InsureAI (iAI) simplifies claims, tariffs, billing, and adjudication with a full-stack AI platform—delivering speed, accuracy, and compliance at scale.

Trusted by insurers handling millions of transactions monthly

iAI
Claims Dashboard
Live
98%
Accuracy
2.3s
Avg Process
$47K
Saved Today
15%
Fraud Detected
Claim #12847
Auto-approved
Processed
Claim #12848
Under review
Processing
+47% efficiency
500+ teams
AI Powered
91% less Fraud
$2M+ Saved
99.2% SLA
How it works

Four simple steps to transform your claims processing

Get started in minutes with our intuitive AI-powered platform

1

Ingest

AI agents parse documents and extract structured data from any format.

2

Validate

Automated tariff checks and billing validation with leakage detection.

3

Adjudicate

Explainable AI applies policy rules with transparent decision-making.

4

Fraud Detection

Graph Neural Networks identify suspicious patterns and anomalies across claim networks in real-time.

Solutions

Applied ML and AI for Insurance Operations

Discover how InsureAI's autonomous agents and agentic workflows transform every aspect of insurance processing.

Solution 1

Claims Management

Enhanced with OCR/NLP-powered document parsing and AI adjudication engines

Automate the most complex part of insurance operations with InsureAI (iAI).

End-to-end claims ingestion from structured and unstructured formats
AI-powered fraud detection and anomaly spotting
Real-time adjudication with policy-rule enforcement
Faster settlement cycles, reduced manual intervention

AI Agents

Claims Intake Agents: Automatically parse documents, extract key fields, and prepare data packets

Document Parsing Agents: Built on advanced OCR + NLP pipelines (Azure Document Intelligence, LiLT fine-tuned models)

Claims Processing Pipeline
AI-powered document analysis and decision workflow
System Components
OCR Engine
NLP Parser
Decision Agent
Validation Layer
Performance Metrics
Processing Speed70% faster
Accuracy Rate98%
Automation Level85%

Complete Solution Overview

All four core solutions working together to transform your insurance operations

Claims Management
Enhanced with OCR/NLP-powered document parsing and AI adjudication engines

Automate the most complex part of insurance operations with InsureAI (iAI).

Key Features:
  • End-to-end claims ingestion from structured and unstructured formats
  • AI-powered fraud detection and anomaly spotting
  • Real-time adjudication with policy-rule enforcement
Tariff & Billing Intelligence
Driven by vector search and rule-based tariff intelligence

Bring accuracy and control to healthcare billing with InsureAI (iAI).

Key Features:
  • Centralized tariff repositories with version management
  • Automated bill validation against contracts and price lists
  • AI-driven detection of overbilling, mismatches, and leakages
AI Adjudication
Explainable AI ensures transparent, regulator-ready justifications

Make decisions smarter, not harder with InsureAI (iAI).

Key Features:
  • Digitized policy rules applied automatically to every claim
  • AI-based exception handling for complex scenarios
  • Transparent, auditable decision-making for compliance
Fraud Detection
Uses Graph Neural Networks to surface suspicious claim clusters

Advanced AI-powered fraud detection that learns and adapts continuously.

Key Features:
  • Graph Neural Networks link entities—patients, providers, procedures
  • Surface suspicious clusters for proactive fraud detection
  • 5x improvement in fraud detection accuracy
Why choose iAI

Everything you need to streamline claims processing

Our comprehensive platform combines cutting-edge AI with intuitive design to deliver results that matter.

Claims Management

End-to-end automation with OCR/NLP-powered document parsing and AI adjudication engines.

Tariff & Billing Intelligence

Vector search and rule-based tariff intelligence with automated bill validation.

AI Adjudication

Explainable AI ensures transparent, regulator-ready justifications for every decision.

APIs & Interoperability

Seamless connections with hospitals, payers, and regulators through ready-to-use APIs.

Fraud Detection

Graph Neural Networks surface suspicious claim clusters with 5x improved accuracy.

Agentic Workflows

Autonomous AI agents collaborate to handle complex insurance operations intelligently.

Before vs After

See the difference iAI makes

Compare traditional claims processing with our AI-powered approach and see why teams are making the switch.

With InsureAI

Claim Settlement
Days (70% faster)
Fraud Detection
5x accuracy with GNNs
Billing Leakage
8-15% reduction
Policy Compliance
Automated rule enforcement
Operational Efficiency
30-40% productivity gain

Ready to transform your claims processing?

AI Technology

Powered by State-of-the-Art AI

InsureAI's technical advantage comes from deep innovations in AI agents, explainable AI, and graph neural networks—all orchestrated by an intelligent workflow controller.

70%
Faster Settlement
Reduction in claim processing time
5x
Fraud Detection
Improvement in accuracy
15%
Billing Leakage
Reduction in revenue loss
40%
Productivity Gain
Increase in team efficiency

Agentic Workflows

Autonomous AI agents collaborate to handle complex insurance operations intelligently

Claims Intake Agents: Parse documents and extract structured data
Billing Validation Agents: Compare bills against tariff repositories
Adjudication Agents: Apply policy rules with explainable decisions
Fraud Detection Agents: Surface suspicious patterns using GNNs

Agent Orchestration

Multi-agent workflow coordination

Active Agents12
agents
Workflow Steps8
steps
Parallel Processing100%
efficiency

See AI in Action

Experience how InsureAI's advanced AI technologies can transform your insurance operations. Book a personalized demo to see our agentic workflows in action.

Customer stories

Trusted by teams worldwide

See how organizations like yours are transforming their claims processing with iAI.

"InsureAI transformed our claims processing from weeks to days. The explainable AI gives us confidence in every decision."
DSP
Dr. Sarah Patel
Chief Medical Officer at Regional Health Insurance
FAQ

Frequently asked questions

Get answers to common questions about iAI and how it can transform your claims processing workflow.

Still have questions?

Our team is here to help. Get in touch and we'll answer any questions you have about iAI.

Get started