Innovating responsibly: AI in claims adjudication

Innovating responsibly: AI in claims adjudication

At Forma, the leading platform for flexible and personalized benefits, we are proud to be at the forefront of AI-driven claim adjudication, shaping the future of claims management with technology that is efficient, reliable, and consistent. But innovation alone isn’t enough. 

At the heart of what we do is a commitment to trust, fairness, transparency, and responsibility.

Forma’s commitment to responsible AI

Responsible AI at Forma means building systems that enhance efficiency while upholding the highest ethical standards:

• Fairness: Every AI solution is developed to support equitable outcomes.
  
  
• Transparency: We are open about our commitment to ethical AI and how it serves our customers, ensuring that trust is earned and maintained.
  
  
• Accountability: Humans remain at the center of decisions, ensuring ethical oversight.
  
  
• Privacy & security: We protect sensitive information with the highest standards.
  
  
• Continuous improvement: Our AI evolves responsibly, guided by ethical principles.
  
  
• Governance & oversight: We have established an internal AI governance program to guide responsible development and deployment, and we are actively pursuing third-party attestation to validate our practices.
  

Leading with responsibility

As innovators in AI-driven claim adjudication, Forma aims to set high standards for responsible AI in the industry. We believe technology should serve people, not replace them, and that ethical AI practices are essential to building and maintaining trust.

Our AI governance program ensures that fairness, accountability, and transparency are embedded into everything we do. We are actively pursuing third-party attestation, which reinforces our dedication to external validation, demonstrating our commitment to validate our practices and reinforce our commitment to ethical AI for our customers.

Why it matters

AI can transform claims management, streamlining processes and supporting more effective decision-making but without responsibility, trust can be compromised. 

At Forma, responsible AI is central to our mission. By combining innovation with governance, accountability, and ethical oversight, we deliver solutions that help organizations work smarter while keeping integrity at the core.

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Our AI works hard, and we work even harder to uphold our responsibility to the employers and employees who count on us, because trust never takes a day off.

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