claims-automation
(37)
Neutrinos
The Singapore startup betting that insurers do not need to replace their aging core systems - they need software smart enough to work around them.
Crawford & Company
For 85 years, Crawford & Company has made a business of the difficult middle between loss and recovery. Its next act pairs thousands of adjusters, nurses and contractors with software built to make claims move faster - without pretending the human judgment can be automated away.
bolttech
A Singapore insurtech quietly turned the checkout button into an insurance counter. Now 230 insurers and 700 partners run through its pipes.
Avallon AI
Avallon AI is a New York-based Y Combinator (Spring 2025) startup building AI agents that automate insurance claims operations from intake to resolution. Its agents answer phones, chase down employers and providers, read medical reports, and enter data directly into claims systems - work that traditionally consumes weeks of adjuster time. Avallon sells to insurance carriers, MGAs, and third-party administrators (TPAs), and raised a $4.6M seed round led by Frontline Ventures in November 2025.
Curacel
Curacel is an AI-powered insurance infrastructure company building the rails for insurance in emerging markets. Its cloud APIs let insurers automate claims processing and catch fraud, waste and abuse, while its Grow product lets banks, fintechs and e-commerce platforms embed insurance into their own apps. A Y Combinator Winter 2022 company founded in Nigeria, Curacel works with insurers such as AXA Mansard, Old Mutual and Jubilee across roughly ten African markets.
Insurf
Insurf is an AI-native decision and data layer for U.S. health insurance. Its first product, Inveto, turns denied healthcare claims into source-cited, physician-attested appeals so medical practices recover revenue they would otherwise write off. Each resolved claim feeds a proprietary coverage-decision graph of real payer behavior, which powers a second product, Surely, that prices the true cost of a health plan for employers and brokers. Founded in 2026 by Chang Lu and Bryan Chung, the company is part of Y Combinator's Summer 2026 batch and is based in San Francisco.
Toothy AI
Toothy AI builds HIPAA-compliant AI agents that run the insurance side of a dental practice - verifying patient coverage, filing and correcting claims, chasing denials, and posting payments. Using voice AI to make payer phone calls and portal automation to check eligibility, Toothy aims to take the roughly 160 hours a month that clinics spend on insurance busywork off staff plates. A Y Combinator Winter 2025 company founded in 2024 by Johnny Chen and Matthew Kerrigan, it sells a subscription service to dental clinics looking to collect more, faster, with smaller back-office teams.
Democrance
Democrance is a Dubai-based B2B insurtech that sells insurers a lightweight, cloud-based core platform - Democrance Pulse - which sits on top of legacy systems rather than replacing them. Founded in 2015 by Michele Grosso, Alberto Perez and Dr. Damian Dimmich, the company began by trying to sell low-cost microinsurance to people in emerging markets who had never held a policy, then discovered that the real bottleneck was the insurers' own technology. Today its no-code product configurator, distribution portals, underwriting engine and API library let carriers including AXA, MetLife, AIG, Manulife, Zurich, Tokio Marine and Sukoon launch and administer life, health and P&C products in days rather than months, across 15-plus markets in the Middle East, Africa, Asia and Latin America. The mainstream book cross-subsidises the microinsurance one, which is how a financial-inclusion mission survives contact with a P&L.
HealthMetrics
HealthMetrics is a Malaysia-based digital third-party administrator (TPA) that runs a cloud platform for managing corporate employee health benefits across Southeast Asia. It connects employers, insurers and a network of 15,000+ healthcare providers to automate claims, cut administrative work and give companies real-time visibility and control over rising healthcare costs. Founded in 2015 by Alvin Yuan and Advent Phang, it now serves 3,000+ corporate clients and 100+ insurers in Malaysia, Singapore and Indonesia.
Adonis
Adonis is a New York-based health-tech company that builds an AI orchestration platform for healthcare revenue cycle management (RCM). Founded in 2022 by brothers Akash and Aman Magoon, the platform uses context-aware AI agents to detect revenue risks early and automate resolution across denials, delays, and payer friction - helping physician groups, hospitals, and health systems collect more of the money they are owed while spending less to do it.
Arrow
Arrow is a New York-based healthcare technology company building an AI-powered operating system for revenue cycle management (RCM). Formerly known as Walnut and often described as 'Stripe for healthcare,' Arrow helps healthcare organizations reduce claim denials, accelerate collections, and run billing, claims, and payer communications from a single platform. Founded in 2020 by Roshan Patel and Yash Joshi, the company emerged from stealth in 2024 with $110M in Series A financing led by Gradient Ventures.
