Features & Products
Comprehensive suite of AI-powered modules designed for end-to-end insurance management.
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?
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