Qualrisk AI - IMPROVING CLAIMS & UNDERWRITING DECISIONS WITH
GEN AI & MACHINE LEARNING
We are proud to have been selected as part of cohort 14 of the prestigious Lloyd’s Lab
Did you know 5-10% of commercial insurance losses are avoidable? For the average carrier, that equates to over $20m a year.
Claims adjustors are overwhelmed with complex cases, handling hundreds of documents, leading to errors like missed subrogation, duplicate payments and coverage creep.
Underwriting teams often miss policies written outside of underwriting guidelines, leading to significantly higher claim rates and increased regulatory exposure.
Limited audits, reviewing only a small percentage of closed claims or policies at a point in time, fail to recoup losses or catch systemic issues. The manual process is inefficient.
This problem was previously too complex to solve, but with Gen AI that’s about to change...
...Introducing our two Ai Products:
Claims Pulse
Portfolio-wide real-time auditing of claims enabling direct remediate action.
Claim Audit Fail Rate
Prioritization of top issues
Data Accuracy improvements
Underwriting Pulse
Portfolio-wide real-time auditing of submissions and policies enabling direct remediate action.
UW Rules and Stat guidelines fail rate
Email underwriters directly through tool
Keep track of AI driven improvements
How does it work?
We transform raw claim and policy documents into insights, reducing leakage and driving better decisions. This is achieved by:
Reducing claim leakage through simulated claim audits, improving operational efficiency and financial control.
Extracting comprehensive claim data from unstructured documents, streamlining data capture and improving accuracy.
Identify emerging claim trends and ensure policy compliance across your portfolio for better risk management.
How we do it
QualRiskAI leverages advanced AI and machine learning to dynamically adapt our products to each client’s unique operational framework.
Through a comprehensive analysis of existing processes, we identify inefficiencies and seamlessly integrate AI-driven automation to enhance accuracy, efficiency, and decision-making.
Our solution is built with a modular architecture, allowing for scalable customization that aligns with business objectives, optimizes workflows, and maximizes cost savings.
By embedding AI into your ecosystem, you will gain intelligent process automation, predictive analytics, and real-time insights, transforming their claims management and risk assessment with cutting-edge technology.