PriceIQ — Group & Individual Health Pricing Platform

Price smarter.
Underwrite faster.
Win more.

PriceIQ replaces the spreadsheet-driven underwriting cycle with an AI-powered decision engine — from broker RFP to approved quote in minutes, not days.

PriceIQ — Underwriting Engine
RFP #RFP-2024-0441
TechCorp Solutions450 Members | Group Health
Product: PPO Enhanced
Type: Renewal
History: 3yr Claims
Underwriting Pipeline
AI Data Extraction & Normalisation
0.8s
Risk Segmentation — Medium Risk
1.2s
Credibility Weighting Applied
1.6s
Pricing Simulation — 847 variants
2.1s
Target Loss Ratio: 85% | Risk: Medium
Rate: ₹4,280 / member / month
QUOTE READY
+/- 50 bps
Loss Ratio Estimated vs Actual
100%
Automated RFP intake
Up to 70%
Time saved
3x
Increased in conversion
The Challenge

Health insurance pricing is
still running on spreadsheets.

Underwriting teams face mounting RFP volumes with manual tools. Every quote is a race against time — and against competitors who move faster.

Speed & Throughput
RFP turnaround — multi-day cycles
Slow
Slow RFP Response
Manual data extraction from broker emails delays every quote cycle — competitive bids are missed daily.
Accuracy & Governance
rate of pricing errors from manual entry
High
Spreadsheet Risk
Complex Excel models with version drift — one miscalculation propagates through every downstream decision.
Profitability
loss ratio deviation from targets
Significant
Loss Ratio Drift
Without credibility-weighted models, group pricing drifts from actuarial targets every renewal cycle.
What is PriceIQ

One platform for pricing, underwriting, and product design.

PriceIQ transforms the complexity of Group and Individual Health Pricing & Underwriting into a process that is simpler, accurate and accountable — low implementation effort, measurable improvement in loss ratio and win rates.

Underwriting Automation

Email ingestion, automatic data capture, market report reading, and standardised TOB generation — the entire intake flow automated end-to-end.

Automated· End-to-end intake flow

Product Design Engine

What-if simulations, risk-based pricing, credibility-weighted models, and sales guardrails — all in one product design workspace.

Consistent· Loss ratio outcomes

Governance & Approvals

Version-controlled pricings, multi-level approval workflows, full audit trail, and TOB-to-policy integration — compliance built into every decision.

100%· Audit-ready decisions

Pricing Intelligence

Historical claims analysis, loss ratio modelling, scenario simulations, and risk segmentation to drive profitable underwriting every time.

Significant· Time saved per RFP
Ready to replace the spreadsheet? See PriceIQ in action.
Walk through a live RFP — from email intake to approved quote — in under 30 minutes.
Book a Demo
Pricing & Underwriting Workflow

From RFP to approved quote.
Under 30 minutes.

Six intelligent stages from broker submission to final quote delivery — no manual touchpoints in the standard flow.

RFP Intake
Automated RFP Intake & Data Capture

Every broker RFP — email, PDF, Excel, or portal submission — is automatically ingested, classified, and queued for data extraction without manual handling.

How — Email integration auto-reads census data, member lists, loss runs, and benefit schedules from any format, normalising all inputs into a standard underwriting record.
Impact — Zero manual intake. RFPs that previously took hours to process arrive fully parsed and ready for risk assessment — instantly.
Rapid · Intake time
Data Extraction
AI Data Extraction & Normalisation

AI reads market reports, loss run documents, and member census data — extracting structured inputs regardless of format, layout, or document quality.

How — Document AI trained on insurance submissions extracts demographics, historical claims, benefit structures, and policy history — then normalises all fields automatically.
Impact — Manual data entry eliminated. Every RFP arrives pre-populated with all required underwriting inputs — no re-keying, no transcription errors.
High · Data accuracy
Risk Assessment
Risk Segmentation & Assessment

PriceIQ segments the group by age band, claims history, benefit utilisation, and chronic conditions — building a complete risk profile before pricing begins.

