Human/AI Collaboration Platform to support insurance claims and medical underwriting decisions


Human/AI Collaboration Platform to support insurance claims and medical underwriting decisions

  • Web Portal
  • API based
  • Scanning Station
  • Databases
  • Document Management Systems

  • Automated Document Identification, Deduplication, and Sorting
  • Automated bifurcation of documents relevant/ irrelevant
  • Automated extraction of diagnosis, medications, medical and social history, tests and procedures, and evaluations performed by medical professionals.

  • Team of doctors, paramedics, legal- para legal skillsets to help validate information abstracted from various unstructured documents
  • ~600+ combined years of medico legal document abstraction experience.

  • Pre built templates for Medical summaries  (APS Summarization, Claims Summarization – Auto, Workers Compensation)
  • Portal for client organization to access the information abstracted
  • API for seamless movement of data/ insights into various claims systems, underwriting platforms, BI tools

  • AI driven Fraudulent claims identification
  • AI driven Bill (Legal/ claims) irregularity identification

MedConnection™ solution overview

MedConnection™ is a Human-AI collaboration platform, helping to bring sophisticated NLP models & highly trained medico legal skillsets to generate accurate, relevant & succinct clinical insights for supporting Insurance Claims and Underwriting Decisions



Client testimonial: Profiting from MedConnection™

left-quoteWe had a challenging and complex claim and using EXL’s MedConnection™ was highly beneficial to us. We had a claim for a woman with hurt knee and ankle who underwent 3 surgeries. The bills were sent to an adjuster over several months and were a disaster to follow. The claimant had said that the medications were over $100,000. After submitting to EXL, they found that only $42,118 was incurred with $22,562 written off. The net amount of specials was $16,250. We had limits of $500,000 and EXL’s MedConnection helped us settle for $65,000.right_quote

District Claims Manager | Auto, Home & Life Insurance Company

Brad Burdick Sandeep Juneja Arun Kumar
Brad Burdick
SVP, Head of Insurance Platform Services

Brad leads EXL’s Insurance Platform Services business unit with overall responsibility for delivering solutions and services to meet our insurance clients’ needs. With over 30 years of experience in technology, strategy, and operations, Brad’s focus is on combining technology and services to deliver distinctive capabilities. Brad has over 15 years of Insurance industry experience combined with a rich technology and operations background. Brad joined EXL in 2011 as a part if the acquisition of The Hartford Insurance Group subsidiary, Trumbull Services, of which he was the President.

Sandeep Juneja
Vice President - Insurance Platform Services (P&C)

Sandeep Juneja is Vice President with P&C Insurance Platform Services at EXL. He has spent over 22 years in the field of Insurance & Financial services outsourcing, Transformation, Operations Management and M&A. Sandeep has led large projects combining Technology, Operations and Analytics to deliver value for clients across North America and APAC. He has complete his bachelors in Accounting and Masters in Financial Management and International Finance.

Arun Kumar
Vice President – Operations & Insurance Platform Services

Arun leads EXL’s Digital Intake and Content Extraction Services with overall responsibility for delivering solutions and services to meet our clients’ needs. With 20 years of experience in Operations, Technology and Strategy, Arun’s focus is on combining Domain, Digital and Technology to deliver distinctive capabilities. Arun joined EXL in 2007 and since then has worked with multiple global insurance carriers across multiple geographies spearheading Operations Management, Transformation and Process Excellence.