Insurance

Empower your insurance business with an AI-driven, end-to-end platform that transforms underwriting, claims, fraud management, and customer engagement—at scale.

AI Overview

OneZippy.ai's Insurance Suite unifies every core function—product design, policy administration, underwriting, claims, fraud management, network oversight, and customer engagement—into a single, modular platform.

"The future of insurance operations: instant, accurate, and fraud-resistant."

Features Key Benefits

  • Seamless Integration: Replace 25-year-old legacy systems with a MACH-compliant, microservices architecture
  • Rapid Time-to-Value: Plug-and-play modules preloaded with domain intelligence
  • AI-First Efficiency: Automate decisions, eliminate manual bottlenecks, and unlock billions in savings
  • Future-Proof: Continuous learning AI models keep you compliant and ahead of market shifts

Features Features & Products

  1. Policy & Product Management
    • Product Design & Pricing: AI-driven actuarial models that optimize risk and margin
    • Policy Administration (PAS): End-to-end policy lifecycle—from quotation to renewal—with self-service portals
  2. Underwriting Automation
    • Risk Scoring: Multimodal AI analyzes structured data, documents, and external feeds
    • Auto-Decision Engine: Straight-through processing (STP) rates of 99.8%—no human touch unless exceptional
  3. Claims Processing & FWA Management
    • Claims Adjudication: Intelligent routing, OCR/ICR ingestion, and real-time validation
    • Fraud, Waste & Abuse: Pre-emptive detection, adaptive rule library, and automated investigation workflows
  4. Workforce & Network Management
    • WFM: Dynamic scheduling, performance tracking, and AI-guided capacity planning
    • Provider Network: Onboarding, accreditation, and contract management with quality-score analytics
  5. Customer Engagement & CRM
    • Unified Customer View: 360° profile aggregating policies, claims, interactions, and preferences
    • Personalized Journeys: AI-tailored outreach, chatbot assistance, and lifecycle marketing
  6. Data & Intelligence Services
    • Document Digitization: Human-in-the-loop OCR/ICR, knowledge extraction, and semantic search
    • PIMIS: Preloaded Integrated Medical Intelligence System for clinical coding, diagnosis mapping, and underwriting support

Ready to Transform Healthcare?

Let's discuss how can revolutionize your healthcare system with comprehensive Insurance platform.

Schedule Demo Download Brochure