Insurance & InsurTech

Automate the Insurance Lifecycle End to End

Indian insurance penetration stands at just 4.2% — a massive growth runway. But legacy policy-admin systems, paper-heavy claims, and manual underwriting cannot scale fast enough to capture it. Our platform digitizes every stage from quote to claim settlement.

70%
Faster Claims Settlement
38%
Lower Loss Ratio
5x
Policy Issuance Speed
Industry Challenges

Insurance Industry Pain Points

Incumbents are losing market share to digital-first insurtechs. Here is why.

📋

Legacy Policy Admin Systems

Monolithic PAS platforms built in the 2000s cannot support microinsurance, embedded products, or API-first distribution.

Slow Claims Processing

Health and motor claims take 15-30 days to settle. Manual document verification, surveyor coordination, and multi-level approvals create unacceptable delays.

🔍

Fraud Leakage

Insurance fraud costs Indian insurers ₹30,000 Cr annually. Inflated claims, staged accidents, and identity fraud slip through rule-based checks.

📝

Manual Underwriting

Underwriters manually review medical reports, financial documents, and risk questionnaires — limiting throughput to 30-40 proposals per day.

🔗

Distributor Management Chaos

Managing thousands of agents, brokers, and bancassurance partners with different commission structures and compliance requirements.

📊

Poor Renewal Analytics

Without predictive churn models, insurers discover lapsed policies only after the grace period — when it is too late to intervene.

Ready to settle claims in days, not weeks?

Book a demo and see how AI-driven claims automation transforms your loss ratio and customer satisfaction.

Impact Numbers

Insurance Platform Results

Metrics from insurers and TPAs who deployed our automation platform in the last 24 months.

70%
Faster Claims
38%
Lower Loss Ratio
5x
Issuance Speed
₹45Cr
Fraud Savings/Year
Impact Metrics

Where Insurers See ROI

Three operational areas that deliver measurable impact within the first two quarters.

70%
Claims Acceleration
Automated document verification, parallel processing, and AI-driven fraud checks eliminate manual bottlenecks.
38%
Loss Ratio Improvement
Better underwriting + fraud detection means fewer bad risks enter the book and fewer fraudulent claims get paid.
5x
Issuance Throughput
Policy issuance bots handle document generation, mandate registration, and CRM updates without human intervention.
Compliance & Regulations

Insurance Compliance Framework

Regulatory compliance woven into every workflow, not added as an afterthought.

🏛️
IRDAI Guidelines
Automated compliance with IRDAI product-filing norms, solvency reporting, claims-settlement timelines, and grievance redressal rules.
🛡️
SOC 2 Type II
Annual security audit covering data protection, access management, and operational continuity for insurance platforms.
🔒
PCI-DSS Level 1
Premium collection and refund flows follow PCI-DSS standards with tokenized card storage and encrypted transactions.
📋
IIB Reporting
Automated data submission to Insurance Information Bureau in prescribed formats with validation and error handling.
Why OpenMalo

Why Insurers Choose OpenMalo

We combine insurance domain expertise with modern engineering to deliver platforms that actually work.

🏥
Claims Expertise
Our team has processed 5M+ health and motor claims. We know the edge cases — pre-authorization disputes, cashless vs reimbursement, and salvage recovery.
🔌
TPA & Hospital Integration
Pre-built connectors for major TPAs (Medi Assist, Paramount, Vidal) and 10,000+ NABH-accredited hospitals.
📐
Product Configurator
Launch new insurance products — microinsurance, sachet covers, embedded policies — in weeks, not quarters.
🧠
Fraud Intelligence Network
Cross-insurer fraud signals from our anonymized network help detect repeat offenders and organized fraud rings.
📱
Policyholder App
White-label mobile app with policy view, claims filing, e-card download, and renewal — ready to deploy in 4 weeks.
📊
Actuarial Analytics
Loss-ratio analysis, claims-development triangles, and pricing-adequacy reports built into the platform dashboard.
Get Started

Modernize Your Insurance Operations

Tell us your product lines and claims volume — we will send a tailored automation roadmap.

Free claims-process audit
Fraud detection assessment
IRDAI compliance gap analysis
TPA integration feasibility check
No obligation — cancel anytime
0/2000
Featured Case Study

Case Study

General Insurer

How a General Insurer Cut Claims TAT by 70%

A mid-size general insurance company processing 50,000 health claims per month was averaging 22 days to settlement. Customer complaints were rising, and IRDAI had flagged them for non-compliance with the 30-day settlement mandate on straightforward claims.

70%
Faster Claims Settlement
38%
Lower Loss Ratio
₹45Cr
Annual Fraud Savings
The Challenge

The Problem

The insurer was drowning in manual claims processing:

Document verification required manual review of hospital bills, discharge summaries, and investigation reports
Fraud detection relied on adjuster intuition — no systematic screening across claims
Surveyor assignment was geography-based, not skill-based, causing rework on complex claims
Policy issuance for new business took 48 hours due to manual underwriting and document generation

Our Approach: We deployed an AI claims engine that auto-verifies hospital documents using OCR and NLP, flags suspected fraud using cross-claim pattern analysis, and routes complex claims to specialized adjusters. A parallel underwriting automation reduced policy issuance to under 1 hour. The fraud detection module identified ₹45 Cr in suspicious claims in the first year — including a ₹8 Cr organized fraud ring. Full deployment across health and motor lines took 16 weeks.

Read Full Case Study
Client Stories

What Our Clients Say

Claims settlement dropped from 22 days to 6. Our IRDAI compliance score went from red to green in one quarter.

SI
Suresh Iyer
Claims Director, General Insurance Co.

The fraud detection module paid for itself in month one. It caught a ₹8 Cr organized ring that our manual process had been paying for 3 years.

KS
Kavita Sharma
CFO, Health Insurance Startup

We launched a microinsurance product in 6 weeks using their product configurator. Our previous PAS would have taken 6 months.

AM
Arjun Menon
Chief Product Officer, InsurTech
FAQ

Frequently Asked Questions

Health (individual and group), motor (own damage and TP), fire, marine, travel, personal accident, and microinsurance. Each product line has configurable underwriting rules, claims workflows, and regulatory reporting.