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Claims management for a top health insurer in Hong Kong
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Life insurance is complex, we get it.
The insurance landscape is evolving causing new challenges for insurers. Qantev understands these complexities, giving insurers the competitive edge they deserve.
Trusted by leading insurers
How we help
We make it easy
With advanced and specialized artificial intelligence technology.
Key challenges
Profit margins are jeopardized due to inflation, increase of utilization and non-scalable operations.
Overwhelming unstructured data to process, hard to clean, causing loss of revenues and limits capacity to act proactively.
Life claims data complexity requiring a specialized approach, causing difficulties to infer patien journeys, lack of insights.
Qantev solution
Reduced claims leakage and improved loss ratios: automated, ai-driven and scalable claims processes end to end.
Clean & enriched data: Specialized OCR, AI-driven data module to clean, enrich and refine your data, for accurate & actionable insights.
AI specialized for health: Layer of intelligence to automate most complex medical claims, medical coding inference, consistency checks, etc.
Solution
A platform to help you make insurance better for all
With its modular & scalable AI-driven technology to overcome today and tomorrow's challenges.
Automated claims management
Comprehensive AI-driven solution enabling end-to-end claims management using advanced medical algorithms.
Reimbursement calculation
Medical consistency checks
Automated coverage checks
Fraud, waste & abuse detection
Advanced AI-driven anomaly detection based on historical, local and global industry data aggregation
Automated fraud, waste and abuse detection
Fraud case management
Performance tracking and insights
Specialized OCR & data acquisition
Specialized AI-driven OCR & data acquisition tool designed for medical documents understanding in a health & life insurance context.
Highest accuracy for all languages, inlcuding handwritten
Data cleaning and enrichement
Robust medical understanding
A business first approach
Qantev defines and quantifies a business case with every insurer prior to any engagement, insuring the platform generates clear ROI and cost savings.
3-6x
ROI within first 12 months
10%
Reduction in total claims costs
25%
Increase in customer satisfaction
30%
Gains in efficiency
We empower your key stakeholders
By harnessing the power of AI, insurance companies can revolutionize their claims management processes, delivering tangible benefits to key personas across the organization.
Chief executive officers & C-suite executives
Operational efficiency and cost optimization.
Competitive edge with innovative AI solutions.
Compliance and risk mitigation through enhanced fraud detection.
Claims leaders
Accelerated claims processing through intelligent automation.
Improved accuracy and consistency in claims adjudication.
Enhanced fraud detection and prevention capabilities.
Underwriting teams
Enhanced risk assessment models leading to more accurate premium setting.
Refined risk profiles through the integration of claims data.
Special investigation unit teams
Advanced analytics for fraud pattern recognition.
Efficient investigation processes with AI-powered insights.
Proactive fraud mitigation strategies.