Underwriting & Claims

Underwriting & Claims

InsurTech Express is a curated technology hub for the life, health, and annuity insurance industry. We are not a vendor ourselves — we’re where carriers, MGAs, agencies, and advisors come to find, compare, and shortlist the platforms that solve a specific operational problem, like speeding up underwriting decisions and claims payouts.

The solutions listed below cover point-of-sale underwriting, EHR and medical data access, risk scoring, and claims payment processing. We track this space closely so you don’t have to start from a blank search — each listing includes a short, plain-language description of what the provider does and who it’s typically built for, whether that’s a large carrier’s underwriting desk, an MGA, or a claims operations team.

This page is for underwriting and claims leaders evaluating new technology, as well as for vendors in this space who want to be discoverable by that audience.

Don’t see what you need? Contact us and we’ll help point you toward the right fit — or if you’re a provider who belongs on this page, reach out to be added.

Paramedical Solution Providers

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Life Underwriting Systems

ITX Meds

Underwriting and Claim Tools and Services

illustrate inc. helps life insurers and annuity providers modernize their sales and new business operations with flexible digital solutions.

Our highly configurable platform streamlines sales-to-issue workflows, connecting quoting, illustration, eApplication, underwriting, case management, and eDelivery while seamlessly integrating with core systems.

Bestow’s Underwriting empowers you to build and test new products rapidly using our flexible rules engine. 1 Enhance your underwriting workbench with the power of automation, streamlining processes and driving efficiency.

LDS™

new business and underwriting solution

LDS™is a comprehensive digital new business and underwriting platform with a flexible eApp and full automated underwriting and workflow capabilities. You can automate your entire new business and underwriting process from receipt of app through to policy issue.

Employee Pooling Management Systems’ underwriting services help firms determine the rating class of a submitted case. They offer support throughout the process, from initial submission to final approval.
Services include:
  • Prequalification: They assist with the prequalification and management of informal cases.
  • Case Shopping: They help with shopping rated cases.
  • Medical Data: They retrieve medical records, provide comprehensive summaries, and offer electronic access to reports on prescription drug and lab data, including prescribing physicians and actuarial information.
  • Case Consultation: They provide consultation and assessments for specific cases.
exam one

ExamOne, a Quest Diagnostics company, provides a comprehensive suite of solutions to streamline and enhance life insurance underwriting processes. Their offerings range from traditional paramedical exams and laboratory testing (including services like LabPiQture for historical lab results and ScriptCheck for prescription history) to advanced data-driven tools. Key among these is “Risk Identifier,” an underwriting decision support tool developed in collaboration with UnderwriteMe, which leverages a vast array of digital health data, electronic health records (EHRs), and medical claims to provide real-time risk assessments and decision recommendations. ExamOne also focuses on accelerating medical record retrieval, offering solutions for traditional Attending Physician Statements (APS) and integrating with EHR systems to reduce turnaround times. By combining their extensive data sources, analytical capabilities, and nationwide specimen collection network, ExamOne helps insurers achieve greater efficiency, accuracy, and confidence in their underwriting decisions, ultimately improving the applicant experience.

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RESONANTÂŽ FIELD UNDERWRITING (FORMERLY XRAE)

ResonantÂŽ Field Underwriting is a tool that helps you accurately set customer expectations at the beginning of the sale process. On-demand field underwriting returns a health class rating or range based on published and unpublished carrier rules, and gives you immediate, automated responses to almost all of your quick quotes. Multi-carrier results are generated instantly with table/health class and price range, and you can manage multiple impairment cases seamlessly.

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LexisNexisÂŽ Risk Classifier with Medical Data

LexisNexisÂŽ Risk Classifier with Medical Data integrates behavioral and medical history into a single underwriting model. This helps enable life insurers to better understand and segment risk, minimize invasive requirements and accelerate the underwriting decision process.

