Underwriting and Rating Solutions

Health Risk Rating Tool

Transform health insurance underwriting when you automate the assessment of medical conditions.

Are you efficiently and inclusively underwriting for pre-existing medical conditions?

Medical underwriting can be laborious—and may come at a cost. Customers or insurers often need to complete lengthy medical reports and supply supporting evidence from a doctor or specialist. Once these steps are done—often followed by requests for clarification—the risks posed by a customer’s pre-existing medical conditions can still be excluded.

Automate medical risk assessment

The Verisk Health Risk Rating Tool helps you automate medical risk assessment and underwrite inclusively for your health insurance customers, including those with pre-existing conditions.

Underwrite at the point of sale

You can quickly and easily implement the Health Risk Rating Tool through an application programming interface (API) or widget plugin solution.

Increase market share

More inclusive underwriting will enable your organization to help close the health insurance gap, and increase your market share.

Streamline claims workflows

The Health Risk Rating Tool can easily identify and match pre-existing conditions to claims using consistent medical codes (ICD 9 and 10).

AXA Tianping boost sales by 30% through the Health Risk Rating Tool

Download our case study to discover how AXA profitably insures a wider book for business by automating the assessment of pre-existing medical conditions.

Read the case study

AXA Tianping boost sales by 30% through the Health Risk Rating Tool

Patient Discussing Treatment With Doctor

AXA’s health insurance sales have increased by 30% since using the Health Risk Rating Tool. The tool’s ability to provide accurate risk rating outcomes and create efficiencies in our workflow have greatly improved the overall customer journey and significantly reduced manual underwriting intervention. We are grateful for our partnership with Verisk and will continue to provide our customers with inclusive insurance coverage tailored to the individual.

Fred Ding

AXA Global Healthcare China

Managing Director

Inform your underwriting decisions

Verisk automates medical risk assessment, providing information to support fast and consistent responses. Instant results follow the completion of a simple, intuitive self-declaration of a customer’s medical conditions.

Inform your underwriting decisions

Integrate your own rules into the Health Risk Rating Tool

When you use the Ratings Engine to enhance the Health Risk Rating Tool, you can embed your own underwriting rules, providing real-time cover decisions to end users and creating a robust use case for brokers and other insurance intermediaries.

Integrate your own rules into the Health Risk Rating Tool

Risk assessment training is vital to any insurance sales operation. Access the Health Risk Rating Tool e-training for a convenient, interactive learning experience where and when you choose.

Start e-training

Features and capabilities

Automated assessment of pre-existing medical conditions

Increase conversion rates and cut overhead using our dynamic question set, which generates relative risk scores to represent the total medical exposure of pre-existing conditions—without the inefficient and lengthy underwriting process.

Consistent Medical Coding

Identify pre-existing conditions using consistent medical codes (ICD 9 and 10), which can help match pre-existing medical conditions to claims.

Robust analytic foundation

Gain insight from our industry-leading experts in medical risk assessment, who develop and maintain the Health Risk Rating Tool analytics based on understanding the natural progression of medical conditions and claim costs.

Deliver inclusive underwriting experiences and expand your market with automated assessment of travelers’ pre-existing medical conditions.

Learn about the Travel Risk Rating Tool

Contact us to learn more

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

Chat now

Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

Main toll-free:

1-800-888-4476

Global toll-free:

International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489