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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
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