diff --git a/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/details/components/insights/workflow_insights_results.tsx b/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/details/components/insights/workflow_insights_results.tsx
index 764b482a66826..035e7e3936a88 100644
--- a/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/details/components/insights/workflow_insights_results.tsx
+++ b/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/details/components/insights/workflow_insights_results.tsx
@@ -42,6 +42,12 @@ const CustomEuiCallOut = styled(EuiCallOut)`
   }
 `;
 
+const ScrollableContainer = styled(EuiPanel)`
+  max-height: 500px;
+  overflow-y: auto;
+  padding: 0;
+`;
+
 export const WorkflowInsightsResults = ({
   results,
   scanCompleted,
@@ -127,7 +133,7 @@ export const WorkflowInsightsResults = ({
                     <EuiText size={'s'} color={'subdued'}>
                       {insight.message}
                     </EuiText>
-                    <EuiText size={'xs'} color={'subdued'}>
+                    <EuiText size={'xs'} color={'subdued'} css={'word-break: break-word'}>
                       {item.entries[0].type === 'match' &&
                         item.entries[0].field === 'process.executable.caseless' &&
                         item.entries[0].value}
@@ -173,7 +179,7 @@ export const WorkflowInsightsResults = ({
           <EuiSpacer size={'s'} />
         </>
       ) : null}
-      {insights}
+      <ScrollableContainer hasBorder>{insights}</ScrollableContainer>
     </>
   );
 };
diff --git a/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/hooks/insights/use_fetch_insights.ts b/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/hooks/insights/use_fetch_insights.ts
index 4b70bbc3dade9..d4eee941200f4 100644
--- a/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/hooks/insights/use_fetch_insights.ts
+++ b/x-pack/solutions/security/plugins/security_solution/public/management/pages/endpoint_hosts/view/hooks/insights/use_fetch_insights.ts
@@ -31,6 +31,7 @@ export const useFetchInsights = ({ endpointId, onSuccess }: UseFetchInsightsConf
           query: {
             actionTypes: JSON.stringify([ActionType.Refreshed]),
             targetIds: JSON.stringify([endpointId]),
+            size: 100,
           },
         });
         onSuccess();
diff --git a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/builders/incompatible_antivirus.ts b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/builders/incompatible_antivirus.ts
index b53c2d44555bd..434d9356e2f7b 100644
--- a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/builders/incompatible_antivirus.ts
+++ b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/builders/incompatible_antivirus.ts
@@ -57,6 +57,7 @@ export async function buildIncompatibleAntivirusWorkflowInsights(
       const codeSignaturesHits = (
         await esClient.search<FileEventDoc>({
           index: FILE_EVENTS_INDEX_PATTERN,
+          size: eventIds.length,
           query: {
             bool: {
               must: [
diff --git a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.test.ts b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.test.ts
index 50184413063cf..5a37507517ddd 100644
--- a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.test.ts
+++ b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.test.ts
@@ -30,9 +30,11 @@ import {
 import type { EndpointMetadataService } from '../metadata';
 import {
   buildEsQueryParams,
+  checkIfRemediationExists,
   createDatastream,
   createPipeline,
   generateInsightId,
+  generateTrustedAppsFilter,
   groupEndpointIdsByOS,
 } from './helpers';
 import {
@@ -44,6 +46,7 @@ import {
 } from './constants';
 import { securityWorkflowInsightsFieldMap } from './field_map_configurations';
 import { createMockEndpointAppContext } from '../../mocks';
+import type { ExceptionListClient } from '@kbn/lists-plugin/server';
 
