Partners

With Optum Financial you have access to one of the largest multi-payer networks and the latest in payments technology. With our payment delivery solution, you can lower operational costs, improve customer interactions, and meet the demand for fast, efficient and secure B2B and B2C claims payments.

• Optimize payment processes — Drive electronic payment adoption and increase revenue
• Lower administrative costs — Eliminate check printing and mailing costs and reduce treasury and administrative expenses
• Prevent payment fraud — Our solution has the latest fraud avoidance technology combined with 24/7 monitoring by fraud protection experts
• Increase payee satisfaction — Offer flexible payment options, including ACH, virtual cards and checks

With more payment methods and channels than any other provider and as the #1 best-in-class rated EBPP provider, Paymentus delivers the modern solutions insurers need and policyholders require.

Improved Customer Experience: Policyholders can pay exactly how they want with instant access to a robust suite of payment options and have access to faster digital claims payouts proven to increase Net Promoter Scores (NPS).
Comprehensive Real-Time Reporting: Staff can access a single, dashboard view of payment data to quickly serve customers, efficiently resolve inquiries and improve reconciliation and business operations

Qantev is an end to end AI claims platform helping health & life insurers reduce claims leakage, improve loss ratios and improve customer experience. The modular platform, built with a specialized layer of artificial intelligence replicating the decision making process of a medical expert, enables claims automation, fraud waste and abuse detection, provider network optimization, and specialized data acquisition/OCR to capture, clean and enrich & digitize data from any types of medical document.

• Increased claims straight through processing
• 10% reduction in total claims costs
• 75% FWA hit rate and 25% increase in SIU team efficiency
• 25% increase in customer satisfaction
• 2-5x return on investment within 12 months
• 99% OCR accuracy for printed, 90% for handwritten, any languages, template free

Quadient provide a portfolio of technology that enables organizations to create better experiences for their customers through timely, optimized, contextual, highly individualized, and accurate communications for all channels. Extend your communications by using Inspire Flex’s secure delivery channels. Power interactive and compliant experiences at scale for web, mobile and digital. Inspire will allow insurers to easily design, modify, manage, and deliver claim and policy documents without the need for technical expertise. This will drive efficiency, reduce errors and enhance communication across all channels.

Rapid personalization of both claims and policy correspondence reduce cycle times by utilizing previously generated templates
Easy access to a central repository of templates, plus automated data and content prefill document templates, save agents time

Built-in document preview capability during authoring facilitates a quick turn-around from edit to production
Easily integrate multiple data sources to generate personalized digital and printed communications on demand or in high-volume batches.

Quantee help insurers, MGAs and InsurTechs to improve the granularity and accuracy of pricing models, deliver more targeted results, enable instant deployment and monitoring in real-time.
Quantee provides an end-2-end dynamic pricing & modelling platform which allows Insurers and MGAs to efficiently manage the entire pricing process through one user interface. This gives the power back to the pricing teams, allowing them to perform inter-day price changes and build sophisticated pricing models that utilize the latest techniques and insights

• Ultimate efficiency through the pricing process with an end-2-end solution
• Complete flexibility to be able to build any type of pricing model easily
• Deploy rapidly to market with a pre-integrated pricing engine with API connectivity

From Underwriting, through FNOL, to settlements, Ravin AI greatly reduces friction. Our AI-powered assessment of damage combined with Ravin’s seamless video capture experience, produces greater insight, ensures that standards are met from the start, and helps repair shops source the required parts. Saving effort, speeding up claims, and getting people back on the road.

• Cut down claim cycle time to minutes. A customer is guided by the Ravin Inspect app to capture damages with a
  mobile app.
• Empower and create transparency between insurer, customer, and repair shop.
• Advanced AI ensures high quality, multi-angle capture and limits fraud.
• Repairers receive full visibility and participate in the quote using Ravin’s remote intelligent dashboard.

Rider Dome utilizes AI to deliver real-time alerts to riders, effectively mitigating critical threats on the road and reducing accidents. Additionally, our Fleet Monitoring Platform equips fleet managers with the real-time data necessary to monitor, track, and measure fleet safety.

• Improve motorcycle riders’ safety, leading to a reduction in accidents
• Generate significant savings for fleets by addressing both direct and indirect costs associated with motorcycle accidents
• Enable insurance companies to offer advanced solutions that mitigate rider risks and support data-driven insurance decisions

S1 Medical’s bill review program & complex bill strategies brings the necessary balance of available tools, clinical competency, and communication to produce clinically reviewed, accurately coded, and competitively fair medical payment allowances.

• Every medical bill submitted to Complex Bill Strategies begins with an exhaustive review of every line of supporting medical notes
• Rather than a predetermined “pend queue” hierarchy, S1 takes all options into consideration and chooses the most effective strategy, bill by bill
• Real-time claims status & updates
• Our solution involves people, who are available and ready to speak in detail with complete familiarity on every bill
• This intense effort found in S1’s Complex Bill Strategies generates medical bill savings that far exceed the market-standard bill adjudication reductions

Cloud-hosted SDX Engage is already used across multiple policy lines by TIA administration users to seamlessly digitise customer engagements – automating full process flows between the administration system and the policyholder’s device of choice.
With our established APIs, Insurers and Brokers can very quickly on-board customers, exchange documents and receive customer payments or confirmations (by simple acknowledgement or multi-party eSignature) with a consistent brand experience.

• Simply automate customer engagements, including documents, customer confirmations, eSignatures and payments, throughout your on-boarding, MTA, claims, renewals and payment processes
• Digitise your product lines without any changes to your administration system
• All activities and data exchanged through any customer engagement workflow are automatically recorded in the customer’s vault and back into your administration system
• Improve your customer experience whilst reducing inbound and outbound call volumes.

Shift Claims Fraud Detection is an AI-native solution that lets investigators discover more fraud, faster, and throughout the entirety of the claims process. Our solution leverages the collective knowledge of over 200 data scientists and over 100 external data sources – including trusted fraud detection resources such as Lexis-Nexis and the NICB. G71By combining insurance-specific intelligence and data, Shift Technology creates a solution that lets investigators find and mitigate more fraud while encountering fewer false positives. This improves the customer experience and creates cost savings that P&C insurers can pass on to their policyholders.

• Powerful AI solution grows hit rate by 3x
• Reduce false positives to drive more efficient workflows
• Identify both simple and sophisticated fraud techniques
• Clear context for 60% faster resolutionShift Technology is enabling P&C insurers to see more, do more, and be more for their policyholders. Decisions shape the insurance industry. P&C insurers must make the correct decision, quickly, in every policyholder interaction, from underwriting to claims and beyond. Shift’s AI solutions effectively automate and optimize insurance decisions, liberating insurers to innovate and find new ways to be there for their customers.
• More accurate decisions about fraud and misrepresentation at the point of underwriting and policy
  activation to reduce leakage
• AI-native claims fraud detection that effectively identifies individual and network fraud schemes and
  provides contextual guidance for investigators
• More efficient and accurate decisions at the point of claims first notice of loss (FNOL), including AI
  document intake and analysis, and verification of claims details
• More efficient use of human expertise thanks to insurance-trained AI that can handle many routines and
  complex tasks
• Support for compliance efforts including Know Your Customer (KYC) and Anti-Money Laundering (AML)
  initiatives

• Easy implementation within Sapiens’ platform based on a flexible, carefully developed approach to a PayGo solution that fits your processes and your needs
• Reductions in billing and collection expenses
• Various options of direct data collection of multiple exposures such as payrolls, sales, insured values, etc.
• Maximum transparency on exposure data during the policy period, helping to reduce audit and bad debt expenses, saving you time and money