Scale Domain Expertise Across the Insurance Stack

Deep insurance knowledge is trapped in expert minds and rigid legacy systems. We codify that expertise and deploy AI agents across the entire value chain — at infinite scale.

Managed AI Agents Powered by Codified Expertise
We Cover
Medical Claims Pre-authorization Inpatient Outpatient Pre & Post Hospitalization Travel Claims Loss or Damage of Personal Belongings Flight/Baggage Delay Trip Cancellation/Curtailment Hospitalization Personal Accident Claims TCM / Chiropractic Medical Reimbursement Hospital Income Fractures Medical Claims Pre-authorization Inpatient Outpatient Pre & Post Hospitalization Travel Claims Loss or Damage of Personal Belongings Flight/Baggage Delay Trip Cancellation/Curtailment Hospitalization Personal Accident Claims TCM / Chiropractic Medical Reimbursement Hospital Income Fractures
We Detect
Medicine-Diagnosis Mismatch Treatment-Diagnosis Mismatch General Exclusions Underwriting Exclusions Upcoding Potential Non-Disclosure Underwriting-Diagnosis Underwriting-Treatment Frequent Readmission Unusual Admission Interval Over-Servicing Over-Charging Procedure Unbundling Unusual Length of Stay Specialty-Diagnosis Mismatch Doctor Shopping Medicine-Diagnosis Mismatch Treatment-Diagnosis Mismatch General Exclusions Underwriting Exclusions Upcoding Potential Non-Disclosure Underwriting-Diagnosis Underwriting-Treatment Frequent Readmission Unusual Admission Interval Over-Servicing Over-Charging Procedure Unbundling Unusual Length of Stay Specialty-Diagnosis Mismatch Doctor Shopping

Our Platform

Reliable AI agents that codify and deploy domain expertise across the insurance value chain

Document AI
Underwriting AI
Claims AI
Compliance &
Reporting AI

Document AI

Intelligent Document Processing

The Challenge:

Insurance runs on unstructured documents — claims forms, invoices, medical reports, policy wordings — that require expert human review to extract actionable data.

The Solution:

Our Document AI ingests and structures unstructured insurance documents into machine-readable data. Using advanced NLP and domain-specific extraction models, we transform raw documents into structured, validated data ready for downstream reasoning.

The Capability Demonstrated:

Automated document intake that handles the full spectrum of insurance paperwork with human-level accuracy.

Underwriting AI

Risk Assessment & Policy Intelligence

The Challenge:

Underwriting decisions require synthesizing actuarial data, risk models, medical histories, and policy wording — knowledge that lives in the minds of senior underwriters and takes years to develop.

The Solution:

Our Underwriting AI codifies senior underwriter expertise into the platform's unified context layer. It reasons over risk factors, actuarial tables, and policy terms to produce underwriting recommendations with full explainability — scaling expert judgment across portfolios and lines of business.

The Capability Demonstrated:

Expert-level underwriting intelligence that scales across health, travel, and specialty lines without adding headcount.

Deep Dive

Claims AI

Neuro-Symbolic Claims Adjudication

The Challenge:

Claims adjudication requires reasoning over complex policy rules, clinical guidelines, and regulatory standards — across medical, travel, and specialty lines — a task too nuanced for traditional automation and too risky for black-box AI.

The Solution:

Our Neuro-Symbolic Reasoning Engine synthesizes Large Language Models with proprietary Knowledge Graphs encoding insurance domain rules. This grounds every AI decision in factual data, detecting drug-diagnosis mismatches, validating treatment protocols, and flagging anomalies with explainable evidence — validated horizontally across medical and travel claim types.

The Capability Demonstrated:

Grounded Generative AI that reasons like a chief medical officer or senior claims adjuster — fully explainable, fully auditable, across every claim type.

Compliance & Reporting AI

Regulatory & Reporting Automation Engine

The Challenge:

Insurance organisations face intensifying regulatory scrutiny while drowning in compliance complexity. Manual audits are slow, expensive, and error-prone.