LexisNexisÂŽ Life Data Prefill

As an interactive single-inquiry solution, LexisNexisÂŽ Life Data Prefill helps streamline the insurance process at the point of application, reducing the time and cost of capturing some of the data necessary to help properly evaluate your applicants.

LexisNexis® Human API™

The LexisNexis® Human API™ is a consumer-consent-driven platform that empowers individuals to securely and easily share their digital health data with organizations, primarily for the life insurance and healthcare industries. By connecting to a vast network of data sources, including Electronic Health Records (EHRs), patient portals, labs, and even wearables, the platform aggregates disparate health information into a single, comprehensive view. This capability helps life insurers accelerate and automate their underwriting process by providing a streamlined, digital clinical history report, which significantly reduces the time and cost associated with traditional methods like manual record retrieval and attending physician statements, ultimately enhancing the customer experience.

The One Inc ClaimsPay integration is a comprehensive platform that delivers a frictionless payment experience via expanded payment methods and channels, easy-to-use portals, and established vendor/financial institution partnerships that allow all insurance payment use cases to be handled digitally on a single platform, including total loss lienholder and mortgagee payments.

The One Inc PremiumPay Platform is a comprehensive platform that delivers a frictionless payment experience via expanded payment methods, easy-to-use modals/portals, digital premium disbursements, and real-time financial reporting. The One Inc wallet provides customers with the expected continuity across payment channels and empowers carriers to deliver an optimized and seamless experience. 

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eValuate

Improving Risk Selection is a goal of all insurers and agencies. eValuate (eV) supports carrier-specific underwriting rules including multiple impairments, co-morbidities, debits and credits, temporary flat extras and other ‘secret-sauce’. It provides Agency workflow and the ability to review and quote multiple Carriers, including specific automated underwriting guidelines and impairment parameters!

eValuate PLUS

Automate underwriting with eValuate PLUS (eV PLUS) a flexible and powerful decision tool from PSG that supports full data driven analysis for multiple products (Life, DI, FE, etc.) based on carrier specific rules that can be directly managed to keep underwriting guidelines confidential.

eRequirement

Convenient, Secure and Fast. eRequirement (eR) eliminates the paper chase for post submission or inforce requirements. Regardless of how the application originated your case can be back on track with an average of 3.4 from start to finished.

Based upon the extensive Samplemed medical underwriting experience, we believe samplemed360 is the only life and health underwriting platform you need. In addition to including all Samplemed solutions for risk analysis and controlling case flow elegantly and autonomously, the platform reveals deeper underwriting insights, because it was designed with a data-focused philosophy.

So, if you want to organize your flows, optimize cost in underwriting, or unleash your own data, be sure to use s360. The future of underwriting arrived.

Solvrays streamlines underwriting workflows by automating data intake, surfacing real-time insights, and integrating external data sources (e.g., labs, EHRs, MIB). This speeds up underwriting decisions and enhances underwriter productivity through intelligent case routing and alerts.

Spinnaker Analytics has been driving insurance sales growth for carriers and brokers for more than two decades. Headquartered in Boston, Spinnaker has deployed its solutions globally. Their solutions help leading insurers identify new sales opportunities, improve their workflows, and optimize their workforce to improve overall efficiency and effectiveness.

TruVision™ Life – Provides a credit-based insurance risk score predictive of mortality and lapse for use in life insurance underwriting.

TruVision™ Driving History – Leverages traffic-related court record data and enhanced state MVRs to identify consumers with ratable violation activity and selectively order MVRs.

TruLookup™ Deceased – Uses sophisticated linking of data sources to help fill in the majority of missing deaths, leveraging a combination of low latency data sources and our proprietary matching algorithms, our solution is designed to minimize the return of false positive results and yield reliable matches.

Xcela.ai is a company that leverages AI technologies to streamline and enhance the life insurance sales and operations process. Their platform integrates various AI-driven tools to simplify tasks such as client information gathering, risk assessment, and  generating field underwriting offers. This helps insurance agents and agencies work more efficiently and effectively.

Other Services

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