EXL Insurance LLM

Key Capabilities include:

• Medical Record Summarization: Extracts the essence of claims medical records into best-in-class ‘tags’ for Medical Adjudication. EXL Insurance LLM condenses complex medical documents, records, and information into streamlined summary headers, that are comprehensive for claims adjudication.
• Data Aggregation: Aggregates structured and unstructured data from various sources such as claims, medical records, procedure manuals, experience from historical claims, and question / answer pairs, providing a complete case view.
• Regulatory Compliance & Data Security: Implements PII/PHI de-identification and other guardrails for compliance with standard insurance regulations.
• Data Monetization through Q&A and Conversational Insights: Generates precise answers from complex claims data and medical records to enhance the quality of adjudication, negotiations, fraud detection and other undetected patterns.
• Well-architected on AWS: Designed using the pillars of performance efficiency, cost optimization, reliability, security and sustainability, to run optimally on tightly integrated AWS services including Amazon Sagemaker AI, Amazon EKS, AWS Lambda, Amazon DynamoDB Database, and Amazon S3.

The EXL Insurance LLM Professional Service consists of capabilities and accelerators across the model development lifecycle including data preparation, model training, and production hosting. EXL Insurance LLM professional services are tailored to customers' specific requirements and can include one or more of the service areas listed below.

EXL Insurance LLM Service Areas include:

• Infrastructure and Service Provisioning
• Data Preparation and Preprocessing
• Data Labeling
• Model Training and Fine Tuning
• Model Deployment
• Model Operations, Monitoring, and Management

EXL Insurance LLM offers a comprehensive solution for claims adjudication through accurate medical record summarization and developing negotiation strategy for complex claims. It was built with 12+ years of deep domain expertise and advanced AI to deliver a solution, that not only performs better than general LLMs, but meets the unique requirements of insurance claims adjudication, that are substantially dependent on medical professionals. The EXL Insurance LLM was built using the NVIDIA AI Enterprise software platform, which provides a set of easy-to-use microservices designed for secure, reliable deployment of high-performance AI model inferencing across clouds, data centers and workstations.

EXL Insurance LLM is developed by EXL AI Labs, a dedicated team of Domain, AI, Cloud and Data Engineering specialists working across EXL’s Digital and industry business units to accelerate the development of enterprise AI solutions. The EXL Insurance LLM will continue to evolve, expanding use cases across the insurance value chain, including underwriting, premium audit, subrogation, and finance. The comprehensive domain expertise within the LLM will integrate insights from all value chain components, further enhancing its precision and applicability.