HealthVerity Insurance Underwriting

HealthVerity Insurance Underwriting is a data-driven solution designed to enhance risk assessment for group insurance products. By synchronizing employer rosters with real-world healthcare data, insurers can uncover hidden risks, build smarter scoring models, and make more informed underwriting decisions across health, life, disability, workers’ compensation, and stop-loss insurance.

Features

• Roster Synchronization: Matches employer-provided rosters with real-world data in a privacy-compliant manner.
• Automated Risk Scoring: Generates daily risk scores using historical healthcare transactions.
• HIPAA-Compliant Data Access: Selects medical and pharmacy claims, lab results, and more from the HealthVerity ecosystem.
• Single Contract Licensing: Accesses diverse data sources under one agreement.
• Workflow Integration: Ingests transaction-level data directly into underwriting systems or returns scores via API.

Capabilities

• Advanced Risk Modeling: Builds and trains models using actual healthcare data instead of traditional actuarial tables.
• Real-Time Insights: Delivers longitudinal health views of employee populations in minutes.
• Scalable Deployment: Supports underwriting across multiple insurance lines and employer sizes.
• Data Management Services: Offloads data handling while maintaining control over model execution.
• Flexible Delivery: Offers options for full data ingestion or score-only return.

Benefits

• Improved Risk Accuracy: Identifies hidden health risks not visible in standard claims models.
• Faster Underwriting Decisions: Speeds up risk evaluation with automated scoring.
• Cost Efficiency: Reduces reliance on manual data gathering and external consultants.
• Enhanced Compliance: Operates within HIPAA and privacy-preserving frameworks.
• Competitive Advantage: Enables smarter pricing and risk segmentation for group policies.