Next generation claims administration
Onsi is a full-service TPA for insurers and MGAs.
We combine experienced claims teams, configurable technology and governed AI to operate claims within your authority, service standards and controls.
Partnering with the organisations that power employee benefits around the world.
Claim solutions for the future of insurance.
Onsi gives claims teams a real-time view of performance, a clearer experience for claimants and the control to scale.
Real-time reporting and oversight
Bring workloads, referrals, service levels, quality and portfolio performance together in one live operating view.
Improve claimant experience
Give claimants faster, clearer and more consistent support throughout the claims journey.
Scale with control
Support new products, markets and greater claims volumes through configurable workflows, rules and operating teams.
End-to-end claims operations, not just claims software
Onsi can operate the full claims journey under delegated authority or support selected products, workflows and markets.
Intake and first notification
Capture structured information, documents and evidence through branded digital journeys and assisted channels.
Triage and assessment
Check completeness, surface relevant policy rules, identify vulnerability and investigation signals, and route work to the right team.
Decision and resolution
Give handlers the evidence and workflow support needed to make consistent decisions, manage referrals and progress approved outcomes.
Reporting and oversight
Track workloads, referrals, service levels, communications, quality and portfolio performance through real-time operational reporting.
Underpinned by Onsi Intelligence
Onsi Intelligence optimises claims processing by reading documents, checking rules, identifying gaps, and guiding next steps so claim handlers can focus on the tasks that matter.
Understand
Extract, classify and structure information from customer interactions, claims, policy documents and other evidence.
Assess
Check completeness and surface relevant policy rules, Vulnerability, KII and Conversation Sentiment for human review.
Recommend
Recommend the next appropriate action using available evidence, configured policy rules, approved workflows and delegated authority.
Act or escalate
Complete permitted administrative actions, progress approved workflows or route the claim to the appropriate specialist for review.
Onsi administers Accident & Health claims, configuring workflows, teams, and controls around specific policies and delegated authorities.
Personal Accident
Administration of employee, self-employed and group personal accident claims, including injury and incapacity benefits.
Travel
Claims administration for corporate, group travel products, including cancellation, delay, baggage and medical cover.
Income Protection
Assessment and ongoing claims administration for individual and group income protection products.
Health & Medical
Claims administration for health cash and medical products, including dental, hospital cash, surgical, cancer and other benefits.
See the whole book in real time.
One operating view brings together workloads, referrals, service levels, evidence, communications, quality and reporting. Our Claims team can see where work is building, which cases need attention and how the portfolio is performing without piecing information together across multiple systems.
