Hyderabad startup Superclaims uses AI to speed up health insurance claims

Hyderabad-based healthtech startup Superclaims has developed an AI-powered platform that reduces health insurance claim adjudication from days to minutes. The startup says its technology processes over one lakh claims monthly, improves accuracy, cuts operational costs and helps insurers detect fraudulent claims.

Hyderabad: Hyderabad-based healthtech startup Superclaims has developed an AI-powered platform that leverages advanced artificial intelligence to reduce the time required for claim adjudication from several days to minutes, significantly improving efficiency for insurers and Third-Party Administrators (TPAs).

Founded in September 2024 by 26-year-olds Bhavish Ramaswamy and Maneesh Daithala from Hyderabad, the startup aims to address the long, often frustrating waiting periods that patients face while seeking insurance claim approvals for their medical treatments.

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Superclaims has developed a system of 65 AI agents that collectively manage the various stages of health insurance claim adjudication. The platform integrates directly into the existing workflows of insurers and TPAs, automating document verification and clinical assessments.

By replacing repetitive manual reviews with AI-powered automation, Superclaims reduces claim processing time from approximately 90 minutes to under five minutes while maintaining over 97 per cent accuracy, Bhavish and Maneesh said.

The founders said the platform currently processes over 1,00,000 health insurance claims every month in collaboration with more than 10 insurers and TPAs. The technology is estimated to reduce operational costs by approximately 70 per cent, using a usage-based revenue model under which customers are charged on a per-claim basis.

“When we started looking closely at how health insurance claims were processed, we realised that patients were often left waiting long after their treatment was complete because the claims process relied heavily on manual work. We founded Superclaims to address this, making claims faster, more accurate and more transparent for everyone involved,” Maneesh D said.

The platform is also capable of identifying ineligible, duplicate or fraudulent claims through automated validation checks, improving leakage control while generating structured claims intelligence that can support fraud detection and better underwriting.

“This enables insurers and TPAs to manage increasing claim volumes without proportionately expanding operational teams, while allowing claims professionals to focus on complex cases that require human judgment,” Bhavish said.