Camber
Camber is a New York-based healthtech company building AI-driven revenue cycle management (RCM) software for specialty care practices. Formerly known as Juniper, it automates medical claims processing, denial prevention, and payment reconciliation for ABA therapy, physical therapy, ENT and allergy, and other high-recurring care specialties. Trained on more than $2.5 billion in claims data, Camber helps providers reach roughly 95% first-pass paid rates and get reimbursed faster, replacing the manual, call-center-heavy processes of traditional billing firms.
CoverGo | Insurtech
CoverGo is a global enterprise insurtech that gives insurers, MGAs, and brokers a no-code, API-first platform to build, distribute, administer, and process insurance products across life, health, and P&C lines. Founded in Hong Kong in 2017 by Tomas Holub, it runs on 500+ open insurance APIs and a patented drag-and-drop product builder, letting carriers launch new products in hours rather than months and modernize legacy core systems without ripping them out. Customers include AXA, Bupa, MSIG, Dai-ichi Life, and Bank of China Group Insurance, served from offices across Silicon Valley, New York, Dubai, Singapore, and Hong Kong.
EasySend
EasySend is an Israeli enterprise software company whose no-code, AI-assisted platform turns paper-based forms and PDFs into digital customer journeys. Insurers, banks and other regulated enterprises use it to build onboarding, claims, lending and renewal workflows - complete with data intake, document generation and legally binding eSignatures - without writing code. Founded in 2016 in Tel Aviv, the company serves more than 40 enterprise customers, has raised roughly $77M in total funding, and is used across most of Israel's financial and insurance market as well as clients in the US, Europe and Japan.
Hi Marley
Hi Marley is a Boston-based insurtech that builds an intelligent conversational platform for property and casualty insurance, powered by SMS text messaging. It lets carriers, policyholders, agents and service providers communicate over a single, familiar text thread during claims and service moments, layering in AI features such as sentiment analysis, real-time translation, coaching insights and workflow automation. Founded in 2017 by insurance-industry veterans, the company works with 130-plus carriers, including several of the largest US insurers, aiming to make insurance communication simpler and to reduce call volume and claims cycle times.
Joyful Health
Joyful Health is a New York-based health-tech company building AI-powered financial infrastructure for healthcare revenue. Its platform connects fragmented revenue cycle systems - EHRs, billing software, clearinghouses, payer portals, and bank deposits - into a single structured view of every claim's lifecycle, then pairs AI with experienced revenue cycle operators to investigate denials, file appeals, and recover unpaid and underpaid insurance claims. The company targets the roughly $125 billion U.S. providers lose to denied and underpaid claims each year and charges on a performance basis tied to recovered revenue.
RapidClaims
RapidClaims is a New York-based healthcare technology company building autonomous AI agents for medical coding and revenue cycle management. Its platform helps hospitals, physician groups, ACOs and community health centers automate coding, prevent claim denials, recover underpayments and improve documentation - reducing operating costs by up to 70% while capturing earned revenue. Founded in 2023 by three IIT Kharagpur alumni, the company raised $11M led by Accel and Together Fund to expand across 25+ medical specialties.
Slice Labs
Slice Labs is a New York-based insurtech that builds cloud-based, digital-first insurance products. Founded in 2015 by Tim Attia, Stuart Baserman and Ernest Hursh, Slice pioneered the first on-demand, pay-as-you-go insurance in the US and later opened its Insurance Cloud Services (ICS) platform so insurers, carriers and technology companies could launch their own digital products. Its Slice Mind engine applies machine learning and, more recently, large language models to underwriting, risk scoring and claims. Today Slice operates as a tech-driven provider of Excess & Surplus (E&S) insurance for small-to-midsize commercial businesses across 40+ US states.
Westhill
Westhill is an Atlanta-based insurtech company that runs a fully-digital managed repair platform for the property and casualty insurance industry. It connects homeowners, insurance carriers, and a vetted network of contractors in one workflow - handling contractor matching, estimates, approvals, and real-time project tracking - to make repairs after a property loss faster, more transparent, and less costly for carriers. Founded in 2017 and led by CEO Kevin Reilley, the company targets the roughly $50 billion U.S. managed repair market.
Extend
Extend is a San Francisco software company that turns the messy, unloved world of extended warranties and post-purchase headaches into an API. It lets online and offline merchants offer product protection plans, shipping protection, order tracking, returns, exchanges, and automated claims - and, since 2026, bundles all of it into an AI-native 'Shopper Operations' platform that scores customers by value and risk. Founded in 2019 by Woodrow 'Woody' Levin, the company raised a $260M Series C in 2021 at a $1.6B valuation led by SoftBank Vision Fund 2 and works with 1,200+ merchants including Peloton, iRobot, Sonos and Advance Auto Parts.
