- Gradient AI expanded Renewal Analytics with IBNR adjustments, peer benchmarking, integrated member risk scoring, group termination modeling and automated PDF reporting.
- The platform projects group and member risk over the next 12 months, connects forecasts to renewal pricing and identifies conditions or drug utilization driving claims costs.
- The new termination model estimates whether a group may leave before rate action, while peer benchmarks and IBNR-adjusted claims data give underwriters more context for renewal decisions.
Gradient AI has expanded Renewal Analytics, its group health insurance platform for converting claims experience into forward-looking risk assessments. The release adds IBNR adjustments, peer benchmarking and a group termination model, alongside integrated risk scoring and client-ready PDF reporting.
Renewal Analytics is designed to help insurers assess performance across portfolios, groups and individual members. It also identifies medical conditions, prescription drugs and member segments contributing to claims costs before estimating risk over the following 12 months.
The platform connects those forecasts with Gradient AI’s built-in Rate Calculator. Insurers can use the projected risk information when setting renewal pricing rather than relying only on historical claims results.
A new integrated risk scoring module automatically assigns a blended score at member level. It combines an insurer’s claims experience with signals from third-party data sources, which Gradient AI said is particularly useful for newer groups or populations with high member turnover and limited historical information.
Gradient AI said the scoring system is intended to improve pricing accuracy and reduce volatility when experience data is incomplete. Underwriters can also use the scores to identify members or groups requiring closer review.
The new Group Termination Model assigns each group a rating estimating the likelihood that it will leave before renewal pricing is finalized. Gradient AI uses a proprietary machine-learning model for the assessment, while leaving the final decision with the underwriting team.
Insurers can use the termination score when prioritizing retention activity or evaluating discounts. The company said it can also inform rate decisions for unprofitable groups that appear less likely to leave after an increase.
Peer benchmarking has been added across the Performance Metrics, Drivers and Group Summary sections. Users can compare an individual group or an entire portfolio with a selected peer population.
The comparisons extend to individual cost factors such as disease prevalence and prescription drug utilization. Gradient AI said this gives underwriting teams additional context when discussing renewals with brokers or employer clients.
Renewal Analytics now also supports Incurred But Not Reported adjustments at portfolio and group level. The feature estimates claims that have already occurred but haven’t yet been reported, reducing reliance on incomplete recent claims periods.
Users can compare adjusted and unadjusted claims trends side by side. The company said the feature is intended to provide a more current view of medical loss ratios and claims development during renewal analysis.
Gradient AI has also introduced a Group Summary PDF function for external reporting. Underwriters and account managers can generate branded reports for brokers, employer HR teams and consultants without manually rebuilding analytics outside the platform.
The release includes additional changes to navigation, filtering and multilevel drilldowns. These updates extend existing analytics across both individual groups and larger portfolios.
Renewal Analytics has proven to be a market-leading platform that enables risk assessors to understand the factors driving results, identify risks well before they become claims, and act at the most appropriate level.
Marc Jeffreys, Health GM at Gradient AI
He said the latest release adds tools for incomplete experience data, claims development estimates and group retention analysis.
Gradient AI positions Renewal Analytics alongside SAIL, its suite for new group health business. The company said the two products apply related risk logic across quoting, renewal pricing and population management.
The software is aimed at insurers dealing with rising medical costs and uneven claims experience. Gradient AI said the expanded platform gives underwriters and actuaries more information for assessing pricing, group retention and expected future claims.
