Scale Domain Expertise Across the Insurance Stack

Deep insurance knowledge is trapped in expert minds and hard-coded rules.
We codify that expertise and deploy AI agents across the entire value chain — at infinite scale.

Health & Travel Claims · Insurers & TPAs
We Cover
Medical Claims Pre-authorization Inpatient Outpatient Pre & Post Hospitalization Travel Claims Loss or Damage of Personal Belongings Flight/Baggage Delay Trip Cancellation/Curtailment Hospitalization Personal Accident Claims TCM / Chiropractic Medical Reimbursement Hospital Income Fractures Medical Claims Pre-authorization Inpatient Outpatient Pre & Post Hospitalization Travel Claims Loss or Damage of Personal Belongings Flight/Baggage Delay Trip Cancellation/Curtailment Hospitalization Personal Accident Claims TCM / Chiropractic Medical Reimbursement Hospital Income Fractures
We Detect
Clinical Inconsistencies Billing & Charging Anomalies Over-Servicing Patterns Policy & Coverage Exclusions Provider Behaviour Signals Non-Disclosure Indicators Clinical Inconsistencies Billing & Charging Anomalies Over-Servicing Patterns Policy & Coverage Exclusions Provider Behaviour Signals Non-Disclosure Indicators Clinical Inconsistencies Billing & Charging Anomalies Over-Servicing Patterns Policy & Coverage Exclusions Provider Behaviour Signals Non-Disclosure Indicators Clinical Inconsistencies Billing & Charging Anomalies Over-Servicing Patterns Policy & Coverage Exclusions Provider Behaviour Signals Non-Disclosure Indicators
Our Solution

What We Offer

Reliable AI agents that codify and automate domain expertise across the insurance value chain.

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One Solution, Modular by Design

Adopt the full pipeline or a single agent — every agent is core-system agnostic and plugs into the stack you already run. Health and travel claims run on the same methodology — the same agents, a different logic core.

Compliance, Security & Audit

Trust is a design decision here, not an afterthought.

Deployment, Your Choice

Managed SaaS or on-premise COTS — with single-tenant and private-cloud options. The model you choose shapes the engagement and pricing.

Data Residency & Privacy

Your claims data stays in your chosen region, encrypted in transit and at rest — with HIPAA BAA available on single-tenant and private deployments.

Audit Trail by Design

Complete, exportable decision logs — every approval, flag and override on the record for regulators and internal audit.

Modular Integration

Integrate one agent or the full pipeline into your core systems — our forward-deployed engineers tailor functions to your business logic.

Our Company

Who We Are

We are an insurtech company building a managed agentic AI platform that scales domain expertise across the insurance stack.

Forged for Insurance, Built for Trust

Named after Hephaestus, the Greek god of craftsmanship, Hepha AI reflects our conviction: the most powerful AI doesn't replace human experts — it elevates them. In insurance, where trust is everything, our AI empowers underwriters, claims adjusters, and compliance officers with tools that are transparent, accountable, and purpose-built.

We build AI grounded in regulatory knowledge, transparent in reasoning, and always accountable to domain experts.

Clone Expert Reasoning. Deploy at Scale.

For us, scaling expertise means supercharging the team you already have. Adjusters do more and perform at the level of your best, while the costs of hiring and manpower churn come down.

Our founding team's prior platform processed over 50% of Singapore's MediShield claims.

Dr. Zha Wei

Dr. Zha Wei

CEO

Strategic Commercialization

Former Director of Machine Learning Solutions who has successfully commercialized complex AI systems across five countries, bridging the gap between technical possibility and market needs.

Dr. Li Lu

Dr. Li Lu

CTO

Technical Architecture

The driving force behind Singapore's pioneering end-to-end AI claims solution. He specializes in translating high-level business objectives into robust, scalable technical strategies.

Jin Dongyang

Jin Dongyang

CAIO

Operational Execution

A formidable execution leader who deployed complex AI projects across Southeast Asia — delivering major deployments four months ahead of schedule and optimizing user decision metrics by 67%.

Our Technology

How We Do It

Clinical guidelines, complex policy wording and regulatory standards live in expert heads and hard-coded rules. Scaling means hiring more people or waiting months for rule changes to ship.

Hepha AI codifies this expertise into a unified context data layer: language models for natural language understanding, a proprietary Medical Knowledge Graph encoding domain rules and expert reasoning patterns, and continuous domain expert validation — allowing the system to reason like your most senior claims adjudicator — while your teams stay in control.

Large & Small Language Models

Frontier LLMs for reasoning; task-specific SLMs for document intelligence and clinical encoding — private, air-gapped-ready

Medical Knowledge Graph

Codified claims expertise: clinical guidelines, policy logic, and regulatory standards

Expert-in-the-Loop

Experts on the ground validate and tailor provider guidelines — every answer captured, editable and maintained for your business

Press the bolt to see what powers it.

Explainable Claims Decisions

Expert-level reasoning deployed across the entire claims pipeline

The Unified Context Data Layer

Expert knowledge flows in. AI agents deploy it out — across every function.

Clinical Guidelines
Policy Wording
Provider Practices
and more
Unified Context Data Layer Codified Domain Expertise
Context AI
Adjudication AI
Compliance & Reporting
and more

Risk-Free Gen AI Integration

We built this for insurers running on traditional tech stacks.
Your team keeps its business logic, inspects every decision, and can override any output. Adoption moves at your pace, and nothing that already works is put at risk.

Custom Business Logic Overlay

Layer your existing rules, approval thresholds, and decision workflows directly on top of AI outputs

Full Visibility & Override

Inspect, stratify, and manually overwrite any AI decision before it reaches your downstream systems

Zero-Disruption Adoption

Runs alongside your existing core systems with no migration required

Contact Us

Run a Four-Week Pilot

We work with insurers, TPAs and the partners who build for them — choose the conversation that fits your role:

Prove it on your own claims data. We run a measurable four-week pilot — your claims, your policies, clear STP and FWA baselines — with results you can take to your board.
Reach us directly at [email protected] or use the form below.