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Health Insurance AI Assistant

A private health insurance company aimed to enhance customer service by providing real-time answers to users' questions about coverage, policies, tariffs, and underwriting guidelines. Additionally, they wanted the AI assistant to help identify nearby hospitals and schedule doctor appointments. The goal was to improve customer satisfaction, reduce wait times, and streamline information retrieval.

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Client challenge

The insurance company faced the challenge of managing a high volume of customer inquiries about coverage details, policy specifics, and underwriting guidelines. Traditional customer service methods were time-consuming and resource-intensive, leading to delays in responses and customer dissatisfaction. Additionally, they needed a solution to help users find nearby hospitals and schedule medical appointments efficiently. Ensuring data integrity and GDPR compliance was also critical to maintaining customer trust and meeting regulatory requirements.

Why AI?

Trismeg solution

The solution involved data vectorisation, a retrieval-augmented generation (RAG) pipeline, and an advanced AI agent. Trismeg’s platform transformed structured and unstructured data into embeddings, facilitating easy management and retrieval of information, including coverage details, policy information, and underwriting guidelines. The RAG pipeline enabled the AI agent to access real-time, accurate information, providing precise responses to user queries. The AI agent interacted with users, offering real-time answers about coverage, policies, and underwriting guidelines, and could also identify nearby hospitals and schedule doctor appointments. The on-premises deployment ensured data integrity and GDPR compliance, maintaining customer trust and meeting regulatory requirements.

Revolutionise health insurance assistance with AI Agent

Real-time support

Operational efficiency

Data compliance

Customer satisfaction

Scalable growth

More time for VIP service

How it works

One platform to complete AI projects

Vectorise data

Connect your data sources using Trismeg’s intuitive platform interface. Turn your data into AI-ready embeddings in minutes and completely code-free!

Integrate AI

Use your vectorised data to build the AI solutions of your choice. Our dedicated team is here to provide expert assistance every step of the way.

Build AI Agent

Choose a ready-made template from Trismeg’s library to build your AI Agent, or design your own from scratch.