Boost your business success with automated insurance and claims processes.
Every day, insurance companies receive a veritable flood of messages and customer inquiries through various digital communication channels. Our AI-powered solutions for automating insurance processes ensure the highest level of customer satisfaction—so inquiries no longer go unprocessed or end up with the wrong recipients! Thanks to our extensive portfolio of market-proven, industry-specific solutions, smart insurance companies benefit from numerous advantages.
We’ve developed smart tools tailored to your customers’ needs that deliver exceptional value. This enables insurers to reduce manual effort, speed up processing times, and sustainably improve service quality. At the same time, the use of our AI solutions enables end-to-end traceability and compliance with regulatory requirements. This allows you not only to boost the efficiency of your processes but also to create a seamless, personalized customer experience—for an insurance company that operates as quickly and flexibly as its customers expect.
For more than 25 years, Insiders has been a reliable partner to the (health) insurance industry. From receiving claims documentation to case processing and billing—our standard products ensure time savings, quality, and efficiency throughout the entire process. Developed in close collaboration with our customers and continuously refined, they reflect decades of industry expertise.
smart PKV is our standard product for the automated processing of medical service claims in the German insurance market. It effortlessly distinguishes between more than 65 classes, extracts all relevant service data, and performs logical checks based on a comprehensive set of rules. Benefit from reduced manual effort and improved process quality!
smart TARMED+ is our standard product for the automated processing of medical service claims in the Swiss insurance market. Designed to align with the “tarif médical,” it immediately captures all data contained in the TARMED invoice, whether it is header or table information. Comprehensive logical and technical checks ensure exceptional quality and maximum efficiency.
OmnIA is our market-established standard product for the automated processing of your entire incoming correspondence – regardless of input channel, format, and structure. All incoming messages are captured in a single system and classified based on textual and visual features. Relevant information is automatically extracted, validated, and routed to the correct business process. This way, you optimize your processes from data intake through to the completion of the business transaction.
Our software not only routes messages to the right recipients – from customer advisors and support to qualified decision-makers – faster than any human, it can even answer typical inquiries independently or provide staff with intelligent suggestions. Combined with simple, straightforward integration into your system, this saves you valuable time and ensures the sustainable optimization of your processes.
“Together with Insiders Technologies, you can break new ground in AI and be confident that the quality will be right in the end. The future of digitalization will lie in complementing rule-based systems with AI-based systems—just as smart FIX already offers today.”
Patrick Schneider
Debeka Krankenversicherungsverein A.G.
AI in business boosts efficiency, reduces costs, and unlocks new opportunities for innovation in nearly every industry. Our customers’ use cases demonstrate how successful process optimization makes companies more efficient and innovative. By implementing intelligent solutions, they have been able to optimize their business processes and achieve sustainable competitive advantages. Let our success stories inspire you!
AI agents are increasingly planning, deciding, and acting independently – yet without central control, traceability is lost. OmnIA integrates agentic AI applications into your existing IT landscape in a controlled, explainable, and data-protection-compliant manner.