EIP Launches AI-Powered Insurance Claims Platform

By Milan Rojan

Insurtech EIP has launched Virtual TPAi, an AI-powered platform designed to automate insurance claims processing and decision-making, as insurers continue to explore ways to improve operational efficiency while maintaining regulatory compliance.

The new solution has combined a voice-led AI agent with EIP’s existing rules engine to deliver end-to-end claims automation. The company has said the AI agent can conduct human-like conversations, answer policy-related queries and submit claims on behalf of customers in multiple languages.

Ross Sinclair, Chief Executive Officer of EIP, said, “We have developed Virtual TPAi to help insurers and retailers benefit from AI-driven efficiencies while maintaining compliance in a regulated environment. The automation has enabled human agents to focus on more complex claims that require specialist attention. The growth opportunity has been significant because we have addressed the challenge of deploying AI within a regulated framework. We have continued to support the insurance industry’s adoption of AI in a responsible and human-led way.”

According to EIP, the system was designed to handle up to 20 concurrent conversations around the clock, reducing insurers’ reliance on traditional third-party administrators and call centre operations. Information collected during customer interactions was passed to the company’s rules engine, where claims decisions were assessed against insurer-defined criteria.

David Michell Dawson, Director of Product at EIP, said, “What we were building had to be at least as good as, if not better, than the best customer experience already available today. It needed to reflect the communication channels that customers are comfortable with, which heavily influenced our decision to invest significantly more time and money in the complex process of making the Virtual TPAi voice led.”

Unlike probabilistic AI models, EIP has said its rules engine provides transparency, auditability and human oversight. The engine was configured by insurers using a series of predefined rules aligned with policy terms, enabling claims to be approved automatically or referred to human claims handlers for further review.

EIP has stated that the platform’s human-in-the-loop approach and auditable decision-making process were designed to support compliance requirements, including those introduced under the EU AI Act.