AGI.do

Services

What will AGI do for Health insurance products?

This subclass comprises underwriting services of insurance policies which provide protection for specified expenses not covered by government health insurance programs, as well as underwriting services of insurance policies which provide periodic payments when the insured is unable to work as a result of a disability due to illness or injury.

The work itself

Grounded Work Profile

Tools

  • Insurance Quoting EngineserviceBlueprint
  • Underwriting Rules EngineserviceBlueprint
  • Policy Administration SystemserviceBlueprint
  • Billing And Payments SystemserviceBlueprint
  • Claims Adjudication SystemserviceBlueprint

Outputs

  • Policy ScheduleserviceBlueprint
  • Claims History RecordserviceBlueprint
  • Premium Billing LedgerserviceBlueprint

Measured by

  • Claims Processing TimeserviceBlueprint
  • Claims Accuracy RateserviceBlueprint

Key steps

  • Quote coverage to applicantserviceBlueprint
  • Underwrite applicant riskserviceBlueprint
  • Issue policy and scheduleserviceBlueprint
  • Collect recurring premiumsserviceBlueprint
  • Adjudicate submitted claimsserviceBlueprint
  • Pay approved claim benefitserviceBlueprint

How AGI delivers it

Four ways AGI delivers for Health insurance products

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do

  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do

Value flow

How Health insurance products connects

composes

measured by

  • Claim Cycle Timemodel
  • Claims Accuracy Ratemodel
  • Regulatory Compliance Ratemodel

optimizes

  • Claims Processing Timemodel
  • Loss Ratiomodel
  • Medical Loss Ratiomodel
  • Member Retention Ratemodel

produces

  • Claims History Recordmodel
  • Claims Ledgermodel
  • Explanation of Benefits Statementmodel
  • Policy Recordmodel
  • Policy Schedulemodel
  • Premium Billing Ledgermodel

Go deeper

Explore Health insurance products

Read the deeper take on agi.asView as markdown