World Class AI for Claims Processing

Domain specific AI for Insurance, and TPAs that automates busy work and saves time & cost.

  • Data Extraction
  • Fraud Detection
  • Medical Admissibility
  • Tariff Adjudification
  • Policy Mapping
  • Excess Billing

AutoFlowAI is trusted by

AckoCareLibertyKiwiMD IndiaGenIns

Insurance professionals are
drowning in busywork

Teams are constantly processing more claims, checking frauds and adjudicating manually - all while ensuring compliance with everchanging regulations.

Legacy Way

Manual repetitive work, scattered PDFs, and endless email chains

Legacy Way 1
Legacy Way 2
Legacy Way 3

The AutoFlowAI Way

One AI workspace where submissions, policies, and claims get done

Claims Processing Workflow
Upload Claim Documents
PDF
PDF
PDF
Data Extraction
Mapping Policy Conditions
Checking Medical Violations
Processing Bill Adjudication
Detecting Frauds

About Us

Health Insurance & TPAs are facing more claim submissions, tighter margins and high TAT for the claims processing workload. The result? Slower decisions, high cost and reduced efficiency.

AutoFlowAI's AI Agents are purpose built for health insurance, automating complex document processing and seamlessly integrating disjointed systems to transform operations at scale.

0%
data extraction accuracy
0x
faster claim processing
0%
ROI via automation

One workspace, Every workflow

AutoFlowAI clears the busywork from submissions, policies, audits, and claims — so insurance professionals can focus on judgment, not manual repetitive tasks.

Case Study
Claim Submissions
A general insurance company with over five consecutive years of >15% premium growth and an expansion from five to ten insurance products faced a critical operational bottleneck - claims workflows.
AutoFlow AI

AutoFlow AI

Claims Processing & Adjudication

Navigation
Fraud Analytics
Review Claims
Tariff Checker
Upload Tariff
Upload Claims

Fraud Analytics

AI-powered fraud detection and risk assessment

47
Leaked Alerts
95%
Detection Accuracy
$1.2M
Fraud Prevented
>10K+
Claims Analyzed

Review Claims

Pending claims requiring manual review

CLM-2024-00847

Hospitalization - $145,000 • High Priority

CLM-2024-00842

Surgery - $320,000 • Pending Documents

CLM-2024-00839

OPD Treatment - $15,600 • Ready for Review

Tariff Checker

Compare billed amounts against policy tariffs

4,521
Tariff Rules
312
Overcharges Found

Medicine Database

12,450 items • Last updated today

Upload Tariff

Update tariff database with new pricing

Drop tariff file here
Supports XLS, XLSX, CSV formats

Upload Claims

Submit new claims for processing

Drop claim documents here
Supports PDF, JPG, PNG formats
Testimonial

Trusted by Leading General & Health Insurers and TPAs

"Autoflow AI became an operational layer across claims, adjudication, and fraud. It gave us scale, control, and confidence as volumes grew."
M
Monica Gehlot
Head of Claims Operations, TPA

Know that your data, models, and knowledge are secure

Enterprise-Grade Security

That adheres to industry best practices and compliance standards.

  • Client prompts & data are never used for training
  • Completely isolated firm-specific data storage
  • Regularly audited & tested by third-party security specialists

Ready to Go AutoFlow & Transform Your Insurance Ops?

Reclaim your time for strategic work and let our AI Assistant handle the busywork. Schedule a demo to see how you can achieve more, faster.

Schedule A Demo