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Average Ratings 0 Ratings

Total
ease
features
design
support

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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

Claims representatives now have the opportunity to work hand in hand with policyholders like never before. Engaging policyholders more thoroughly in the claims process not only enhances customer satisfaction but also helps in lowering the expenses associated with claims handling. Today’s policyholders anticipate a high standard of service that aligns with their schedules rather than the representatives'. When policyholders are actively involved throughout the entire claims process, their satisfaction with the experience tends to increase significantly. By utilizing ClaimXperience video collaboration, you can gain the advantage of "eyes-on-site" directly from your desk, allowing for effective triage and evaluation of damage severity. This increased precision enables more claims to be settled directly, eliminating the costs tied to on-site visits. Moreover, when an on-site assessment is truly required, you can ensure that the right expert is dispatched from the very beginning, thereby streamlining the process even further. Ultimately, this approach fosters a more efficient and customer-centric claims experience.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

ClaimScore

Founded

2022

Country

United States

Website

www.claimscore.ai

Vendor Details

Company Name

Xactware

Founded

1986

Country

United States

Website

www.xactware.com/en-us/solutions/policyholder-self-serve/claimxperience/overview/

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

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