顶见云 InsureAgent One|保险 AI 销力中台
AI 承接前端销售重复劳动,合规可审,持牌人保留最终决策。TopMeet Cloud InsureAgent One | Insurance AI Sales Hub
AI handles repetitive front-end sales work — compliant, auditable, with licensed agents retaining final decision authority.
为什么保险销售需要 AI 中台Why Insurance Sales Needs an AI Hub
保险销售链路极度碎片化:短视频、微信、银行网点、电话渠道各自孤立,每个客户询价都需要人工重复完成初筛、收集资料、解释条款和预核保判断。这部分劳动量大、标准化程度高,但监管要求严格、失误成本高——正是 AI 最适合介入的环节。Insurance sales channels are highly fragmented — short video, WeChat, bank branches, and phone each operate in isolation. Every inquiry requires manual repetition of screening, document collection, policy explanation, and pre-underwriting assessment. This work is high-volume, highly standardizable, yet strictly regulated with high error costs — exactly where AI intervention delivers the most value.
合规优先设计Compliance-First Design
AI 不做最终承保承诺,所有交互自动留痕,触发阈值立即转人工。Compliance-by-design 架构满足保险销售行为监管要求,可审计、可追溯。AI makes no final underwriting commitments. All interactions are auto-logged and trigger human handoff at defined thresholds. Compliance-by-design architecture meets insurance sales conduct regulations — fully auditable.
数据飞轮效应Data Flywheel Effect
客户对话数据→预核保反馈→真实核保结果持续闭环迭代模型。护城河随每次承保自动加深,越用越准。Customer conversation data → pre-underwriting feedback → real underwriting outcomes continuously close the loop. The moat deepens automatically with every policy issued — the more you use it, the smarter it gets.
渠道统一承接Unified Channel Intake
统一 LLM 层处理短视频评论、微信私信、银行网点录入、电话语音等碎片化渠道,一套系统覆盖所有获客入口。A single LLM layer handles short video comments, WeChat messages, bank branch input, and phone voice — one system covering every lead acquisition channel.
中台基础设施定位Middle-Platform Infrastructure
InsureAgent One 介于销售前端与核保系统之间,不推倒现有系统,以 API 方式对接现有 CRM 和核保平台,部署周期 90 天以内。InsureAgent One sits between the sales front-end and the underwriting system. No need to rebuild — it connects via API to existing CRM and underwriting platforms, with deployment in under 90 days.
MVP 核心功能MVP Core Features
首个验证切口聚焦健康险与寿险预契约销售,AI 完成前端初筛与资料准备,人工保留最终核保决策权。The initial validation focuses on health and life insurance pre-contract sales — AI handles front-end screening and document preparation while humans retain final underwriting authority.
健康问答与初筛Health Q&A & Screening
AI 引导式健康问卷,自动识别高风险告知项,形成结构化预审结论,显著提升前置筛查效率并降低漏告知风险。AI-guided health questionnaires automatically identify high-risk disclosure items and produce structured pre-screening conclusions, significantly improving efficiency and reducing non-disclosure risk.
体检 / 病历 OCR 与摘要Medical OCR & Summarization
自动解析体检报告与病历原件,生成结构化摘要,供预核保规则引擎和人工核查直接使用,消除手工录入误差。Automatically parse medical exam reports and records into structured summaries for the pre-underwriting engine and manual review, eliminating manual entry errors.
资料校验与缺件清单Document Validation & Checklist
按险种自动核查投保所需资料完整性,实时生成缺件清单与补件提醒,从源头降低正式投保后的补件率。Automatically verify completeness of required documents by product type, generating real-time missing-document checklists and reminders to reduce supplement requests after formal submission.
预核保与规则推理Pre-Underwriting & Rule Engine
基于规则引擎与精算模型的预核保判断,给出可承保建议、除外责任提示,以及是否需要人工复核的明确结论。Rule engine and actuarial model-based pre-underwriting produces insurability recommendations, exclusion alerts, and a clear verdict on whether human review is required.
全渠道统一承接Omni-Channel Intake
支持短视频评论、微信私信、语音录入、图片上传、表单填写等多模态输入,LLM + OCR + 语音识别统一解析,全渠道一致体验。Supports short video comments, WeChat messages, voice input, image uploads, and form submissions — parsed by LLM + OCR + speech recognition for consistent cross-channel experience.
合规留痕与人工接管Audit Trail & Human Handoff
AI 交互全程自动记录审计日志,敏感话术自动限制,复杂或高风险案例触发人工接管流程,满足适当性管理与销售行为监管要求。All AI interactions are auto-logged, sensitive language is restricted, and complex or high-risk cases trigger human takeover — meeting suitability management and sales conduct requirements.
指标驾驶舱Metrics Dashboard
实时监控资料一次完整率、预核保一致率、补件率变化趋势与有效承保转化率,量化 AI 中台的实际业务价值。Real-time monitoring of first-pass document completeness rate, pre-underwriting accuracy, supplement request trends, and effective policy conversion rate — quantifying the AI hub's business value.
90 天 ROI 验证90-Day ROI Validation
首阶段目标:在 90 天内与 1–3 家经代机构或保险平台完成试点,交付包含补件率降幅、转化率提升和人工成本节约在内的量化 ROI 报告。Phase-one target: complete pilots with 1–3 agencies or platforms within 90 days, delivering a quantified ROI report covering supplement rate reduction, conversion uplift, and labor cost savings.
合作模式Partnership Models
InsureAgent One 提供灵活的商业合作方式,满足不同规模保险机构的部署需求:InsureAgent One offers flexible commercial arrangements to meet the deployment needs of insurance institutions at any scale:
SaaS 按量计费SaaS Usage Billing
按实际处理的询价单量计费,无需前期大额投入,快速上线,适合中小型经代机构。Billed by actual inquiry volume processed. No large upfront investment, fast onboarding — ideal for small and mid-size agencies.
API 能力授权API Licensing
将预核保、OCR 解析、健康问答等核心能力以 API 形式开放,嵌入现有销售系统或 App,最小化改造成本。Core capabilities — pre-underwriting, OCR parsing, health Q&A — exposed via API for embedding into existing sales systems or apps, minimizing integration cost.
私有化部署Private Deployment
支持大型保险公司或集团客户在私有云/内网环境部署,满足数据合规与安全隔离要求。On-premise or private cloud deployment for large insurers or group clients, meeting data compliance and security isolation requirements.
成效分成Outcome-Based Revenue Share
与战略合作伙伴探讨基于实际业务改善(补件率下降、转化率提升)的收益分成模式,与客户利益深度绑定。Explore revenue-share arrangements with strategic partners based on actual business improvements — reduction in supplement rates, conversion uplift — aligning our interests directly with yours.