FINEOS Partners with Opifiny to Transform Medical Data Workflows in Insurance

28 April 2026 | Tuesday | News

Integration streamlines claims and absence management across North America, enabling faster decisions, improved data accuracy, and reduced administrative burden for insurers and healthcare providers.
Picture Courtesy | Public Domain

Picture Courtesy | Public Domain

FINEOS Corporation, a leading provider of core systems for life, accident, health, and employee benefits insurance, announced a strategic partnership with Opifiny Corp., a cloud-based platform that digitizes and streamlines medical information collection for underwriting, disability, and absence management. The partnership expands the FINEOS Partner Hub ecosystem and supports more connected claims and absence workflows across North America.

Together, the two companies will extend FINEOS’ growing employee benefits ecosystem, helping insurers, employers, healthcare providers, and claimants benefit from faster, more connected medical information workflows across North America.

This integration enables medical information collected through Opifiny to flow directly into FINEOS claims and absence processes, reducing manual handling and delays associated with traditional medical information requests, including attending physician statements (APS) and patient charts. The result is shorter claim cycle times, improved data accuracy, and more consistent decision-making, delivering measurable operational benefits for insurers and a faster, more transparent experience for their customers at critical moments. At the same time, healthcare providers benefit from a reduced administrative burden.

“Partnering with Opifiny strengthens our ability to deliver practical, measurable outcomes for insurers and the people they serve,” said Michael Kelly, CEO, FINEOS. “By connecting APS data directly into FINEOS AdminSuite, we are helping clients reduce claim cycle time, improve data quality, and streamline claims and absence management processes across the full lifecycle, particularly supporting our continued growth and innovation, and ultimately driving better outcomes for individuals when they need protection most.”

“This partnership is about improving how medical information moves across the entire claims and absence ecosystem,” said Gabriel Tick, CEO of Opifiny. “Insurers need faster access to better data, but healthcare providers also need a better alternative to manual processes. Together with FINEOS, we will help carriers accelerate decisions while significantly reducing administrative burden for HCPs and creating a more connected experience for claimants, employers, and providers.”

The partnership will support insurers across North America, where demand continues to grow for integrated solutions that improve operational performance and customer experience in life, accident, health, and employee benefits.

Aligned with the FINEOS vision of a world where protection from illness, injury, and loss is accessible to everyone, this collaboration helps insurers support individuals more effectively through faster decisions, clearer communication, and more reliable outcomes during times of need.

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