M-TIBA, CarePay’s Kenyan subsidiary, Adopts AI for Insurance Claims Processing, Reducing Approval Times to Hours

M-TIBA, a leading health insurance technology platform, has integrated AI into its claims processing system, reducing approval times to hours. AI and Machine Learning enhance efficiency and fraud management, lowering costs for insurers and making health insurance more affordable. “The AI solution, developed over the past three years, significantly expedites claims reviews,” said Shadrack Kiratu, Head of Pricing and Portfolio Management. Over 40% of claims are now automated, allowing assessors to focus on complex cases. In the last three months, M-TIBA’s AI has improved cash flow by facilitating faster payments to providers. According to the 2022 AKI Insurance Industry Market Report, increasing claims frequency could become burdensome without AI. Regulations require insurers to process claims within 90 days.

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