MYclaim is an AI-powered claims management platform purpose-built for health insurers — transforming high-volume, complex document workflows into fast, accurate, fully auditable processes.
Health insurers process thousands of claims monthly, each requiring verification of prescriptions, invoices, and medical receipts. Manual validation creates compounding operational risk.
Manual queues create processing times measured in days, not hours.
Frustrated policyholders lose confidence, driving NPS scores down.
Customers switch to digitally-enabled competitors at renewal.
PDFs, scanned images, handwritten forms — each format requires different manual handling, multiplying error risk and processing time.
Strict compliance requirements add mandatory audit trails, data residency constraints, and consent management to every transaction.
Staff are trapped in repetitive verification tasks instead of managing exceptions, fraud cases, and high-value customer relationships.
MYclaim covers the entire claims lifecycle across five integrated processing layers, built on Microsoft Azure and Dynamics 365.
Connects via REST APIs, XML, RPA, Excel and existing insurer systems with no core system replacement required.
AI extraction from PDFs, scanned images, and handwritten documents — structured or unstructured.
Completeness, consistency and legibility validation across 30+ languages with configurable rule engines.
Valid claims are auto-approved. Exceptions and anomalies are flagged and routed to human reviewers.
Full audit trails, role-based access, GDPR/HIPAA guardrails and end-to-end encryption on Microsoft Azure.
Staff freed from repetitive document checks can focus on fraud detection, appeals management, and customer relationships that drive revenue.
Claims processed in minutes versus days. Faster refunds directly translate to higher policyholder satisfaction and reduced call centre volume.
Faster refunds lead to measurably higher NPS and CSAT scores, directly reducing churn at renewal and strengthening brand loyalty.
Automation reduces per-claim administrative cost and scales without proportional headcount increases, improving combined ratio.
Headquartered in Bulgaria, MY Synergy is a leading health-tech company specialising in digital transformation for healthcare and pharmaceutical organisations across Europe.
Quality Management Systems
Information Security
IT Service Management
Solutions Partner · Data & AI AzureSolutions Partner · Digital & App Innovation AzureSolutions Partner · Infrastructure AzureA proven methodology that aligns business goals with tailored solutions and ensures measurable value at every milestone.
Leading healthcare providers, pharmaceutical companies, and government bodies across Europe and the UK.
Talk to our insurance solutions team. We will walk you through a tailored demo and provide a business case analysis based on your claims volume.