 jest.mock('@kbn/data-stream-adapter', () => ({
   DataStreamSpacesAdapter: jest.fn().mockImplementation(() => ({
@@ -262,4 +265,160 @@ describe('helpers', () => {
       expect(result).toBe(expectedHash);
     });
   });
+
+  describe('generateTrustedAppsFilter', () => {
+    it('should generate a filter for process.executable.caseless entries', () => {
+      const insight = getDefaultInsight({
+        remediation: {
+          exception_list_items: [
+            {
+              entries: [
+                {
+                  field: 'process.executable.caseless',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'example-value',
+                },
+              ],
+            },
+          ],
+        },
+      } as Partial<SecurityWorkflowInsight>);
+
+      const filter = generateTrustedAppsFilter(insight);
+
+      expect(filter).toBe('exception-list-agnostic.attributes.entries.value:"example-value"');
+    });
+
+    it('should generate a filter for process.code_signature entries', () => {
+      const insight = getDefaultInsight({
+        remediation: {
+          exception_list_items: [
+            {
+              entries: [
+                {
+                  field: 'process.code_signature',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'Example, Inc.',
+                },
+              ],
+            },
+          ],
+        },
+      } as Partial<SecurityWorkflowInsight>);
+
+      const filter = generateTrustedAppsFilter(insight);
+
+      expect(filter).toContain(
+        'exception-list-agnostic.attributes.entries.entries.value:(*Example,*Inc.*)'
+      );
+    });
+
+    it('should generate a filter for combined process.Ext.code_signature and process.executable.caseless', () => {
+      const insight = getDefaultInsight({
+        remediation: {
+          exception_list_items: [
+            {
+              entries: [
+                {
+                  field: 'process.Ext.code_signature',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'Example, (Inc.) http://example.com [example]',
+                },
+                {
+                  field: 'process.executable.caseless',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'example-value',
+                },
+              ],
+            },
+          ],
+        },
+      } as Partial<SecurityWorkflowInsight>);
+
+      const filter = generateTrustedAppsFilter(insight);
+
+      expect(filter).toContain(
+        'exception-list-agnostic.attributes.entries.entries.value:(*Example,*\\(Inc.\\)*http\\://example.com*[example]*) AND exception-list-agnostic.attributes.entries.value:"example-value"'
+      );
+    });
+
+    it('should return empty string if no valid entries are present', () => {
+      const insight = getDefaultInsight({
+        remediation: {
+          exception_list_items: [
+            {
+              entries: [
+                {
+                  field: 'unknown-field',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'example-value',
+                },
+              ],
+            },
+          ],
+        },
+      } as Partial<SecurityWorkflowInsight>);
+
+      const filter = generateTrustedAppsFilter(insight);
+
+      expect(filter).toBe('');
+    });
+  });
+  describe('checkIfRemediationExists', () => {
+    it('should return false for non-incompatible_antivirus types', async () => {
+      const insight = getDefaultInsight({
+        type: 'other-type' as DefendInsightType,
+      });
+
+      const result = await checkIfRemediationExists({
+        insight,
+        exceptionListsClient: jest.fn() as unknown as ExceptionListClient,
+      });
+
+      expect(result).toBe(false);
+    });
+
+    it('should call exceptionListsClient with the correct filter', async () => {
+      const findExceptionListItemMock = jest.fn().mockResolvedValue({ total: 1 });
+      const insight = getDefaultInsight({
+        remediation: {
+          exception_list_items: [
+            {
+              entries: [
+                {
+                  field: 'process.executable.caseless',
+                  operator: 'included',
+                  type: 'match',
+                  value: 'example-value',
+                },
+              ],
+            },
+          ],
+        },
+      } as Partial<SecurityWorkflowInsight>);
+
+      const result = await checkIfRemediationExists({
+        insight,
+        exceptionListsClient: {
+          findExceptionListItem: findExceptionListItemMock,
+        } as unknown as ExceptionListClient,
+      });
+
+      expect(findExceptionListItemMock).toHaveBeenCalledWith({
+        listId: 'endpoint_trusted_apps',
+        page: 1,
+        perPage: 1,
+        namespaceType: 'agnostic',
+        filter: expect.any(String),
+        sortField: 'created_at',
+        sortOrder: 'desc',
+      });
+      expect(result).toBe(true);
+    });
+  });
 });
diff --git a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.ts b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.ts
index 0e508c5bcfed7..e356d0ed123a7 100644
--- a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.ts
+++ b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/helpers.ts
@@ -13,6 +13,8 @@ import type { ElasticsearchClient } from '@kbn/core/server';
 
 import { DataStreamSpacesAdapter } from '@kbn/data-stream-adapter';
 
