Guide every member, without the hold music.
Health insurance members need clear answers about coverage, claims, and providers, often at a stressful moment. Triskelion's AI assistant answers from your approved plan documents, checks claim status, and routes clinical or sensitive questions straight to a qualified person.
What makes health insurance support hard to get right
- Members call with the same coverage and claims questions again and again, tying up phone lines
- Plan documents are long and dense, making self-service hard without expert help
- Sensitive health information must be handled carefully at every step
- Clinical and appeals questions need a qualified human, quickly and without members repeating themselves
Built around your real conversations
Clear answers from your plan documents
Members get plain-language coverage and benefits answers grounded in their actual plan, with citations back to the source.
Claims and provider lookups
Claim status, network providers, and prior authorisation questions are answered instantly, without a hold queue.
Safe handling of sensitive information
Health and personal data is redacted before reaching any AI provider, and clinical questions are escalated to a qualified person with full context.
Plain language
Grounded in each member's plan
PII redacted
Before any AI provider call
Fast escalation
For clinical and appeals questions
A real conversation, and what your team sees behind it
An example of how the AI Customer & Sales Assistant handles a health insurance conversation end to end, from the customer's chat window to what it logs on your team's dashboard behind the scenes.
What the customer sees
Live chat · Health Insurance
What your team sees
Admin dashboard · Live activity
Waiting for a new conversation…
Illustrative example. Once configured for your business, your assistant answers from your own content, policies, and systems.
Ready to see this for your business?
Book a discovery call and we'll scope an assistant grounded in your own content and policies.