Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
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