Medical underwriting plays a critical role in life and health risk assessment. However, insurers today are challenged with traditional underwriting processes that are data-intensive, manual, and require long hours to process cases and make informed decisions. Therefore, they need a new-age solution that can convert prospects into customers. With AI, underwriting processes can be automated and simplified, empowering underwriters to deliver efficient and smart decisions while adhering to regulatory requirements.
Traditional underwriting processes involve manual reading of reports and documents. This makes the process inconsistent and non-trackable as there is a limited amount of digitised data per claim.
DataMD significantly reduces underwriting errors as cases are underwritten based on the digitised data points and are checked in real time. This helps in boosting productivity by over 50% and leads to high scalability during peak days and hours
Data comes from multiple channels such as papers, electronic documents, images, emails etc. in a non-structured format from more than 5000 different diagnostic centres
DataMD accepts data input from a variety of sources. It extracts, classifies, and standardizes non-structured data present across multiple documents.
Traditional underwriting processes are the subjective judgement of the underwriters, making the underwriting process inefficient.
With DataMD, medical reports are converted into standardized digital output in minutes and time-consuming processes are automated, leading to faster turnaround time.
Manual processing and analysis of medical data is prone to errors and can lead to payment leakages.
AI-enabled process has near 99% accuracy vs. ~80% for manual which helps to prevent payment leakages leading to substantial savings for underwriters.
Traditional underwriting processes involve manual reading of reports and documents. This makes the process inconsistent and non-trackable as there is a limited amount of digitised data per claim.
DataMD significantly reduces underwriting errors as cases are underwritten based on the digitised data points and are checked in real time. This helps in boosting productivity by over 50% and leads to high scalability during peak days and hours
Data comes from multiple channels such as papers, electronic documents, images, emails etc. in a non-structured format from more than 5000 different diagnostic centres
DataMD accepts data input from a variety of sources. It extracts, classifies, and standardizes non-structured data present across multiple documents.
Challenge
Traditional underwriting processes are the subjective judgement of the underwriters, making the underwriting process inefficient.
With DataMD, medical reports are converted into standardized digital output in minutes and time-consuming processes are automated, leading to faster turnaround time.
Manual processing and analysis of medical data is prone to errors and can lead to payment leakages.
AI-enabled process has near 99% accuracy vs. ~80% for manual which helps to prevent payment leakages leading to substantial savings for underwriters.
DataMD is an underwriting automation solution that is designed to digitize and analyze complex medical data in diagnostic reports, irrespective of the format or medical nomenclature. Furthermore, the solution helps improve underwriters' efficiency by boosting their productivity and enabling fraud prevention and detection.
Conversion of medical reports into standardized digital output
Standardized data across DCs for analytics and AI model development
Straight through processing of medically normal cases
Cases assigned intelligently to Senior Underwriter
Auto-streaming of data to reinsurer’s portal
Use of reinsurance decision for intelligent case assignment or rule-engine decision
Identification of fraudulent Diagnostic Centres (DC)
Hard fraud identification: Agent – DC nexus
Assessment of historical cases for outlier identification
Comprehensive assessment of data using AI models
100% pre-trained models ensuring no training required
Efficient extraction of data irrespective of format or nomenclature
Comprehensive rule-based algorithms to detect unusual cases & flag the same to the underwriter
Effective management of underwriting process via one interface enabled with human validation feature for special cases
In-depth data analysis & real-time reports to monitor efficiency
Seamless API-based integration with legacy or third-party applications
Reduced TAT- Cashless claim discharge within 30 mins
Up to 50% increase in productivity of underwriting staff
Accurate identification of special cases for audit
80% reduction in financial leakages
Comprehensive customer insights for better & smarter decision
More than 95% of data captured accurately via automation