agent support: answer product and process questions with citations.

Each use case augments staff with cited answers; none replaces licensed adjuster or underwriter judgment.

A private RAG architecture for insurance knowledge

The stack is consistent across industries: ingest approved policy wordings, claims procedures, underwriting guidelines and broker guidance, chunk and embed with a multilingual embedding model, store vectors inside your environment, and call chat completions that answer only from retrieved context. Plugsky embeddings and chat completions are OpenAI-compatible, so teams already using OpenAI SDKs change the base URL and keep their code.

Version every wording and guideline, filter by line of business and role, and re-embed on update so superseded terms stop appearing. Use JSON mode when answers feed claims or quoting systems.

Access control, confidentiality and audit

Policyholder data, claims files and underwriting notes are sensitive. Filter retrieval by line of business and role, keep identifiable customer data out of the general corpus, and require a qualified adjuster or underwriter to approve every coverage or pricing outcome.

The technical controls are consistent: enforce permission-aware retrieval in your own service layer, scope API keys per application, team or tenant, rotate keys, and retain request and response logs on a defined schedule. Regulatory obligations vary by jurisdiction and sector, so map them with counsel rather than assuming one framework covers every deployment; Plugsky supplies the deployment and logging primitives you document.

See AI vendor risk assessment for related deployment and control detail.

Rollout and human oversight

Pilot on published product and process content before touching policyholder or claims content. Build a labelled question set with underwriters and claims leads, then measure retrieval hit rate, citation correctness and answer accuracy before and after every index or model change. Require citations on every answer, refuse out-of-scope questions, and name a human owner for every coverage or pricing decision.

Review logged interactions weekly at first, correct the index rather than the prompt when retrieval misses, and expand the corpus only when accuracy and access checks pass.

Honest comparison

CapabilityPlugskyPublic AI assistantsBuilding in-house
Data boundaryCloud, VPC, on-prem or air-gappedVendor cloud onlyYou control fully
GroundingEmbeddings and RAG are live for policy wording, claims and underwriting searchUncontrolled retrievalYou assemble and operate
Access controlScoped keys, usage analytics, enterprise SSO and RBAC optionsAccount-level onlyCustom identity work
AuditabilityRequest and response loggingLimitedYou build logging
PricingFlat monthly self-serve plans; see live pricingPer-seat or per-tokenGPU plus operations cost
Time to pilotDaysHours, without residency controlQuarters

Frequently asked questions

Can insurance teams keep data private with Plugsky?

Yes. Choose the deployment boundary that matches the data: Plugsky cloud for public content, or your VPC, on-prem and air-gapped options for restricted material. Access is controlled with scoped API keys and usage analytics.

Do we need to fine-tune on our internal documents?

Not for a first release. Fine-tuning is coming soon and is better for style than facts. RAG keeps answers current, permission-aware and traceable to a source, which matters more for internal knowledge.

Which model should we use?

Start free with plugsky-micro and plugsky-lite to validate retrieval, then evaluate mid-tier and frontier models from the 30+ model catalogue on your own question set.

How do we stop wrong or unsupported answers?

Restrict the assistant to approved indexed content, require citations, refuse out-of-scope questions and keep a human decision-maker for every regulated or client-facing outcome.

How is pricing structured?

Self-serve plans are flat monthly with unlimited fair-use usage, and there are no per-token charges on self-serve plans. See the live pricing page for current plans and the free tier.

Can it decide claims?

No. It retrieves and summarizes policy and procedure content; a licensed adjuster or underwriter makes and documents every coverage or pricing decision.

How do we handle different policy versions?

Tag chunks by product and effective date, and filter retrieval to the version that applies to the policyholder in question.