Agira Gpmv Software Technologies Private Limited – Insurtech Innovation Award 2024

1. Powered by
Alagan S
CEO Agira Technologies

2. the problem
Lengthy
Processing Your Title
Refers to a good or
service being offered
Your Title
Refers to a good or
service being offered
Your Title
Refers to a good or
service being offered
Your Title
Refers to a good or
service being offered
challenges
Lengthy Processing
Times
Manual Data
Entry
Unstructured Documents Challenges in Fraud
Detection
Too many Statewide
forms
Inefficient Insight Extraction
from Images
be it U.S. workers' compensation claims OR health insurance claims globally
there are multiple

3. the solution
Lengthy Processing
Times
Manual Data
Entry
Unstructured
Documents
Challenges in Fraud
Detection
Too many Statewide
forms
Inefficient Insight Extraction
from Images
• Gen-AI powered claims assistant built in the Gen-AI world and built for insurance.
• Not an add-on to an existing solution or an afterthought for a different industry.
Automated Image Insights
Solution Features
GenAI summaries Automated FNOL
creation
Smart Data Integration Intelligent Discrepancy
Detection
Auto Data Capture
Summary
On 31st March
2024 at 8.30 am
Daniel sustained a
shoulder injury and
twisted his left arm
while lifting heavy
furniture. As per
………….

4. why AGIRASURE
AUTOMATED FIRST NOTICE OF LOSS
(FNOL) CREATION
ENHANCED IMAGE PROCESSING
ADVANCED PROCESSING OF
UNSTRUCTURED DATA LIKE EMAILS
COMBINED WITH STRUCTURED DATA IN
INSURANCE FORMS
POLICY DATA
INTERPRETATION ENGINE
VIRTUAL ASSISTANT FOR
CLAIM HANDLERS
UNSTRUCTURED DATA
EXTRACTION FROM CORE
CLAIM SOLUTIONS
existing
insurance
automation
products are
missing pieces
that complete the
solution.

5. with AGIRASURE
AUTOMATED FIRST NOTICE OF LOSS
(FNOL) CREATION
ENHANCED IMAGE PROCESSING
ADVANCED PROCESSING OF
UNSTRUCTURED DATA LIKE EMAILS
COMBINED WITH STRUCTURED DATA IN
INSURANCE FORMS
POLICY DATA
INTERPRETATION ENGINE
VIRTUAL ASSISTANT FOR
CLAIM HANDLERS
UNSTRUCTURED DATA
EXTRACTION FROM CORE
CLAIM SOLUTIONS
existing
insurance
automation
products are
missing pieces
complete
solution. built in
the Gen-AI world.

6. AGIRASURE
one solution.
handling multiple
insurance
scenarios.

7. 90-day rule violation
in California WC claims
Mike reported a knee
injury, but it's unclear
whether it occurred in the
office or during an off-site
task
He submitted all relevant
incident reports and medical
records within the required
timeframe
Amidst the ambiguity of the
accident's location, the
insurer exceeds California's
90-day rule without a verdict
Suspecting a non-work-related injury, the
insurer rejects the claim, leading to
litigation—avoidable with clear AI-
generated incident analysis
Intelligent discrepancy detection finds
the inconsistencies between logs and
the injury reports highlighting a clear
timeline of events.
Anomaly checked and reported in Gen AI
summary well ahead of the 90-day
deadline.
• No litigation
• No issues
• Quick resolution
AGIRASURE can help

8. safety equipment violation
in Florida WC claims
James, a machine operator in a
Tampa-based manufacturing plant,
sustains a hand injury while
operating machinery.
At the time of the incident, James was not wearing the
required safety gloves mandated for machine operation, a
fact not immediately apparent in the initial claim
documentation.
Claim approved without any reduction due to failure
to wear prescribed safety equipment.
OR
Rejected after a detailed manual review of incident
footage.
Equipped with advanced image analysis capabilities, the
solution reviews surveillance footage and photos submitted
with the claim. The system identifies and highlights James's
failure to wear the prescribed safety gloves at the time of
the accident.
With insights from the AI solution, the insurer applies Florida's
provision for a 25% reduction in workers' compensation
benefits due to the non-use of safety equipment. James's
compensation is adjusted accordingly, reflecting the role his
failure to adhere to safety protocols played in the incident.
• Appropriate resolution
• Timely manner
AGIRASURE can help

9. fraudulent claim auto-detection
Janet reports a knee injury occurring
on Monday while moving office
furniture.
Claim processing agent reviews medical reports and
checks against injury claim report and timelines.
After a long investigation reveals the injury occurred
on Saturday at a local bar during a dance, leading
to the denial of the fraudulent claim and saving the
insurer from a wrongful payout
Generative AI cross-references the injury claim with the
medical report, flagging any discrepancy in the injury's
timeline
• Appropriate resolution
• Timely manner
AGIRASURE can help
Anomaly checked and reported in Gen AI
summary, early discovery allows timely
investigation.

10. automated data processing
Claim filed with a mix of structured
forms and narrative accounts.
Manual entry of diverse
documentation can lead to input
errors.
Errors and unstructured data formats
delay claim resolution, intensifying
claimant distress
Input errors are avoided
through automatic data
capture from structured and
unstructured documents using
OCR and AI
• Appropriate resolution
• Timely manner
AGIRASURE can help
Gen AI summaries provides concise
summary of data instead of going through
all of the documents
Smart Data Integration -
Integrates claim core system
data, structured form data and
unstructured data

11. an Agira solution
2015
• INCEPTION BY COUPLE
OF PASSIONATE
ENGINEERS
• PRODUCT DEVELOPMENT
SERVICES
• SERCVICES TO
SOLUTIONS JOURNEY
2017
ITSERVICES FOCUS
2019
• MATURITY IN
DELIVERY PROCESS
2022
• NEW LEADERSHIP IN
PLACE
2024 &Beyond
• ENTERPRISE FOCUSED
SOLUTIONS
• AI LED DIGITAL
TRANSFORMATION
175+
Colleagues
35+
Startups
enabled
75+
Clients
9+ years of
Experience
Key stats
What we are good at
Digital Transformation
SaaS Product development
(B2B/B2C)
Web3 / Blockchain expertise
Data / AI / M L ( Data as a
Product)
Matured Delivery Processes
Known for Good Culture and
Customer Focus

12. high level system diagram

13. Powered by
Alagan S
CEO Agira Technologies