How 360 Intelligent Solutions Stands Apart in the AI-Driven Insurance Landscape
- 360 Intelligent Solutions Marketing
- Aug 13
- 5 min read
Updated: 35 minutes ago
Fast outcomes. Fewer clicks. Trusted decisions. That’s the bar we set for ourselves—and for every carrier, MGA, and TPA we support. While “AI for insurance” has become a crowded space, 360 Intelligent Solutions differentiates on three fronts that truly matter: measurable speed to value, explainable automation with human oversight, and a product suite that spans claims, document review, and policy administration—all built to integrate quickly and work the way your teams already do.
Our Unique Value Proposition (in plain English)
End-to-end coverage: Purpose-built solutions for claims, medical and demand package review, and policy admin—reducing handoffs and vendor sprawl.
Speed to value: Typical 30-day implementations from contract to production for core workflows—so ROI shows up in the same quarter.
Explainable AI + Human-in-the-Loop (HITL): Every model decision is transparent, traceable, and reviewable by your team (or ours) to improve accuracy and adoption.
Easy integration: Prebuilt connectors and lightweight APIs drop into your existing stack—no rip-and-replace required.
White-glove support: Implementation and customer success teams that co-design workflows, train teams, and track outcomes you care about.
Proprietary Tech That Reduces Friction
A Native Claims Platform—Built for Decisions, Not Data Entry
Our claims system streamlines FNOL to settlement with task orchestration, configurable rules, and embedded AI for triage, fraud cues, and reserve guidance. Adjusters see why the system suggests an action (e.g., “reserve nudged due to CPT/ICD patterns and venue trends”), and they can accept, edit, or override with one click. The design goal: accelerate decisions without hiding the logic.
A Policy Administration Platform That’s Truly Configurable
Our policy admin platform supports rating, underwriting, issuance, endorsements, and renewals in one place—no spreadsheets, no duct tape. Business users can adjust products, forms, and rules without waiting on a release cycle, while AI surfaces anomalies (missing endorsements, inconsistent limits) and recommends next best actions that underwriters can validate quickly.
Best-in-Class Document Review: 360 MedReview & 360 DemandReview
Carriers are drowning in PDFs. We make them actionable.
360 MedReview: Extracts CPT/ICD codes, normalizes provider data, organizes bills and medical records, and flags inconsistencies (duplicate charges, unbundled codes, timeline gaps). Summaries are linked back to the source page for instant verification.
360 DemandReview: Ingests plaintiff demand packages, creates structured summaries (injury, treatment, specials, liens), and highlights leverage points for negotiation. Adjusters get explainable rationales—not black-box scores—plus suggested ranges grounded in venue and fact pattern.
Why it matters: Your reviewers spend less time hunting through documents and more time applying judgment. Accuracy improves because every AI extraction is traceable, and every recommendation is auditable.
Ask360: Answers Your Team Can Trust
Search is only helpful if you can trust the answer. Ask360 uses retrieval-augmented generation (RAG) tuned for insurance artifacts—forms, guidelines, policy language, claim notes—and always cites its sources. Users can click to the exact clause, note, or page that informed the answer. Pair it with HITL review and you’ve got a turbocharged knowledge assistant that actually passes audit.
Explainable AI + Human-in-the-Loop (HITL): Accuracy You Can Defend
We believe adoption follows trust. That’s why every model output in our platform is:
Traceable: Linked to the original document snippet, rule, or data point.
Interpretable: Clear reasoning paths (e.g., “down-codes applied due to NCCI edits; duplicate line item flagged across two bills”).
Controllable: Users can accept, tweak, or reject with structured feedback that retrains the system over time.
The HITL layer isn’t an afterthought—it’s a core design pattern. It reduces false positives, speeds onboarding, and gives compliance teams the artifacts they need.
Ease of Integration: Plug In, Don’t Rip Out
We meet you where you are:
APIs & web-hooks for ingestion and eventing.
Prebuilt connectors for common claim and doc repositories.
Document-first ingestion (email, SFTP, watch folders) to start fast while IT lines up deeper integrations.
Single-sign-on and role-based access out of the box.
Start with a single workflow (e.g., medical bill review or demand package triage) and expand. No enterprise-wide migration required.
Speed to Value: Measured in Weeks, Not Years
Our standard path to production:
Week 1–2: Fit & configure. Map your forms, policies, codes, and rules. Load a representative dataset.
Week 3: UAT with your adjusters. Calibrate thresholds, reasons, and HITL checkpoints.
Week 4: Go live. Monitor KPIs and iterate with your CS manager.
Most clients see reductions in review time within the first month and sustained accuracy gains as the HITL loop feeds model improvements.
White-Glove Customer Support
Implementation isn’t “throw it over the wall.” You’ll have a dedicated team for:
Process mapping to eliminate wasted steps before we automate them.
Role-based training for adjusters, reviewers, and managers.
Outcome tracking on the KPIs that matter: cycle time, leakage, severity, and QA pass rates.
Quarterly optimization sessions to tune models and rules as your business changes.
Where We Shine (By Function)
Claims
Intelligent triage and routing based on claim characteristics.
Reserve and settlement guidance with venue and injury context.
Fraud cues that are explainable and reviewable.
One-click acceptance/override and auditable trails.
Document Review
Automated extraction and normalization across bills, records, and demands.
Source-linked summaries for rapid verification.
Pattern detection for coding issues, duplicates, and unbundling.
Reviewer workbench with side-by-side doc and structured data.
Policy Administration
Configurable product, rating, and rules without engineering tickets.
AI-assisted completeness checks and form selection.
Underwriter co-pilot that cites the exact clause or prior precedent.
Straight-through processing where confidence is high; HITL where nuance matters.
Results That Move the Needle
Cycle time down: Teams commonly cut review time by 30–50% on targeted workflows.
Accuracy up: Explainable models + HITL reduce rework and QA exceptions.
Happier teams: Less swivel-chair work, more time on decisions and negotiations.
Lower vendor sprawl: One partner across claims, docs, and policy—fewer integrations to manage.
(Actual outcomes vary by line of business and data quality; we’ll baseline together and prove it.)
Getting Started
If you’re evaluating AI in insurance, start where impact is immediate:
Pick one workflow (e.g., demand review or medical bill normalization).
Bring in your files. We’ll configure, test, and calibrate with your team.
Go live in ~30 days, measure the gains, and expand from there.
Ready to see it in action? Let’s map your current process and stand up a pilot you can evaluate in weeks—not quarters. With 360 Intelligent Solutions, you don’t have to choose between speed and trust. You get both: explainable AI, human-in-the-loop precision, and measurable results across claims, document review, and policy administration.
About Justin Mayfield
Justin Mayfield, Vice President of Marketing and Analytics at 360 Intelligent Solutions, brings a wealth of experience in data analytics, digital marketing, and customer insights, ensuring that every decision we make is backed by powerful, actionable intelligence. His leadership will strengthen our marketing strategies, optimize business performance, and elevate our brand to new heights. At 360 Intelligent Solutions, he is dedicated to advancing sales across the company’s entire product portfolio, including 360 MedReview, by delivering innovative, tailored solutions that address the evolving needs of clients in the insurance, legal, and medical sectors.
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