# Verikai

> AI\-powered risk scoring and alternative data analytics for group health underwriters

## At a glance

| Field | Value |
| --- | --- |
| Category | Underwriting & Risk |
| Type | Solutions Provider |
| Region | NA |
| Headquarters | San Francisco, California, USA |
| Founded | 2018 |
| Stage | Established |
| Employees | 11-50 |
| Funding | Acquired (USD 120M by American Financial Group, December 2021) |

## Overview

Verikai is an underwriting risk assessment platform for insurance carriers, managing general underwriters (MGUs), and stop-loss carriers. The company applies machine learning and alternative data to generate risk scores for group health and medical stop-loss underwriting, enabling carriers to price small and mid-sized employer groups without requiring health questionnaires or prior claims history.

The platform draws on a proprietary data asset covering more than 250 million US individuals, with over 5,000 behavioral attributes per person and more than 1.3 trillion total data points. Products span group-level risk scoring, medical claims analytics, and prescription data, delivered through a digital underwriting portal and API integrations that connect into carrier workflows.

Verikai raised USD 6M in a Series A round led by ManchesterStory in 2020 and was acquired by American Financial Group (NYSE: AFG) for approximately USD 120M in December 2021. Post-acquisition, Verikai operated as a standalone market-facing business; AFG subsequently absorbed the technology and capabilities internally into its Great American Insurance Group subsidiary.

## Products & services

### Capture360

Combines medical, pharmaceutical, lifestyle, and social determinants of health (SDoH) data to produce group and individual risk scores. Layers behavioral factors onto a medical data foundation to deliver holistic risk stratification for stop-loss and accident and health underwriters.

**Key features:**

- Census\-only input \-\- no health questionnaires required
- SDoH and lifestyle data integration
- Individual and group\-level risk scores

*Target users:* Stop\-loss carriers, MGUs, group health underwriters

### CaptureHealth

Provides access to medical claims and pharmaceutical histories for health insurance underwriting decisions. Launched in 2024 as part of expanded product offerings.

**Key features:**

- Medical claims history access
- Pharmaceutical data integration
- Machine learning\-powered risk modeling

*Target users:* Health insurance underwriters, carriers

### Med/Rx

Launched in September 2022, Med/Rx provides on-demand access to historical medical claims and prescription data for group submissions. Carriers can identify high-cost conditions and prescriptions across more than 10,000 medical diagnoses and pharmaceutical pricing categories within minutes.

**Key features:**

- On\-demand medical claims data access
- Prescription data covering pharmaceutical pricing categories
- Coverage across 10,000\+ medical diagnoses

*Target users:* Stop\-loss carriers, group health carriers

### Predictive AI Platform

Released in 2023, this platform combines data-driven risk assessment with a digital underwriting portal. Provides machine learning-powered Capture scores alongside an interface for underwriting workflow management.

**Key features:**

- Integrated digital underwriting portal
- Machine learning risk scoring \(Capture scores\)
- Workflow management for submission processing

*Target users:* Insurance carriers, stop\-loss underwriters

### Marketplace

A broker-facing platform launched in 2020 enabling insurance brokers to access Verikai risk intelligence tools and connect with carriers, streamlining submission and quoting workflows.

**Key features:**

- Broker access to risk scoring tools
- Carrier connectivity for submissions
- Streamlined quoting workflow

*Target users:* Insurance brokers, agents

## Category & focus

- Subcategories: Risk Scoring, Alternative Data, Predictive Analytics, Group Health Underwriting
- Insurance verticals: Health, Group Benefits, Specialty/E&S
- Target customers: Carriers, MGAs/MGUs

## Notable customers

- American Financial Group / Great American Insurance Group

## Links

- Website: <https://www.verikai.com>
- Directory profile: <https://insurtechlist.com/companies/verikai/>
- Afg acquisition announcement: <https://www.afginc.com/news-releases/news-release-details/american-financial-group-inc-announces-purchase-verikai-inc>

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*Last updated: 2026\-05\-18*
