Augmenting Accident & Health Insurers with Generative AI

Multimodal automates complete A&H insurance workflows with purpose-built, explainable, and adaptable AI Agents.

Faster turnaround times

80%

workflow automation

15%

Increase in Revenue

How Multimodal AI Agents work

Our AI Agents learn, think, and act with different built-in capabilities. We fine-tune these AI Agents on your company data and deploy them as APIs through our AgentFlow platform.

Unstructured AI

Processes unstructured data for RAG architectures and downstream GenAI applications.

Document AI

Trained on your schema to extract, label, and organize data from structured and unstructured documents.

Decision AI

Ingests your internal manuals and guidelines, providing accurate data-driven decision recommendations for complex workflows.

Database AI

Access company databases to answer queries, interpret datasets, and provide actionable insights.

Conversational AI

Your in-house chatbot that accesses unstructured internal data to provide customer and employee support.

Report AI

Generates reports, policies, messages, and other documents in your company’s unique style while staying compliant with regulations.

Multimodal AI Agents automate tasks with precision

Provider network management

50%

faster contract execution

99%

provider directory accuracy

Automated credentialing and contracting: Accelerate onboarding of new providers using AI-powered data extraction and database verification.

Dynamic network updates: Update provider directories in real time to ensure accuracy.

Performance analytics: Identify high-performing providers and optimize network composition with AI-powered data analysis and report generation.

Benefits verification

95%

faster eligibility determination

80%

claims decisions automated

Real-time eligibility checks: Provide instant eligibility verification to members, reducing claim processing times.
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Automated pre-authorizations: Speed up approvals for medical procedures, ensuring timely care and minimizing manual reviews.
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Intelligent claim adjudication: Detect potential fraud or errors, accelerating accurate claim decisions and expediting processing.

Eligibility determination

98%

accuracy in eligibility data

30%

reduction in operational costs

Data integration and validation: Seamlessly access member data from multiple sources, reducing manual errors.
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Instant eligibility decisions: Provide immediate answers to inquiries, improving customer service.
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Automated enrollment and disenrollment: Streamline processes and reduce administrative overhead.

Intelligent policy servicing

60%

increase in policy servicing efficiency

50%

reduction in time to issue new policies

Automated communication: Streamline follow-up and source additional documents automatically, expediting eligibility reviews.

Intelligent policy servicing: Automate renewals and cancellations, reducing manual effort and improving accuracy. 

Personalized member communication: Deliver targeted messages and reminders, personalizing member communication, and improving engagement.