Integrations
Claims AI
Automate claims triage, validation, and fraud detection with secure hybrid RAG and secure agents.
Featured Playbooks
About Claims AI:
Designed for insurers and TPAs, Claims AI enhances operational accuracy and speed by automatically assessing claims for completeness, policy compliance, and risk. It supports scalable claims review while ensuring regulatory alignment.
How This Works:
Auto-Triage Claims: AI pre-screens claims for completeness and eligibility, reducing human load.
LLM-Powered Review: Analyze claim notes, attachments, and historical decisions using hybrid LLMs.
Fraud Pattern Detection: Cross-references internal DB and public data to detect anomalies.
RAG + Policy Matching: Validates claims against policy docs via secure RAG-based retrieval.
Continuous Learning Loop: Improves over time with feedback integration and retraining support.
Getting Started:
Deploy our AI agent in your cloud or hosted environment. Connect claims DB, configure fraud thresholds, and go live in under 5 days.