FurtherAI
FurtherAI builds domain-specific AI 'teammates' for the insurance industry, automating the busywork of underwriting, claims, submissions, policy comparison and compliance. Founded in 2023 by Aman Gour and Sashank Gondala and launched out of Y Combinator's Winter 2024 batch, the San Francisco company parses messy insurance documents - broker letters, property schedules, ACORD forms, loss runs - and turns them into structured, actionable data so professionals can focus on judgment instead of re-keying. It raised a $25M Series A led by Andreessen Horowitz in October 2025, roughly six months after a $5M seed, and supports customers writing over $15 billion in premiums across all 50 states.
Liberate
Liberate is a San Francisco-based startup building insurance-native AI agents that automate the industry's most operational, phone-heavy work - quoting policies, filing claims, servicing endorsements - across voice, email, SMS, and digital channels. Its voice assistant, Nicole, handles inbound and outbound calls, while reasoning AI agents plug directly into carriers' core systems to complete end-to-end tasks rather than just answer questions. In October 2025 the company raised a $50M Series B led by Battery Ventures at a $300M valuation, after scaling from 10,000 monthly automations to 1.3 million automated resolutions and processing more than $100B in premium volume.
Retrace
Retrace is a San Francisco AI company rebuilding the plumbing of dental insurance. Founded in 2016 by dentist-engineer Dr. Ali Sadat, it operates what it calls the first natively-built AI healthcare clearinghouse - a network that reads X-rays and clinical records, compares proposed procedures against millions of adjudicated cases, and lets payers, providers and patients see coverage, cost and payout in real time so claims settle in seconds instead of weeks. Backed by Intel Capital and SoftBank, Retrace has raised roughly $18 million to automate the paperwork that sits between a dentist's chair and an insurer's check.
Mike Greene
Mike Greene is the CEO and co-founder of Hi Marley, a Boston-based insurtech company building an intelligent SMS communication platform for property and casualty insurance carriers. A repeat founder who previously built and sold Futurity Group to Aon, Greene has spent his career trying to make insurance communication less frustrating and more human, working with 13 of the top 30 P&C carriers.
Arlo
Arlo is a New York-based health insurance startup rebuilding coverage for small and mid-sized businesses. It pairs AI-driven underwriting with value-based care and cost transparency to offer level-funded plans that make big-company benefits available to teams of roughly 10 to 150 employees, without the big-company admin. Founded in 2022 by former Palantir team lead Jan-Felix Schneider and ex-Finch engineering lead Karthik Bhaskara, Arlo raised a $4M seed round in 2025 led by Upfront Ventures and works with reinsurer Nationwide.
Exactrx
Exactrx is a Nashville- and New York-based healthcare AI company that automates revenue cycle management for ambulatory surgery centers and outpatient providers. Its platform reads the operative note, codes the case, validates each charge against more than 80,000 payer rules with a tri-engine system, and generates a submission-ready claim in under 30 seconds - leaving humans to review and submit. Founded in 2024 by Athena Doshi and a clinician-and-engineer team, the company positions itself as access-to-care infrastructure rather than billing software, aiming to recover the revenue that denials and documentation gaps quietly drain from surgical facilities.
Standard Practice
Standard Practice builds voice AI for healthcare revenue cycle teams. Its AI agents place outbound phone calls to insurance payors and pharmacies - dialing, navigating IVR menus, waiting on hold, and speaking in a human-sounding voice - to handle claim follow-ups, benefits verification, prior authorizations, and EDI enrollment. The goal is to strip the phone-tag drudgery out of medical billing so practices get paid more, faster, while staff focus on higher-value work. Founded by Steven Greene and Phil Markunas after pivoting from their earlier venture Nibble Health, the New York company targets the roughly $1 trillion in annual U.S. healthcare administrative costs.
Friendly
Friendly is a San Francisco-based AI company building an infrastructure layer for insurance decisioning. Its platform digitizes complex medical, financial and legal documents, summarizes records, automates underwriting and claims adjudication, and analyzes reinsurance treaties - turning unstructured paperwork into auditable, decision-ready insights for carriers, reinsurers and TPAs.
Mandolin
Mandolin is a San Francisco healthcare AI company building agents that handle the paperwork blocking patients from specialty drugs. Its software automates intake, benefits verification, prior authorization, and claims work for infusion providers, specialty pharmacies, and health systems - the back office that decides how quickly a cancer or Alzheimer's patient actually gets treated.
Steven Greene
Steven Greene is the co-founder and CEO of Standard Practice, a New York voice-AI startup that automates the endless phone calls medical billing teams make to insurance companies. A reformed Goldman Sachs healthcare M&A banker turned operator, he built and rebranded the company from its original incarnation, Nibble Health, after watching healthcare workers burn roughly 4.5 hours a day on hold. Backed by $8.5M from Wing, Tiger Global, A* Capital and Expa, Greene is trying to give revenue cycle teams their time, and their money, back.