Smart Claims with LISA (health-claims automation)
Verification pendingby Zurich Insurance (Zurich Chile) · Primary insurer
Market unit: CL
Generative-AI and autonomous-agent platform from insurtech LISA, deployed by Zurich Chile to automate end-to-end health-claims processing; eligible claims are settled in minutes with higher straight-through automation, fewer complaints and stronger fraud controls. LISA won the Zurich Innovation Championship (2022). Foreign (Chile) market unit of the Swiss-HQ Zurich group. UNCERTAIN: the cited Zurich page is a JavaScript-rendered shell whose body could not be read, so the claimed metric (~33% of claims automated by end of August 2024) is not independently verified.
AI capability and maturity
AI capability level
Capability Maturity Score (CMS)
3 / 6
Business Adoption Score (BAS)
3 / 6
AI Development Index (ADI)
9 / 36
Subscribe to view full details
You have reached your limit of free solution views this month. Upgrade to Professional for unlimited access.
View plansCommunity
Average rating
Comments
Log in to join the discussion.
No comments yet. Be the first to comment.
Related solutions
Anomaly detection platform that scores claims for fraud likelihood using network analysis and behavioural patterns, flagging suspicious cases for special investigation.
by Zurich Insurance
FraudOps is a fraud case management and investigation software used by Zurich Insurance. It focuses on the investigation layer, offering structured referral intake, triage, and full case lifecycle management with SLA tracking. The solution integrates with detection platforms like FRISS to manage and process fraud alerts efficiently.
Alletta (alletta.ch) is an independent AI-powered insurance intermediary platform (FINMA-registered, Cicero-certified) with a multilingual self-advisory avatar for health and legal-protection insurance, including a cashback model. UNCERTAIN: This is a broker/intermediary, not a deployment at a Swiss-domiciled insurer; no AI vendor disclosed.