AI Renewal Presentation Agent
Automating Benefits Renewal Presentations with AI
Turn raw claims data into renewal-ready insights
The agent ingests medical and pharmacy claims, applies IBNR completion factors, and calculates net claims, pooling charges, and trend projections—mirroring the underwriting math carriers use.
Normalize quotes and benchmark against the market
Automated workflows standardize carrier, TPA, and stop-loss quotes to common PMPM and PEPM units, then compare plan costs, contributions, and richness against industry benchmarks by region and size.
Generate broker-grade decks with full audit trails
The system assembles executive summaries, experience exhibits, market results grids, financial scenarios, and employee impact analyses into polished presentations—with transparent assumption sheets for negotiation support.
How Cassidy automates this using AI
Step 1: Trigger on renewal data intake
The Workflow activates when claims files, census data, and carrier renewal exhibits are uploaded—whether from HRIS exports, carrier portals, or shared drives synced to the Knowledge Base.
Step 2: Process claims and build underwriting analysis
Cassidy normalizes incurred claims with IBNR factors, identifies large claimants above the pooling level, and calculates net claims, trend projections, and credibility-weighted blends against manual rates.
Step 3: Deconstruct and challenge the carrier renewal
The Workflow parses the carrier's renewal exhibit, flags negotiation points (trend assumptions, credibility weights, retention components), and generates a before/after comparison of renewal terms.
Step 4: Standardize market quotes
Cassidy ingests quotes from carriers, TPAs, PBMs, and stop-loss markets, converting all rates to common units (PMPM, PEPM, composite/tier) and normalizing plan designs for apples-to-apples comparison.
Step 5: Run benchmarking and network analysis
The Workflow compares plan costs, employer/employee contribution splits, and plan richness against external benchmarks, then runs GeoAccess and disruption analyses to quantify provider retention for proposed networks.
Step 6: Model financial scenarios and employee impact
Cassidy builds multi-scenario models—renew as-is, negotiated renewal, market alternatives, plan migrations—showing employer cost, employee contributions, and out-of-pocket impact by tier.
Step 7: Generate the renewal presentation
The Workflow assembles a broker-grade deck with executive summary, experience story, renewal math, market results, benchmarks, financial scenarios, recommendation, and timeline—exported to PowerPoint, Google Slides, or PDF.
Step 8: Human-in-the-Loop review and delivery
Consultants review the draft presentation, refine recommendations, and approve final outputs before client delivery—with full assumption sheets and audit logs for negotiation support.
Implement it inside your company
- Hands-on onboarding and support
- Self-paced training for your team
- Dedicated implementation experts
- Ongoing use case discovery
- ROI tracking & analytics dashboards
- Proven playbooks to get started fast
