AI-powered Claims For Health Insurers
Ginja AI powers intelligent claims adjudication, smarter underwriting,
your process to save you time, money and energy.
Get live in
3 weeks
We deliver 10x on every dollar that our customers invest
Lower loss ratio
Reduction in processing cost per claim
<2 seconds Response Time
Increase in customer NPS
Automation of workflows
More accurate underwriting
Integrates with any Core System
Our capabilities
Provider Integrations
Deep integrations with hospitals, clinics, labs, and pharmacies deliver real-time visibility on member visits, powering risk scoring, claims accuracy, and fraud prevention.
Claims Automation
Process claims in seconds, not months. Ginja AI instantly checks each claim against policy rules, clinical fit, and fraud signals - automating over 90% of decisions, reducing admin costs, and improving provider/member experience.
Fraud & Waste Detection
Spot fraud and waste before you pay. Ginja AI analyzes network-wide patterns to flag suspicious claims—like mismatched drugs and diagnoses—in real time, stopping improper claims before money leaves your door.
Product & Underwriting
Predictive, dynamic risk and pricing models that go beyond static demographics, incorporating clinical and behavioral data for precise risk-based rating, renewals, and personalized underwriting — fully automated.
Reinsurance
Automated treaty tracking, claims linkage, and real-time financial impact monitoring for faster settlements and better capital efficiency.
Sales & Distribution
Automated treaty tracking, claims linkage, and real-time financial impact monitoring for faster settlements and better capital efficiency.
How we
[Deliver]
Built for Health Insurance Complexity
API-First
Plugs into your systems and networks without disruption—quick setup, no overhauls.
Real-Time Insights
Access instant insights to make data-driven decisions that cut costs and risks.
Regulatory-Ready
Regulatory requirements are built into every workflow from day one, so you meet local insurance regulations and data privacy standards by default.
Modular Architecture
Start with capabilities you need now and expand on your terms —low risk, high flexibility.
Uncompromising
Security & Reliability
Ginja AI's platform is built to meet the most rigorous standards for speed, scale, and security – giving you total confidence in performance and compliance.
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