We provide a unified platform to ingest, assess, and provide recommendations for medical-related claims.
TPBI cycle time
Days from intake to settlement recommendation.
While claims automation is growing, our specialists, case medical officers, adjusters and solicitors provide a backstop to ensure claim decisions remain fair and transparent.
We leverage AI to provide a customised, localised, and compliant claims assessment based on Malaysian case law and compendia. Leveraging our past experience in the local TPBI claims eco-system, we take the time to understand your workflows and tailor our solutions to fit seamlessly into your operations.
Our platform complies with PDPA, Bank Negara Malaysia's RMiT and CSP policies, and other relevant regulations.
Our proprietary AI engines and independent specialists assist our in-house medical case officers and adjusters to provide independent opinions on medical and liability matters for TPBI claims.
AI-assisted triage and drafting cut the time from intake to opinion.
Every recommendation is grounded in evidence and free of conflict of interest.
Structured case data throughout the process, ready for reporting and trend analysis.
Illustrative example: a motor insurer's TPBI claim was ingested, triaged, and assessed against Malaysian case law, with our in-house team verifying the recommendation before release. Client details anonymised.
Anonymised exampleEvery claim follows the same three stages, and a person signs off before anything leaves us.
Secure digital submission of claim files via secure transfer or Merimen.
Our engines produce an initial summary and recommendation, compared against citations of Malaysian case law.
Our in-house experts review and verify the assessment before release.
Onboarding a new client is a short, structured conversation, not a lengthy integration project.
We take the time to understand your workflows in order to provide a customised solution.
We ensure our analysis and assessments are based on relevant benchmarks to suit your needs.
We are committed to ensuring our assessments and recommendations pass certain thresholds with confidence.
Our in-house team of experts support you to provide verified output for your needs.