How — Credibility-weighted algorithms apply historical claims data and actuarial benchmarks. Risk flags surface automatically for underwriter review before any number is entered.
Impact — Underwriters start with a complete risk picture — not a blank spreadsheet. Mispriced groups identified before the quote is issued, not after claims emerge.
Real-time · Risk scoring
Pricing Simulation
Pricing Simulation & What-If Analysis

Underwriters set target loss ratios and pricing thresholds. The system simulates product variants and selects the configuration that meets profitability targets.

How — What-if engine tests thousands of product and pricing combinations instantly. Age-banded models, sublimit configurations, and benefit packages all simulated in seconds.
Impact — Actuaries test product profitability before quoting. Loss ratio deviation eliminated at design stage — not discovered at renewal after the damage is done.
Consistent · Loss ratio targeting
Approval Workflow
Underwriting Decision & Approval Workflow

Pricing decisions route automatically through the approval chain based on group size, risk band, and deviation from pricing guardrails.

How — Version-controlled submissions include full rationale, risk flags, and comparable historical groups. Approvers review and sign off in a single consolidated view.
Impact — No off-system approvals or email chains. Every decision is tracked, timestamped, and audit-ready for compliance review at any time.
100% · Decisions audit-trailed
Quote Generation
Automated Quote & TOB Generation

Approved pricing auto-generates a formatted TOB, quote document, and benefit schedule — ready to send to the broker without any manual document work.

How — TOB-to-policy integration carries approved benefits forward into policy configuration without re-entry. Standardised formatting applied across all output documents.
Impact — What took days now takes minutes. Brokers receive complete, accurate quote packs — the same day the RFP arrives.
Same-day · Quote delivery
Two Engines, Every RFP
Actuarial Rules Engine
Deterministic pricing layer
100%
Audit-ready decisions

Hard-coded actuarial logic on every RFP. Age-band tables, credibility factors, benefit loadings, and regulatory rate floors — deterministic and fully auditable.

Age-Banded & Credibility-Weighted Pricing
Actuarially sound models per group size and demographic profile
Benefit Loading & Sublimit Controls
Automatic loading for high-cost benefits and coverage extensions
Regulatory Rate Floor Validation
Pricing never breaches regulatory minimums — validated automatically
Renewal Guardrails — Max Deviation Alerts
Flags renewals that exceed maximum allowable rate change
Predictive Intelligence
Machine learning pricing layer
Measurable
Win rate improvement

ML models trained on historical claims data identify risk patterns, simulate pricing scenarios, and help underwriters price competitively without eroding margins.

Claims Trend Analysis & Loss Ratio Forecasting
Historical patterns modelled forward to predict future group costs
Risk Segmentation & Outlier Identification
High-cost members and chronic conditions flagged before pricing
What-If Scenario Simulation Engine
Thousands of product configurations tested before committing to a quote
Competitive Win Rate Optimisation
Price at the right level — not too high to lose, not too low to lose margin
Business Outcomes

Measurable impact from deployment.

Built by practitioners. The numbers reflect real deployments with health insurers, TPAs, and reinsurers across India, UAE, and Saudi Arabia.

More
RFP Throughput
Multiple quotes per day vs. manual baseline
Significant
Time Saved per RFP
Dramatically reduced from manual turnaround
Improved
Win Rate Outcomes
Faster, sharper quotes win more bids
Consistent
Loss Ratio Targeting
Target set and achieved at the pricing stage
Zero
Manual Data Entry Steps
Fully automated from RFP intake to TOB
20+
Years domain depth
150M+
Lives covered
Extensive
RFPs processed
Faster
Quote delivery
Improved
Win rate outcomes

See PriceIQ quoting your next RFP in real time.

Our team will walk you through a demo built around your product mix, RFP volumes, and loss ratio targets — not a generic slide deck.

No commitment required
Tailored to your product mix
Response within 24 hours