Development of an Advanced Voluntary Health Insurance Platform with AI-Driven Quoting and Real-Time HR Analytics

The client faces challenges in accurately assessing client-specific health risks, providing tailored insurance quotes efficiently, and delivering real-time health data insights to HR departments for better workforce health management. Existing systems lack scalability, flexibility, and integration capabilities needed to support dynamic market demands.

A mid-to-large size insurance provider specializing in health coverage solutions seeking to enhance their corporate health management offerings through integrated medtech and AI capabilities.

• Develop an integrated insurance platform combining medical coverage with medtech solutions to improve health management processes.
• Implement a machine learning-powered module for precise, client-specific insurance quote calculation based on risk assessments.
• Create an internal analytics dashboard for real-time reporting and policy management to streamline operations.
• Design a scalable architecture supporting approximately 40 functional modules, employing hybrid monolithic and microservices components to ensure flexibility and performance.
• Enhance operational efficiency, client engagement, and decision-making through advanced data analytics and automation.

• AI-driven risk assessment and quote calculation module that provides tailored insurance quotes based on client-specific risk factors.
• A comprehensive HR dashboard offering real-time reporting, policy updates, and health data analytics.
• Modular system architecture comprising approximately 40 interconnected modules structured as a hybrid monolithic and microservices environment.
• Seamless policy management and automation features to improve operational workflows.
• Secure data handling and compliance with healthcare and insurance data standards.

• Healthcare and medical data sources for risk analysis
• Insurance policy management systems
• HR information systems for real-time data integration
• Data security and compliance platforms

• Scalability to support approximately 40 modules and increasing client demand
• High performance enabling real-time reporting and calculations
• Robust security compliant with healthcare data regulations
• Flexible architecture for seamless updates and policy customization

The implementation of this advanced VHI platform is expected to improve operational efficiency by automating quote calculations and policy management, resulting in faster service delivery. It aims to enhance client engagement through personalized insurance offerings and real-time health analytics, ultimately leading to increased market competitiveness and increased revenue streams through tailored, data-driven health insurance solutions.