Strove | Agents | AI Agents for Health & Life Insurers

Strove

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Strove

Overview Insurers Employers

For insurers

Automate member inquiries. Scale through every enrolment peak.

Strove's AI agents handle benefits inquiries, eligibility verification and enrolment support, and proactively engage members on the care that matters. Routine conversations resolve instantly, and the platform scales seamlessly when enrolment peaks.

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Runs where your members already are

WhatsApp

SMS

Email

Member portal

Web chat

The opportunity

Answer every member, and reach out before they ask.

Members have questions the moment care matters, and the right nudge can prompt care early. With answers easy to reach and outreach that's proactive, members get to the right care sooner, access and utilise preventive health services, and routine questions resolve before they reach your contact centre.

Care within reach

With instant answers, members get to the preventive care and support they're entitled to sooner.

Value fully realised

Timely nudges mean screenings, adherence and check-ins actually happen.

Effort where it counts

Routine questions resolve automatically, freeing your contact centre for the moments that need a person.

Inbound & outbound

Reach members before they even ask.

The same agents that answer questions can start the conversation. Outbound agents proactively engage members, reminding them about screenings that are due, following up on care, and driving uptake of benefits.

Outbound · WhatsApp · Preventive care agent

Hi Thabo, it's been over a year since your last cholesterol screening, and it's covered in full on your Comprehensive plan. Reply BOOK and I'll find a clinic near you.

BOOK

Great. There's a clinic 2.3km from you with slots on Thursday. Want me to hold 08:30?

Outbound · WhatsApp · Preventive care agent

Preventive screening reminders

Reach members due for age-appropriate health screenings and check-ups, and offer to book.

Care follow-ups & reminders

Check in after appointments and remind members of upcoming appointments.

Member-initiated pre-authorisation

When a member has a procedure coming up, the agent walks them through starting the pre-authorisation on the spot, so care isn't delayed.

Benefits navigation

Point members to in-network providers and the most cost-effective covered options for the care they need.

The outcomes

Less overhead. Lower cost. Better experience. Healthier members.

Every agent you deploy works toward the same four outcomes, for your business and for your members.

Reduce operational overhead

Agents deflect routine, repeatable queries away from your contact centre and admin teams.

A lower cost to serve on every resolved conversation, and fewer avoidable, costly claims.

Improve the member experience

Instant, plain-language answers on the channels members already use, day or night.

Improve member health

Proactive outreach closes care gaps and drives preventive action before problems grow.

The agent library

An agent platform for every job in the member journey.

Each agent is purpose-built for a defined task and handles it end to end, in natural conversation. Deploy one, then add more on the same platform.

Member services & support

5 agents

Benefits explanation

Answers what a plan covers in plain language, limits, exclusions, waiting periods and co-payments.

Eligibility verification

Confirms in real time whether a member is active, their effective date, and which dependents are covered.

Membership & plan changes

Adds or removes dependents, updates details and changes options.

Claims & billing queries

Explains claim status, declines and co-payments, and what the member can do next.

Satisfaction & NPS surveys

Runs NPS and CSAT surveys, scores sentiment, and flags urgent concerns to a human in real time.

Benefits navigation & utilisation

4 agents

Provider network verification

Confirms whether a provider is in-network, their tier, and any referral or authorisation conditions.

Preventive care reminders

Proactively reaches members due for screenings or check-ups and offers booking.

Preventive screening outreach

Runs outbound campaigns for age-appropriate health screenings and check-ups.

Wellness programme enrolment

Explains and enrols members into gym, nutrition, cessation and stress-management programmes.

Authorisation & clinical admin

2 agents

Pre-authorisation capture

Collects provider, procedure, diagnosis codes and clinical detail, submits, and returns a reference.

Authorisation status tracking

Lets members check where a submitted authorisation stands and what's still outstanding, without calling in.

Omnichannel by design

Meet members in the channels they already use.

The same agent runs everywhere, no new app to download, no portal to learn. Start on WhatsApp, pick it up on the web, and it never loses the thread.

WhatsApp

SMS

Email

Member portal

Web chat

Benefits 24/7

Always on. Routine questions resolved instantly, day or night.

1 platform

Every agent, every channel, managed from one place.

Escalates to a human, cleanly

When a conversation needs a person, it hands off with full context, no repeating.

Grounded & governed

Not an assistant bolted on. An agent built on your data.

Every response is grounded in your benefits schedule, rules and provider network, so answers are accurate, plan-specific, and clinically governed.

Grounded in your data

Not a generic assistant. Every answer is drawn from your benefits, policies and providers, accurate and plan-specific.

Governed and risk-tiered

Sensitive conversations carry the right guardrails and disclaimers. Wellbeing is framed as support, not clinical care.

Truly omnichannel

One platform, every channel, no new app to download and no portal to learn.

Human handoff built in

Agents resolve the routine and escalate cleanly to a person the moment a conversation needs one.

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Reduce service cost. Improve member health.