Transform Claims Processing with Explainable AI, RAG & Agentic AI
I help insurers, TPAs, hospitals and banks move GenAI from proof-of-concept to production — with the security controls, governance and audit evidence risk committees ask for.
JPMC · Citi · Standard Chartered · Anthem · RBS
We don’t just provide AI consulting. We implement the AFL™ Framework for Banking, Insurance and Enterprise Financial Operations.
We help enterprises build secure, compliant and explainable GenAI, RAG and Agentic AI platforms through our AFL™ Framework and RAG Security Assessment Toolkit™.
Production-grade AI, not slideware
Every engagement is built around explainability, auditability and measurable operational ROI.
Explainability by default
- Every decision traced to source clauses
- Reviewer-ready rationale and citations
- Audit logs for regulators
Domain-deep, not generic
- Health insurance claims and pre-auth
- Fraud, underwriting and servicing
- BFSI document intelligence
Delivery leadership
- 23+ years running global programmes
- $20M+ P&L, 500+ person teams
- From MVP to enterprise rollout
Where this works today
Regulated, document-heavy operations where accuracy and traceability are non-negotiable.
Health Insurance
Claims adjudication, pre-auth and policy validation.
TPAs
Operational efficiency and claims automation at scale.
Hospitals
Pre-authorization automation and payer coordination.
BFSI & Retail
Document intelligence and customer support agents.
Copilots, agents and security frameworks for regulated operations
🔒 RAG Security Assessment Toolkit™
Secure your GenAI, RAG and Agentic AI ecosystem with enterprise-grade DevSecOps controls, governance frameworks and AI security assessments.
- Detect AI security risks
- Prevent prompt injection
- Secure agentic workflows
- Ensure regulatory compliance
Explainable Claims Decision Copilot
Pre-auth, reimbursement and policy validation with cited reasoning.
Fraud Detection Agent
Suspicious claim detection and dynamic risk scoring.
Customer Service AI Agent
Policy inquiries and real-time claims status resolution.
Underwriting Copilot
Risk assessment and structured document analysis.
AI Knowledge Assistant
Enterprise RAG over policies, SOPs and clinical guidelines.
90-Day AI Accelerator
Discover, design, build and scale — with an ROI case at every gate.
Ready to move AI from pilot to production?
Book a free 30-minute consultation to review your highest-value use case and its governance path.