Making Health Insurance Industry Smarter with AI Technology

3 min read Apr 05, 2021

Artificial intelligence continues to be one of the evolving technologies that gained momentum in no time and evolve every day to make our lives better and ensure comfortable lifestyles than ever before. Rather than remaining confined and transforming specific business verticals, AI has proved its true potential throughout all industries across the world.  

When it comes to the health insurance industry, artificial intelligence plays an incredible role while taking the health insurance industry to the whole next level. In this blog, we'll explore the impact of AI in making health insurance smart, better, and accurate than before while making our lives easy. So, without any further ado, let's get started! 

Transforming health insurance with artificial intelligence 

Health insurance is a critical part of the healthcare industry since health insurance expenditures account for huge growth in recent times. Besides assisting the entire healthcare industry in countless ways, artificial intelligence is gaining wide recognition in improving health insurance lately.  

AI has gained rapid traction amongst health insurance agencies and ensuring tailor-made yet simple health insurance plans and offerings. AI holds the potential to address underutilization and fraud issues throughout the insurance industry while refining health insurance cost efficiency, minimizing waste of money on underutilized care. 

Rapid data analysis 

Data analytics is a critical part of the health insurance industry since raw data might accompany valuable insights that help insurers gather the information to better understand customer behavior. Since manual sifting with human involvement consumes a lot of time and effort, artificial intelligence can help streamline the process of data analysis. 

Moreover, AI also has the ability to analyze data and carry out predictive analytics that further helps in detecting patient behavior, like visiting a specialist quite often than they before, and so on. It further helps insurers reach out in the initial phase and do preemptive care since early detection of forthcoming negative health events is among artificial intelligence capabilities. 

Healthcare Management System - Seasia Infotech

Improved Claims Identification 

Carrying out claims manually is a daunting and tiresome task since average insurers receive millions of claims from hospitals annually. And during these unprecedented times of COVID-19, the health insurance industry will continue to receive silos of claims, which simply demands more time, effort, and resources to approve. Checking which claims need to be approved demands a huge workforce and even sufficient time, which eventually delays the process. Moreover, approving incorrect claims and sticking to manual approaches even puts the business at a higher risk. 

Leveraging artificial intelligence is crafted to scrutinize across all of these claims, singling out the ones that expanded the prospect of intervention. AI holds the potential of filtering out the claims which require detailed verification or need to be reviewed by a human for further confirmation. Moreover, AI algorithms are continually evolving, which ensures detecting fraud cases and staying away from fraudulent claims at all times. 

Uplifted Customer Experience 

Patients who demand instant assistance will no more have to keep on waiting since AI-powered chatbots remain available round the clock. Chatbots turn out to be a more effective alternative that ensures 24/7 availability for health insurance customers. 

Moreover, for making calculated decisions, AI utilizes patients' profiles to better understand their requirements, which offers them the skills to ensure a customized plan that perfectly ensembles the patient's needs. Apart from automated suggestions that AI might offer, patients still have free rein on their plan to buy. 

Partner with Seasia to take your health insurance system to new heights! 

Seasia leverages the power of modern-age health insurance solutions and holds the expertise in assisting global players with their evolving insurance needs. Seasia's Healthcare Management System (HMS) is a seamless platform for the admins, employers, and employees that provides a digitized, modern, and dynamic system for quick access to the healthcare spending account. 

The end-to-end enterprise system ensures rapid employee enrollment, automated member management system, billing, and claims workflow, for efficient and fast claim approvals and settlement based on the organization's policies. From ensuring paperless claim processing, legacy modernization, offering customizable plans to multiple claim secure benefits, Seasia utilizes next-gen tech trends to assist all sorts of businesses with their health insurance needs. 

Wish to explore more about our smart HMS system? Connect with our experts at any time, and we'll guide you throughout our health insurance system on how it will suit your business. 

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Gourav Arora

Gourav Arora is a technocrat with over a decade of experience in the digital landscape. He is passionate about the Internet of Things (IoT) and holds a strong track record of steering digital transformation for organizations, managing efficacious business acquisition, and executing business turnarounds. Gourav loves exploring the evolving technology trends to ramp up while setting new milestones in the tech-driven smart ecosystem and is the product owner of iSOS and has got license and certifications for Google AdWords and Certified Scrum Product Owner (CSPO).