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Average Ratings 0 Ratings

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ease
features
design
support

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Description

ClaimVision is an innovative AI-driven platform hosted in the cloud, tailored for property insurers and third-party administrators in the United States. It processes various claim-file documents, such as adjuster reports, inspection notes, repair estimates, policy forms, photographs, and relevant correspondence, transforming them into organized claim data for further evaluation. The system assesses policy coverage, reconciles financial figures, highlights potential issues for adjusters to investigate, and associates findings with specific supporting documents or policy clauses. Claims teams can pose inquiries regarding the claim data using everyday language and access the referenced evidence with ease. Additionally, ClaimVision meticulously logs recommendations, confidence levels, adjuster choices, and reasons for overrides in a comprehensive audit trail. This platform is engineered to seamlessly integrate with an insurer’s current claims system, ensuring that the insurer maintains authority over the final claim decision, while enhancing the overall efficiency and accuracy of the claims handling process. In doing so, it empowers claims teams to make well-informed decisions based on systematic data analysis.

Description

Claims Signal™ represents a revolutionary open claims quality solution developed by Aon and Athenium Analytics, designed to help insurers detect high-risk claims at an earlier stage. By improving the experience for policyholders, this platform can lead to a significant enhancement in claims indemnity and expenses, estimated between 4% to 6%. In today's fast-paced insurance environment, claims teams face mounting pressure to elevate customer satisfaction, streamline operations, and minimize financial leakage. While routine quality audits can effectively highlight root causes and deviations from optimal practices, the feedback from these audits may not be accessible for weeks or even months post-claim closure. Imagine having the ability to continuously monitor open claims and resolve quality concerns before they negatively impact results. The Claims Signal platform leverages advanced artificial intelligence to scrutinize open claims, identify potential problems, and send immediate alerts, empowering front-line managers to take action before a claim reaches conclusion. With the integration of predictive analytics and timely alerts, insurers can achieve a reduction in claims leakage of up to 4%, ultimately transforming the claims management process. This proactive approach not only enhances operational efficiency but also fosters a culture of continuous improvement within claims teams.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

No images available

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

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

Pricing Details

No price information available.
Free Trial Yes 
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 No 
Live Rep (24/7) No 
Online Support No 

Customer Support

Business Hours Yes 
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 Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Decision Agency OÜ

Founded

2025

Country

Estonia

Website

claimvision.ai

Vendor Details

Company Name

Athenium Analytics

Country

United States

Website

www.athenium.com/products/claims-signal/

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 No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Alternatives

Alternatives

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