Average Ratings 0 Ratings

Total
ease
features
design
support

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

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

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

Write a Review

Description

An automated claims platform that operates seamlessly from start to finish, leveraging AI-driven decision models for tasks such as data collection, policy and coverage verification, medical coding, and consistency assessments. Our advanced AI models are designed to minimize losses and enhance your loss ratios by effectively detecting fraud, waste, and abuse in health and life insurance sectors. Qantev empowers insurers globally by improving operational efficiency, curbing losses, and elevating client satisfaction. By integrating artificial intelligence with deep medical knowledge, our dedicated team of data scientists and engineers has created cutting-edge solutions that streamline the claims management process while identifying fraudulent activities. Our specialized AI tools are adept at capturing, cleansing, enhancing, and digitizing data from a variety of claims documents in multiple languages. Additionally, we bolster the performance of your medical provider network with automated insights, identifying pricing gaps, recommending strategies, simulating different scenarios, and much more to optimize outcomes. This holistic approach ensures that insurers not only respond to claims effectively but also proactively prevent potential issues before they arise.

Description

Shift Technology delivers a purpose-built AI solution for claims fraud detection and resolution, empowering insurers to protect revenue and increase efficiency. Unlike traditional systems, it leverages advanced AI models trained on insurance data to detect fraud patterns with speed and accuracy. Its integration with the Insurance Data Network enables carriers to see connections across organizations, making it possible to identify industry-scale schemes. Shift not only detects suspicious activity but also prioritizes cases based on business impact, giving SIU and claims teams the right focus. Insurers benefit from faster investigation cycles, reduced false positives, and optimized fraud management processes. Global leaders such as AXA and Assurant use Shift to prevent millions in losses and resolve cases that would normally take days within minutes. Customer success stories highlight reduced operational overhead, improved investigation accuracy, and higher fraud detection rates. With AI at its core, Shift Technology equips insurers with the tools to stay ahead of increasingly sophisticated fraudsters.

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

Qantev

Founded

2018

Country

France

Website

www.qantev.com

Vendor Details

Company Name

Shift Technology

Founded

2014

Country

France

Website

www.shift-technology.com/products/claims-fraud

Product Features

Insurance Claims Management

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

Product Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Alternatives

Alternatives

Context 4 Health Plans Suite Reviews

Context 4 Health Plans Suite

Context4 Healthcare
NetMap Reviews

NetMap

Verisk Analytics
Insurance Data Network Reviews

Insurance Data Network

Shift Technology
Shift Claims Reviews

Shift Claims

Shift Technology