Concierge Agent

Insurance Quote Form Template

Quote forms lose 70% of prospects before underwriting. Most quote forms ask for policy type and click 'submit.' Your concierge asks why they're shopping, what happened with their last carrier, and what coverage actually matters to them. Now your team can quote with confidence and address the real objections before they come up.

Complete risk profiles
Qualified submissions only
Zero abandonment
Used 1,800+ times
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What's inside this template

Start from this conversation and adapt it to your team — change any question, add your own logic, and connect the tools you already use.

Information it collects

Name & contact detailsCoverage type (auto, home, renters, life, commercial)Current carrier & policy expirationDesired coverage limits & deductiblesClaims historyProperty, vehicle, or business detailsReason for shopping & timeline to bindBudget & coverage priorities

Questions it always asks

The core fields every response captures.

  • Always ask about their current coverage limits and deductibles

  • Ask when their current policy expires

How it adapts

Follow-ups that change based on what people say.

  • If they have prior claims, ask for details about what happened

  • If they're switching carriers, ask why they're leaving their current provider

Where it routes people

Different paths for different answers.

  • If they need commercial coverage, route to the business insurance team

  • If they're a high-value prospect, offer to schedule a call with an agent

Automations it can trigger

Actions that fire the moment a response comes in.

  • Create a HubSpot contact with coverage needs and qualification score

  • Push policy details to Guidewire for automated quoting workflows

  • Sync prospect data to Duck Creek for underwriting review

SOC 2 Type II and ISO 27001:2022 certified. Responses are encrypted in transit and at rest, and you own your data. View our Trust Center.

How this AI template works

Your form captures basic info and moves on. Your concierge learns the full story—coverage gaps, prior claims, what triggered their search, and what they're really worried about. Now your agent can quote accurately and address the real concerns.

Getting started

  1. 1

    Share your current quote request form—we'll convert it to a conversation

  2. 2

    Define what info your team needs to quote fast

  3. 3

    Connect to your CRM or agency management system

  4. 4

    Replace your form and start getting richer leads

Template Details

Agent Type
Concierge
Industries
Financial Services
Roles
SalesOperations
Integrations
Hubspot, Guidewire, Duckcreek
Times Used
1,800+

Forms collect fields. Conversations capture context.

Static forms force complex situations into rigid dropdowns. Perspective captures structured data and the reasoning behind it — so your team makes better decisions, faster.

The static form

yoursite.com/intake
Category *
Select...
Details
Describe your situation...
Submit
Result:Category: "Other"|Details: "It's complicated"

No context. No follow-up. No next step.

  • Static insurance quote forms ask 30+ questions upfront, causing 70% of prospects to abandon before completion. You lose qualified leads who get overwhelmed by lengthy property details, coverage limits, and claims history sections all presented at once.
  • Rigid dropdown menus force complex risks into predefined categories, so a home-based business or mixed-use property gets misclassified. Underwriting receives incomplete risk data that delays quotes and requires multiple follow-up calls to gather missing details.
  • One-size-fits-all forms ask irrelevant questions based on coverage type, wasting prospects' time. A commercial liability inquiry forces users through personal auto questions, creating friction that drives qualified business leads to competitors with simpler processes.

The AI conversation

"Tell me more about the timeline — when did this start, and is there a deadline your team is working against?"

Extracted & structured automatically

Category

High-priority

Urgency

Deadline: 2 weeks

Sentiment

Frustrated but hopeful

Next step

Route to senior team

Triggered: Slack alert sent| CRM updated

Right team. Full context. Instant action.

  • AI conversations guide prospects through risk assessment one topic at a time, maintaining engagement throughout the process. Completion rates jump to 90%+ because prospects feel guided rather than overwhelmed, and you capture qualified leads that would have abandoned traditional forms.
  • Natural language allows prospects to describe unique exposures in their own words while AI maps responses to underwriting fields. A 'home office with occasional clients' gets properly categorized for business coverage, ensuring accurate risk assessment and faster quote turnaround.
  • Coverage-aware AI adapts questions based on the specific line requested, asking fleet details for commercial auto and revenue breakdowns for general liability. Prospects answer only relevant questions, creating a smoother experience that captures complete underwriting information in less time.

What is an insurance quote form?

An insurance quote form collects the information an agency or carrier needs to price coverage — contact details, the type of insurance requested, risk characteristics, current coverage, and the limits a prospect wants. Traditional quote forms cram all of this into a single long page of fields and dropdowns, which is why most prospects abandon them before submitting. This template replaces the static form with a guided AI conversation that asks for the same underwriting details one topic at a time, adapts to the coverage type, and explains why each question matters — so you capture complete, accurate quote requests instead of half-finished forms.

FAQ

Frequently Asked Questions

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Forms are costing you business

Replace drop-off, poor qualification, and missing context with AI conversations that capture structured data and real understanding. Set up in minutes.

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