Nova Technology brings AI-driven underwriting, claims, and risk analytics to Hong Kong insurers
Nova Technology International Co., Ltd., an insurance AI company from mainland China, is entering the Hong Kong market. The company is rolling out AI-driven capabilities across underwriting, claims management, and insurance risk analytics for carriers operating in Hong Kong.
The focus is practical: faster cycle times, consistent decisions, and tighter control of leakage and fraud. For teams under cost and compliance pressure, this is the kind of automation that actually ships.
What's new: Localised AI products built for Hong Kong
- Hong Kong-specific medical knowledge graph to ground decisions in local terminology, providers, and policy rules.
- Multi-agent AI systems that coordinate tasks across intake, decisioning, and review, with explainable outputs for audit.
- An insurance-focused knowledge base plus a network of medical and service partners across China to support cross-border scenarios.
Underwriting: Faster decisions, fewer touchpoints
- Automated decision-making with high accuracy on standard cases; clear routing and rationale on exceptions.
- Consistent application of rules and model signals to reduce subjectivity and improve straight-through processing.
- Use of the medical knowledge graph to validate disclosures and map conditions to risk factors.
Claims: From intake to settlement with tighter controls
- Document and image classification to triage submissions at intake.
- Medical record extraction to structure diagnoses, procedures, and dates of service.
- Coverage validation and claims calculation with transparent, step-by-step logic.
- Embedded risk checks to flag inconsistencies, inflated charges, and policy conflicts before payout.
Risk management: Always-on fraud and anomaly monitoring
- Real-time detection of unusual behaviours across claimants, providers, and policies.
- Pattern and network analysis to surface collusion indicators and repeat schemes.
- Scenario-based alerts with continuous feedback loops to improve precision over time.
Built for local rules and insurer workflows
Nova Technology is continuing to localise models and workflows to align with Hong Kong's regulatory requirements and insurer operating realities. That includes auditability, data controls, and model governance that fit supervisory expectations.
For reference on regulatory context, see the Insurance Authority's guidance for market participants here.
What insurers can do right now
- Prioritise 2-3 use cases with clear ROI: e.g., medical claims triage, small-ticket underwriting, or FNOL document handling.
- Validate data readiness: policy tables, claims histories, provider lists, and ICD coding quality.
- Plan integrations with PAS, claims systems, and document management via APIs.
- Define success metrics: STP rate, time-to-decision, loss ratio lift, leakage reduction, fraud hit rate, and audit exceptions.
- Set up model risk and compliance checks early: explainability, monitoring, and periodic reviews.
Why this approach is practical
The combination of an insurance-specific knowledge base, local medical graph, and multi-agent orchestration means less custom plumbing for every product line. The existing partnerships with medical and related service institutions across China help with provider verification and cross-border claim scenarios-useful for Hong Kong carriers with regional exposure.
Looking ahead
Nova Technology plans to deepen localisation for Hong Kong, work closely with insurers and industry bodies, and explore broader applications in international markets. Expect incremental rollouts by line of business, clear governance, and measurable operational wins.
If your teams are building AI skills to support projects like these, you can explore role-based learning paths at Complete AI Training.
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