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Average Ratings 0 Ratings

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ease
features
design
support

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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

eflow’s TZTS Market Abuse & Trade Surveillance software serves as an advanced compliance solution powered by machine learning and behavioral analytics, aimed at aiding financial institutions in detecting and monitoring activities such as market manipulation and insider trading, all while adhering to the standards set by leading global regulators like the FCA/MAR, SEC, CFTC, and MAS. The system encompasses all major asset classes, automating the processes of market abuse detection and compliance verification, while delivering alerts that are ready for regulatory submission. TZTS is characterized by its exceptional flexibility, enabling customizable implementations, dynamic parameter testing, and workflow automation, alongside an intuitive user interface that adjusts in response to evolving regulatory and market landscapes. Furthermore, it enhances data accuracy and boosts reporting efficiency through both preset and tailored reports, while automatically enriching trade data and creating thorough audit trails, ultimately aligning regulatory requirements with business objectives through adaptable parameters and notifications. This sophisticated software not only streamlines compliance processes but also empowers firms to stay ahead in a rapidly changing financial environment.

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

eflow

Founded

2004

Country

United Kingdom

Website

eflowglobal.com

Product Features

Insurance Claims Management

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

Product Features

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