Najeeb.ai
AI-powered platform for health and vehicle insurance operations in Saudi Arabia
Overview
Najeeb.ai is a claims technology and AI solutions provider serving insurance companies and healthcare payers in Saudi Arabia. The company targets health and vehicle insurance carriers, third-party administrators (TPAs), and healthcare providers, offering tools to automate medical pre-authorization, audit claims, and perform fraud detection. Its platform integrates with Saudi national health data standards, including the National Platform for Health Information Exchange (NPHEIS) and Central Board of Insurance (CHI) compliance frameworks.
The platform delivers a suite of AI-driven modules covering pre-authorization review, claims auditing against ICD-10-AM and the Standard Saudi Billing System (SBS), fraud detection, and patient health profile aggregation. Integration is provided via APIs that connect to existing insurer and hospital systems, with data stored in isolated warehouses to maintain security. The company draws on a founding team with over 48 years of collective insurance industry experience to bridge domain expertise with AI capabilities.
Founded in 2023 by Ahmad Yasmina and Hammam Homsi, Najeeb.ai raised a pre-seed round from local and regional angel investors in October 2025. The company was selected as one of 10 startups out of more than 1,000 applicants for the Tawuniya InsurAI Challenge, a 12-week accelerator program run in collaboration with Plug and Play, Monsha'at, and CODE. Najeeb.ai is aligned with Saudi Arabia's Vision 2030 objectives for digital transformation in the healthcare and financial services sectors.
Products & Services
Claims and Pre-Auth Audit with AI
Business intelligence and decision support tools for insurance companies and TPAs. Automates medical pre-authorization requests and audits claims submissions for compliance with Saudi standards, including ICD-10-AM coding and the Standard Saudi Billing System (SBS). Supports regulatory requirements from the Central Board of Insurance (CHI).
Key Features
- Automated medical pre-authorization processing
- Claims compliance auditing against ICD-10-AM and SBS standards
- Integration with CHI regulatory requirements
Target Users: Insurance carriers, TPAs, healthcare payers
Right Care Assistant
An AI-driven tool that reduces claims rejection rates by validating submissions and providing recommendations before they are submitted to the insurer. Identifies potential issues early in the claims workflow.
Key Features
- Pre-submission claims validation
- Rejection risk scoring and recommendations
- Early-stage issue identification
Target Users: Healthcare providers, insurers, TPAs
AI Smart Chatbot
An industry-specialized conversational AI tool that automates client communications for insurance companies in the health and vehicle insurance sectors.
Key Features
- Insurance-specific conversational AI
- Automated client communication workflows
- Health and vehicle insurance domain support
Target Users: Insurance carriers, policyholders
Health Enhancement Advisor
An AI-driven tool providing tailored care recommendations to policyholders and healthcare providers. Uses patient data and clinical analysis to suggest appropriate care pathways consistent with insurance coverage terms.
Key Features
- Personalized care pathway recommendations
- Clinical data analysis
- Alignment with policyholder coverage terms
Target Users: Healthcare providers, policyholders, insurers
AI Health Patient Profile
A comprehensive aggregated view of a patient's health history drawn from available data sources. Supports insurers and healthcare providers in making coverage approvals and care management decisions.
Key Features
- Aggregated patient health data view
- Multi-source data integration
- Decision support for coverage and care management
Target Users: Insurance carriers, healthcare providers
At a Glance
- Founded
- 2023
- Headquarters
- Riyadh, Saudi Arabia
- Employees
- 1-10
- Funding
- Pre-Seed
Category & Focus
- Category
- Claims Technology
- Subcategories
- Claims Automation Fraud Detection Medical Pre-Authorization
- Insurance Verticals
- Health P&C Personal
- Target Customers
- Carriers, TPAs
Links
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Last updated: 2026-06-03