+import type { ExceptionListClient } from '@kbn/lists-plugin/server';
+import { DefendInsightType } from '@kbn/elastic-assistant-common';
 import type {
   SearchParams,
   SecurityWorkflowInsight,
@@ -160,3 +162,58 @@ export function getUniqueInsights(insights: SecurityWorkflowInsight[]): Security
   }
   return Object.values(uniqueInsights);
 }
+
+export const generateTrustedAppsFilter = (insight: SecurityWorkflowInsight): string | undefined => {
+  return insight.remediation.exception_list_items
+    ?.flatMap((item) =>
+      item.entries.map((entry) => {
+        if (!('value' in entry)) return '';
+
+        if (entry.field === 'process.executable.caseless') {
+          return `exception-list-agnostic.attributes.entries.value:"${entry.value}"`;
+        }
+
+        if (
+          entry.field === 'process.code_signature' ||
+          (entry.field === 'process.Ext.code_signature' && typeof entry.value === 'string')
+        ) {
+          const sanitizedValue = (entry.value as string)
+            .replace(/[)(<>}{":\\]/gm, '\\$&')
+            .replace(/\s/gm, '*');
+          return `exception-list-agnostic.attributes.entries.entries.value:(*${sanitizedValue}*)`;
+        }
+
+        return '';
+      })
+    )
+    .filter(Boolean)
+    .join(' AND ');
+};
+
+export const checkIfRemediationExists = async ({
+  insight,
+  exceptionListsClient,
+}: {
+  insight: SecurityWorkflowInsight;
+  exceptionListsClient: ExceptionListClient;
+}): Promise<boolean> => {
+  if (insight.type !== DefendInsightType.Enum.incompatible_antivirus) {
+    return false;
+  }
+
+  const filter = generateTrustedAppsFilter(insight);
+
+  if (!filter) return false;
+
+  const response = await exceptionListsClient.findExceptionListItem({
+    listId: 'endpoint_trusted_apps',
+    page: 1,
+    perPage: 1,
+    namespaceType: 'agnostic',
+    filter,
+    sortField: 'created_at',
+    sortOrder: 'desc',
+  });
+
+  return !!response?.total && response.total > 0;
+};
diff --git a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.test.ts b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.test.ts
index cca105152d3fe..a9b71a3017209 100644
--- a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.test.ts
+++ b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.test.ts
@@ -32,7 +32,12 @@ import {
   ActionType,
 } from '../../../../common/endpoint/types/workflow_insights';
 import { createMockEndpointAppContext } from '../../mocks';
-import { createDatastream, createPipeline, generateInsightId } from './helpers';
+import {
+  checkIfRemediationExists,
+  createDatastream,
+  createPipeline,
+  generateInsightId,
+} from './helpers';
 import { securityWorkflowInsightsService } from '.';
 import { DATA_STREAM_NAME } from './constants';
 import { buildWorkflowInsights } from './builders';
@@ -43,6 +48,7 @@ jest.mock('./helpers', () => {
     ...original,
     createDatastream: jest.fn(),
     createPipeline: jest.fn(),
+    checkIfRemediationExists: jest.fn(),
   };
 });
 
@@ -293,6 +299,22 @@ describe('SecurityWorkflowInsightsService', () => {
       });
     });
 
+    it('should not index the doc if remediation exists', async () => {
+      await securityWorkflowInsightsService.start({ esClient });
+      const insight = getDefaultInsight();
+
+      const remediationExistsMock = checkIfRemediationExists as jest.Mock;
+      remediationExistsMock.mockResolvedValueOnce(true);
+
+      await securityWorkflowInsightsService.create(insight);
+
+      expect(remediationExistsMock).toHaveBeenCalledTimes(1);
+
+      // two since it calls fetch as well
+      expect(isInitializedSpy).toHaveBeenCalledTimes(1);
+      expect(esClient.index).toHaveBeenCalledTimes(0);
+    });
+
     it('should call update instead if insight already exists', async () => {
       const indexName = 'backing-index';
       const fetchSpy = jest
diff --git a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.ts b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.ts
index 5714f25c92be2..c9acf9c42204f 100644
--- a/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.ts
+++ b/x-pack/solutions/security/plugins/security_solution/server/endpoint/services/workflow_insights/index.ts
@@ -25,6 +25,7 @@ import type { EndpointAppContextService } from '../../endpoint_app_context_servi
 import { SecurityWorkflowInsightsFailedInitialized } from './errors';
 import {
   buildEsQueryParams,
+  checkIfRemediationExists,
   createDatastream,
   createPipeline,
   generateInsightId,
@@ -127,7 +128,7 @@ class SecurityWorkflowInsightsService {
   public async createFromDefendInsights(
     defendInsights: DefendInsight[],
     request: KibanaRequest<unknown, unknown, DefendInsightsPostRequestBody>
-  ): Promise<WriteResponseBase[]> {
+  ): Promise<Array<Awaited<WriteResponseBase | void>>> {
     await this.isInitialized;
 
     const workflowInsights = await buildWorkflowInsights({
@@ -137,14 +138,24 @@ class SecurityWorkflowInsightsService {
       esClient: this.esClient,
     });
     const uniqueInsights = getUniqueInsights(workflowInsights);
+
     return Promise.all(uniqueInsights.map((insight) => this.create(insight)));
   }
 
-  public async create(insight: SecurityWorkflowInsight): Promise<WriteResponseBase> {
+  public async create(insight: SecurityWorkflowInsight): Promise<WriteResponseBase | void> {
     await this.isInitialized;
 
     const id = generateInsightId(insight);
 
+    const remediationExists = await checkIfRemediationExists({
+      insight,
+      exceptionListsClient: this.endpointContext.getExceptionListsClient(),
+    });
+
+    if (remediationExists) {
+      return;
+    }
+
     // if insight already exists, update instead
     const existingInsights = await this.fetch({ ids: [id] });
     if (existingInsights.length) {