Core Insights - Waterdrop Company is leveraging AI technology to transform health insurance services from "manual reliance" to "intelligent decision-making" by 2025 [1][2] - The launch of the AI underwriting expert "KEYI.AI" has significantly improved underwriting efficiency, reducing average processing time by 80%, response speed by 260 times, and achieving an accuracy rate of 99.8% [1][4] Group 1: AI Underwriting Transformation - The traditional health insurance underwriting process is plagued by inefficiencies, with an average processing time of 3-5 days and a high likelihood of misjudgment due to human error [2][3] - "KEYI.AI" integrates a professional knowledge base with large model reasoning capabilities, allowing for rapid analysis of user health information and precise matching with insurance policy requirements [3][4] - The system can provide underwriting conclusions in as little as 10 seconds, addressing issues of ambiguity and lack of clarity in traditional processes [3][4] Group 2: Comprehensive AI Integration - Waterdrop is extending AI capabilities across the entire insurance service chain, creating a smart closed loop from underwriting to customer service, sales, and claims [4][5] - The AI customer service tool "Bao Xiaohui" has been upgraded to support voice interaction, significantly improving service efficiency and reducing customer query handling time [5][6] - The claims process has been enhanced by the introduction of the AI digital employee "Bang Bang," which automates claims material identification and progress tracking, reducing processing time by 43.3% [7][8] Group 3: Industry Collaboration and Ecosystem Building - Waterdrop is promoting digital transformation in the health insurance industry by sharing AI capabilities and collaborating with insurance companies to create inclusive product offerings [8][9] - The establishment of the "Inclusive Product Alliance" aims to develop specialized products for underserved groups, resulting in the launch of 214 insurance products by November 2025 [8][9] - The focus on vertical integration of AI applications in the insurance sector marks a shift from generic technology to specialized solutions tailored for industry needs [9][10] Group 4: Future Outlook and Value Creation - The application of AI in health insurance is expected to shift from labor-intensive models to intelligent collaborative frameworks, enhancing automation in underwriting and customer service [10][11] - Waterdrop's approach demonstrates a dual focus on efficiency and inclusive protection, validating the potential of AI to create both commercial and social value [11][12] - The ongoing evolution of large model technology and integration with medical data is anticipated to further advance the health insurance sector towards smarter and more inclusive solutions [11][12]