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Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Description

ClaimScore stands out as the sole independent software solution focused on tackling the growing issue of claim fraud within class action settlements. Each claim is meticulously assessed on an individual basis through our unique AI, ML, and Cloud Architecture in real-time, with results displayed instantly on an interactive dashboard. Initially, every claim starts with a ClaimScore of 1,000, which diminishes whenever it does not meet a specific criterion. These criteria are assigned either fixed or variable weights based on their relationship to fraudulent and legitimate claims. To enhance transparency, every claim is accompanied by deduction codes that correspond to the failed criteria, ensuring that all involved parties, including the administrator and the court, are fully informed of the precise reasons behind any claim rejection. This meticulous approach not only fosters trust among stakeholders but also reinforces the integrity of the claims process.

Description

ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page. It checks coverage, flags missing items and subrogation opportunities, and leaves the decision with your adjusters. Runs on Microsoft Azure.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Duck Creek Claims No 
Guidewire ClaimCenter No 
Sapiens ClaimsPro No 

Integrations

Duck Creek Claims Yes 
Guidewire ClaimCenter Yes 
Sapiens ClaimsPro Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

Pricing is based on claim volume and scope, with terms determined for each pilot.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

ClaimScore

Founded

2022

Country

United States

Website

www.claimscore.ai

Vendor Details

Company Name

Decision Agency OÜ

Founded

2025

Country

Estonia

Website

claimvision.ai

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management Yes 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting Yes 

Alternatives

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Direct Claim Solution

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