01
ADMINISTRATION AND RISK MANAGEMENT MODULES
As an end-to-end and fully integrated solution, our community-rated module offers an automated, online and real-time claims decision-making process. It greatly improves efficiencies in financial and clinical risk exposure.
From an individual-rated market perspective, our system achieves some of the industry's lowest underwriting loss ratios. It not only ensures same-day policy take-ons, product and benefit renewals, but also facilitates a fully integrated policy view, from membership, underwriting and claims to communications, payments, collections and allocations.
02
RULES ENGINE
A game-changing rules engine and Artificial Intelligence learning model that automates, mimics and improves the process of human decision-making. Executing machine learning and algorithms against historical data, the system determines new decision rules in a way that is easily understood by business specialists. This creates a contained universe of self-improving learning capabilities that automate and empower rules-based business processes.
Every Agility solution and service is underpinned by forward-thinking and multi-award-winning technology. Developed over more than two decades and deployed across various continents, it achieves superior levels of automation and risk management in specifically underwriting, pre-authorisation, claims adjudication, benefit management, reporting, the detection of clinical misconduct and customer communication.
Our automation strategy is based on extensive intellectual property that is continuously reviewed against local and international guidelines by qualified clinical specialists. This means that we are able to formulate world class protocols and intelligence systems, while ensuring that the management of customer benefits, health outcomes, and cost is evidence based, efficient and effective.
From an implementation perspective, our customers are guided, empowered and supported along every step of the way. Combined with a strategic decision to remove all dependencies on hard-coding expertise, we achieve an impressive speed-to-market capability that is supported by true and intelligent tools to execute business strategies.
OUR TECHNOLOGY
GAME CHANGING ARTIFICIAL INTELLIGENCE & MACHINE LEARNING
