Ghada Ismail
Delayed insurance reimbursements remain one of the most pressing financial challenges for healthcare providers across the MENA region. Klaim, a healthtech and fintech hybrid, is addressing this issue by offering AI-powered solutions that accelerate claims processing and improve cash flow predictability for clinics and hospitals. Backed by a recent $26 million funding round, the company is now scaling its presence in key markets—particularly Saudi Arabia—where it aims to support the Kingdom’s ambitious healthcare transformation goals. This interview digs deeper into the company’s strategic priorities, the role of AI in healthcare finance, regulatory considerations, and the partnerships that are shaping its expansion.
You’ve just secured $26 million in funding. What are the top priorities Klaim will focus on as you scale across the MENA region?
Our top priority is to empower small and medium-sized healthcare providers by accelerating their claim payments with insurers, the Ministry of Health, and other government payers. We’re also building an AI-powered TPA solution tailored to the KSA market, enabling faster and more predictable payments between providers and insurers.
What inspired you to focus on solving payment delays in healthcare?
We saw a real problem: healthcare providers working tirelessly to care for patients while struggling with slow and unpredictable payments. Insurers and reinsurers often take months to settle claims, putting providers under intense cash flow pressure just as their operating costs are rising. We wanted to fix that.
Klaim uses AI to forecast insurance payment behavior. Can you walk us through how this works and what makes your system more effective than traditional claim processing methods?
Our AI-driven RCM module analyzes each provider’s specific payers and their historical behavior. Our system evaluates, predicts, and automates approvals on monthly transactions. This predictive intelligence gives providers visibility on when to expect payments and unlocks cash flow with accuracy that traditional processing simply can’t match.
Healthcare payments are notoriously complex. What were the biggest technical or regulatory challenges you faced building a fintech solution in this space?
One major challenge is the lack of compliance from some payers regarding regulated claims settlement timelines. Payment behaviors change frequently, making it hard for providers to plan. Our solution had to account for this complexity while staying fully compliant with healthcare and financial regulations in each market.
Saudi Arabia has been a big focus for you lately. Why is the Kingdom such an attractive market for Klaim’s growth, and how are you adapting your model to fit its healthcare ecosystem?
Saudi Arabia accounts for nearly 70% of the GCC healthcare market, with over 5,000 accredited providers dealing with insurers. To succeed there, we’ve tailored Klaim’s platform to comply 100% with local regulations while addressing providers’ growing operational needs. This ensures their revenue cycle becomes faster, smoother, and future-ready.
How are you ensuring compliance with evolving AI regulations, especially with Saudi Arabia’s digital health sandbox initiatives?
Klaim is certified by the Saudi CHI for RCM services and fully integrated with NPHIES across eligibility, pre-authorization, claims, and payments. We prioritize compliance to ensure providers can trust us to accelerate their payments without risking regulatory setbacks.
How important are local partnerships like Tharawat Tuwaiq to your business model in Saudi Arabia, and are you pursuing other collaborations in the Kingdom?
Tharawat Tuwaiq is a crucial partner, providing financial support and credibility as we scale. That said, our long-term vision is to build a fully independent operation to process payments even faster and strengthen market trust in our brand.
With growing investor interest in health tech, what’s your message to VCs looking to understand the true ROI potential of healthcare fintech solutions like Klaim?
The ROI is clear: providers urgently need solutions that ease financial stress from delayed insurer payments. By combining our AI-driven approach with strong messaging and targeted marketing, Klaim delivers real value – freeing providers to focus on care while improving their financial health.
Is Klaim considering working with public-sector entities in Saudi Arabia to support Vision 2030 health goals, or will you remain focused on private healthcare providers?
For now, our focus is on building a strong base with private providers. Public sector collaborations may come later, selectively, and ideally with regulator recommendation to ensure strategic alignment.
What’s next on your roadmap?
We’re focused on deepening partnerships with the CHI and Saudi regulators to streamline payments, integrate seamlessly with NPHIES Pay, and continue expanding our platform to support the Kingdom’s healthcare transformation goals.