Health Underwriting

Next level of underwriting is here
that’s faster and way more
precise

Next level of underwriting is here that’s faster and way more
precise

With Anaira’s versatile approach to underwriting, cohort-based journeys are

prioritised. You experience a safe automation workflow and reduced manual oversight.

At a Glance

Adaptive intake → fewer missing loops and cleaner disclosures

Targeted evidence → lower friction, more consistent scrutiny

Consistent terms and captured reasons → fewer disputes, higher defensibility

Health Underwriting

Next level of underwriting is here
that’s faster and way more
precise

With Anaira’s versatile approach to underwriting, cohort-based journeys are

prioritised. You experience a safe automation workflow and reduced manual oversight.

At a Glance

Adaptive intake → fewer missing loops and cleaner disclosures

Targeted evidence → lower friction, more consistent scrutiny

Consistent terms and captured reasons → fewer disputes, higher defensibility

OUTCOMES

OUTCOMES

OUTCOMES

Your risk management levelled up

Your risk management levelled up

Speed without losing control

Structured referrals, clear approval tiers

Speed without losing control

Structured referrals, clear approval tiers

Speed without losing control

Structured referrals, clear approval tiers

Better risk selection

Multi-dimensional signals; fewer blunt checks

Better risk selection

Multi-dimensional signals; fewer blunt checks

Better risk selection

Multi-dimensional signals; fewer blunt checks

Earlier anomaly routing

Proposal-stage pattern detection

Earlier anomaly routing

Proposal-stage pattern detection

Earlier anomaly routing

Proposal-stage pattern detection

Consistent application of policy

Less “who handled it” variance

Consistent application of policy

Less “who handled it” variance

Consistent application of policy

Less “who handled it” variance

Foundation for portfolio outcomes

Path to persistency/LTV-aware UW

Foundation for portfolio outcomes

Path to persistency/LTV-aware UW

Foundation for portfolio outcomes

Path to persistency/LTV-aware UW

AI CAPABILITES

AI CAPABILITES

AI CAPABILITES

Where our risk intelligence
fits in the lifecycle?

Anaira

Onboarding

Disclosures, missing-infoloops, docs

Onboarding

Disclosures, missing-infoloops, docs

Onboarding

Disclosures, missing-infoloops, docs

Decisioning

Cohorts, evidence, terms

Decisioning

Cohorts, evidence, terms

Decisioning

Cohorts, evidence, terms

Optional Monitoring

Drift, partner quality

Optional Monitoring

Drift, partner quality

Optional Monitoring

Drift, partner quality

Health Underwriting

SOLUTIONS

SOLUTIONS

SOLUTIONS

Before and after implementation

Before and after implementation

Today

Static forms

Blanket Tele-MER/tests

Overrides hard to justify later

With Anaira

Approve-tiered exceptions with trails

Cohort journeys

Adaptive intake

WORKFLOW

WORKFLOW

WORKFLOW

The transformed workflow

The transformed workflow

PROCESS

PROCESS

PROCESS

Immediate results in
risk actions

Proceed/Hold/Route

Proceed/Hold/Route

Approve/Decline/Defer/Counter-offer

Approve/Decline/Defer/Counter-offer

Evidence required

Evidence required

Escalate to specialist/SIU

Escalate to specialist/SIU

Apply loadings/Exclusions/WPs

Apply loadings/Exclusions/WPs

Override approvals with evidence

Override approvals with evidence

Operations chases less missing information

Operations chases less missing information

Medical co-ordination becomes structured

Medical co-ordination becomes structured

Senior UW focuses on edge cases

Senior UW focuses on edge cases

Leadership answers “why” without narrative rebuilds.

Leadership answers “why” without narrative rebuilds.

CHANGES

CHANGES

CHANGES

Improved operating
model

EVALUATION

EVALUATION

EVALUATION

Signals that reflect
transformation

Member/Disclosures

Member/Disclosures

Partner/Channel quality

Partner/Channel quality

Anomaly patterns

Anomaly patterns

Locality/Provider

Locality/Provider

Documents

Documents

What AI does

Intake quality checks, document extraction, cohort assist, anomaly routing cues

Intake quality checks, document extraction,

cohort assist, anomaly routing cues

Outputs:

Targeted evidence prompts, structured summaries, reason codes, confidence

Targeted evidence prompts, structured summaries,

reason codes, confidence

Where embedded:

Intake → evidence targeting → review queues

Controls:

Governed thresholds, no black-box declines, override logging, version-stamped trails

Governed thresholds, no black-box declines,

override logging, version-stamped trails

INTELLIGENCE

INTELLIGENCE

INTELLIGENCE

How does our
transformative AI
take over?

KPIS

KPIS

KPIS

Huge leap in KPIs

TAT overall and Cohort-wise

TAT overall and Cohort-wise

Manual effort per policy

Manual effort per policy

Referral rate/Time-in-queue

Referral rate/Time-in-queue

STP%

STP%

Audit effort

Audit effort

Disputes/Complaints

Disputes/Complaints

IMPLEMENTATION

Seamlessly smooth rollout

Start one product/journey

Calibrate cohorts/evidence

Add monitoring loops

Expand products/channels

IMPLEMENTATION

Seamlessly smooth rollout

Start one

product/journey

Calibrate

cohorts/evidence

Add monitoring

loops

Expand

products/channels

IMPLEMENTATION

Seamlessly smooth rollout

Start one product/journey

Calibrate cohorts/evidence

Add monitoring loops

Expand products/channels

Revolutionize your risk intelligence today

Book a demo

A product specifically designed to help all types of organizations perform better through better risk assessment and management.

Copyright © 2026 Anaira AI

Revolutionize your risk
intelligence today

Book a demo

A product specifically designed to help all types of organizations perform better through better risk assessment and management.

Copyright © 2026 Anaira AI

Revolutionize your risk intelligence
today

Book a demo

A product specifically designed to help all types of organizations perform better through better risk assessment and management.

Copyright © 2026 Anaira AI

Business Lines

Company

Resources

Book a Demo