Financial ROI Simulator

Claims Leakage & Savings Calculator

Adjust the sliders below to calculate projected financial loss recovery, STP administrative savings, and net enterprise ROI multiples.

Configure Your Portfolio Parameters

Annual Claims Payout (Gross) ₹500 Cr

₹50 Cr ₹1,500 Cr ₹3,000 Cr

Average Claim Ticket Size ₹65,000

₹20,000 ₹1,25,000 ₹2,50,000

Model Assumptions: 3.8% total preventable loss (Tariff deviation: 1.1%, Fraud rings: 1.2%, Billing errors: 0.9%, Policy non-compliance: 0.6%) calibrated against Indian health insurance claims data.

Projected Preventable Leakage 17.3x ROI

₹19.00 Cr

Total recoverable loss identified before payment release.

Estimated Annual Claims Volume: 76,923 claims

Clean Claims Auto-Settled (STP ~42%): 32,308 claims

Net Benefit after Platform Fee: ₹17.90 Cr

Tariff Overcharges ₹5.50 Cr

Fraud Syndicate Rings ₹6.00 Cr

Billing Errors ₹4.50 Cr

Policy Sublimits ₹3.00 Cr

Commercial Structure

Enterprise Licensing & Commercial Pricing Models

Flexible procurement options tailored for private insurers, TPAs, and public health schemes.

1. Per-Claim Processing

Pay-as-you-go per ingested claim dossier. Ideal for TPAs and mid-sized insurers scaling volume dynamically.

Includes multimodal parsing, OCR, and Evidence Cards.

2. Enterprise Platform License

Annual platform license with dedicated private VPC deployment, unlimited seats, and custom graph tuning.

Includes SLA guarantees, 24/7 SIU support, and custom Core PAS integration.

3. Shared Success / Recovery

Hybrid base fee paired with a performance incentive tied directly to confirmed loss recovery and prevented fraud.

Guarantees positive ROI from day one of deployment.

Request a Custom Portfolio Business Case

Our actuarial and underwriting AI team will prepare a formal ROI projection based on your historical claims data.

Test Sandbox