Paramatrix

Authorised insurtech by FIN-FSA (Finland). We provide AI Claim Automation engine for travel medical claims - for insurers and assistance companies. We cut costs of medical bills and processing time with AI+RAG approach. Our system automates all steps - from application to payout. Pain we solve →Manual claim processing:~85% of travel medical claims are routine and small (<$500), yet they take weeks and cost insurers ~$50 per claim in ops work. →Clinic overpricing (via GOP/direct billing): providers apply inflated "insured tariffs"- typically +30–40% vs standard rates - driving medical bills leakage. → Fraud at scale: forged receipts, duplicates, edited amounts, and provider anomalies either slip through or force costly manual review. What we deliver →Claim Automation: multilingual document parsing, structured extraction, document completeness, policy/exclusions checks, medical adequacy validation, cost benchmarking (RAG), next-best-action. →Anti-fraud & cost containment: forged/duplicate docs, inconsistencies, provider anomalies, price outliers. →Payout orchestration: instant virtual card / transfer while customer is still in the clinic — cashless journey without GOP tariff inflation. Why us → Vertical AI: built specifically on travel medical claims → Full-cycle: application → decision → payout → Explainable: RAG + audit trail, human-in-the-loop → 12+ years in travel insurance — product shaped by real operations