Nayya Claims

Automatically discover unclaimed benefits

by Nayya · Compensation & Benefits

Nayya Claims screenshot

Executive Summary

Nayya Claims connects medical claims data to an employee's supplemental health coverage and continuously checks it for events that qualify for a payout. It covers accident, critical illness, hospital indemnity and wellness benefits. Depending on carrier and employer preferences, Nayya can notify the carrier, notify the employee to file, or adjudicate the opportunity directly. It is offered to employers, brokers and carriers and needs only a one-time employer authorization.

Use Cases

  • Finding supplemental health payouts that employees have not yet claimed
  • Notifying employees when a claim qualifies so they can file it
  • Auto-adjudicating wellness payouts with no additional employee paperwork
  • Cutting manual adjudication work for carriers
  • Showing employers and brokers that supplemental plans are paying out
  • Taking claims questions off HR

Features

Intelligence

  • Automatically discover unclaimed benefits: 1 in 4 employees enrolled in supplemental health benefits have a claim sitting unfiled, money they've already earned but never received.
  • Auto filed: Wellness payout opportunities are auto-adjudicated, with zero additional paperwork from the employee.

Technical Specifications

Architecture
Cloud-based, API-driven architecture designed for seamless integration with existing HR and benefits systems.
Deployment
SaaS

AI/ML Stack

  • Machine Learning
  • Agentic AI

Integrations

  • Slack
  • Microsoft Teams
  • iMessage
  • HCM Systems

Pricing

Model
Subscription-based, potentially per-user or per-claim
Target Customer
Mid-Market,Enterprise

About Nayya

Nayya is an AI-powered benefits experience and healthcare management platform that helps employees confidently select and utilize their health and wealth benefits. The company's intelligent and intuitive platform transforms complex benefits experiences into personalized, seamless, and ongoing interactions for millions of employees and thousands of employers.

Founded: 2019 · Headquarters: New York, NY, USA · Employees: 51-200 · Private

Verified sources

Each of these facts was checked against the vendor page linked (2026-10-15).

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