Health Insurance AI Assistant
An AI assistant is a software application that uses artificial intelligence to understand and respond to user requests, automate tasks, and provide accurate information efficiently.
Cloud AI solution
Data vectorisation + RAG
Fine-tuned hosted LLMs
Custom integrations
Challenge:
A leading health insurance provider struggled with high operational costs, long wait times, and inconsistent responses to customer inquiries about coverage, policies, and claims. Customers often faced delays and incomplete information when trying to find nearby hospitals or schedule appointments, leading to frustration and lower satisfaction levels. The company needed a way to streamline support, reduce costs, and improve customer experience without overhauling its existing systems.
Solution:
The company leveraged Trismeg’s platform to build and deploy an AI assistant tailored for health insurance support. Using Trismeg Link, they connected diverse data sources such as policy documents, medical networks, and previous support tickets, transforming them into a continuous and intelligent knowledge base. With Trismeg Forge, they customised and integrated open-source models to create an AI assistant capable of instantly answering customer questions, providing accurate coverage information, and assisting with scheduling appointments. Deployed seamlessly via APIs, the AI assistant offered real-time support through web and mobile channels.