The Solution:

We automate the mapping of claims and operations against regulatory standards in real time, generating audit-ready reports, regulatory filings, and compliance documentation. Compliance becomes a continuous digital asset, not a periodic burden.

The Capability Demonstrated:

End-to-end regulatory intelligence: from real-time compliance monitoring to automated report generation.

Healthtech Portfolio: Our clinical AI expertise extends beyond insurance. We're deploying agentic communication systems for oncology care in Hong Kong. Read the case study →

Who We Are

We are an insurtech company building a managed agentic AI platform that scales domain expertise across the insurance stack. Our neuro-symbolic approach codifies expert knowledge into a unified intelligence layer — deploying the reasoning of your best domain experts at infinite scale, without the bottleneck of hiring or re-engineering.

Forged for Insurance, Built for Trust

Named after Hephaestus, the Greek god of craftsmanship, Hepha AI reflects our conviction: the most powerful AI doesn't replace human experts — it elevates them. In insurance, where trust is everything, our AI empowers underwriters, claims adjustors, and compliance officers with tools that are transparent, accountable, and purpose-built.

We build AI grounded in regulatory knowledge, transparent in reasoning, and always accountable to domain experts.

Clone Expert Reasoning. Deploy at Scale.

We partner with insurers, TPAs, and reinsurers to eliminate the expertise bottleneck — scaling domain knowledge across every function and line of business.

Proven Scale: Our leadership previously architected Singapore's first AI Health Claim Solution, which scaled to process over 50% of the nation's Integrated MediShield claims.

The proven team who built Singapore's first AI health claims platform

Dr. Zha Wei

Dr. Zha Wei

CEO

Strategic Commercialization

Former Director of Machine Learning Solutions who has successfully commercialized complex AI systems across five countries, bridging the gap between technical possibility and market needs.

Dr. Li Lu

Dr. Li Lu

CTO

Technical Architecture

The driving force behind Singapore's pioneering end-to-end AI claims solution. He specializes in translating high-level business objectives into robust, scalable technical strategies.

Jin Dongyang

Jin Dongyang

CAIO

Operational Execution

A formidable execution leader who deployed complex AI projects across Southeast Asia — delivering major deployments four months ahead of schedule and optimizing user decision metrics by 67%.

Our Technology

Our Approach: Neuro-Symbolic AI

We are a team of award-winning, PhD-level data scientists and enterprise architects who pioneered AI claims processing at national scale in Singapore.

The Three-Pillar Advantage

Deep insurance expertise — clinical guidelines, actuarial risk models, complex policy wording — is trapped in expert minds or hard-coded into rigid legacy systems. Scaling means hiring more humans or waiting months for engineers to update code.

Hepha AI codifies this expertise into a unified context data layer: Large Language Models for natural language understanding, proprietary Knowledge Graphs encoding domain rules and expert reasoning patterns, and continuous domain expert validation — allowing the system to think like a senior underwriter or claims adjuster — while your teams stay in control.

Large Language Models

Natural language understanding for insurance documents and claims

Knowledge Graphs

Codified domain expertise: actuarial models, clinical guidelines, policy logic, and regulatory standards

Domain Experts

Insurance professionals validating every decision

Managed, Scalable Insurance Intelligence

Expert-level reasoning deployed across the entire value chain

The Unified Context Data Layer

Expert knowledge flows in. AI agents deploy it out — across every function.

Clinical Guidelines
Actuarial Models
Policy Wording
Unified Context Data Layer Codified Domain Expertise
Underwriting Agent
Claims Agent
Compliance Agent

Risk-Free Gen AI Integration

Overlay your business logic, inspect every decision, and override AI outputs — adopt Gen AI without breaking what already works.

Custom Business Logic Overlay

Layer your existing rules, approval thresholds, and decision workflows directly on top of AI outputs

Full Visibility & Override

Inspect, stratify, and manually overwrite any AI decision before it reaches your downstream systems

Zero-Disruption Adoption

Runs alongside your legacy systems with no migration required — adopt Gen AI at your own pace

Get Started

Ready to scale domain expertise across your insurance operations?
Book a demo or connect with our team to explore how Hepha AI can transform underwriting, claims, and compliance.