Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
ClaimScore stands out as the sole independent software solution focused on tackling the growing issue of claim fraud within class action settlements. Each claim is meticulously assessed on an individual basis through our unique AI, ML, and Cloud Architecture in real-time, with results displayed instantly on an interactive dashboard. Initially, every claim starts with a ClaimScore of 1,000, which diminishes whenever it does not meet a specific criterion. These criteria are assigned either fixed or variable weights based on their relationship to fraudulent and legitimate claims. To enhance transparency, every claim is accompanied by deduction codes that correspond to the failed criteria, ensuring that all involved parties, including the administrator and the court, are fully informed of the precise reasons behind any claim rejection. This meticulous approach not only fosters trust among stakeholders but also reinforces the integrity of the claims process.
Description
APP Tech pioneered the incident-based approach to claims and risk management. Since 2003, we’ve delivered integrated technology solutions to hundreds of customers across North America — to improve claims-management efficiency and scalability, increase visibility, shorten response times, lower premiums, and prevent risk events.
Cloud Claims by APP Tech is a top-rated risk management and claims software solution. IMS is a purpose-built software solution for self-insureds, TPAs, and companies who want to track their claims and losses. It helps users manage the entire claim lifecycle, from the initial incident report to issuing payments and collections. It offers a variety of features that allow users to have complete control over their claims, as well as risk information. These include incident management and claims management, workgroup tools as well as reporting, insurance tracking, and many other features.
We’re proud of our 100 percent implementation-success rate and excellent customer-retention rate, a result of our commitment to understanding our clients’ needs and rolling out solutions that work for them.
API Access
Has API
No
API Access
Has API
Yes
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$2,500 per month
Annual subscription includes: web-based access to claims data; claims, document, and policy management; workflow automation; reporting; unlimited cloud-based data storage; and unlimited technical support. System onboarding and 4 hours of web-based training at $1000. Initial data conversion is charged on an as needed basis. Data feed integrations are also available, e.g., carriers, HR, fleet inventory, etc.
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
Yes
Live Rep (24/7)
No
Online Support
Yes
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
ClaimScore
Founded
2022
Country
United States
Website
www.claimscore.ai
Vendor Details
Company Name
APP Tech
Founded
2002
Country
Connecticut, United States
Website
apptechllc.com
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
Claims Processing
Adjustor Management
Yes
Case Management
Yes
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
Yes
Customer Management
Yes
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
Yes
Payor Management
Yes
Policy Administration
Yes
Incident Management
Audit Trail
Yes
Corrective Actions (CAPA)
Yes
Disaster Recovery
Yes
IT Incident Management
Yes
Incident Reporting
Yes
OSHA Compliance
Yes
Root-Cause Diagnosis
Yes
Safety Management
Yes
Task Management
Yes
Ticket Management
Yes
Insurance Claims Management
CRM
No
Claims tracking
Yes
Customer portal
No
Document management
Yes
EDI data exchange integrations
Yes
Electronic claims
No
Fraud management
No
Reporting
Yes
P&C Insurance
Billing & Invoicing
Yes
Broker / Agent Portal
Yes
Claims Management
Yes
Commission Management
No
Customer Portal
No
Document Management
Yes
Insurance Rating
No
Marketing Automation
No
Policy Management
Yes
Quote Management
No
Reinsurance Administration
Yes
Underwriting Management
No
Risk Management
Alerts/Notifications
Yes
Auditing
Yes
Business Process Control
No
Compliance Management
Yes
Corrective Actions (CAPA)
No
Dashboard
Yes
Exceptions Management
No
IT Risk Management
Yes
Internal Controls Management
No
Legal Risk Management
No
Mobile Access
Yes
Operational Risk Management
Yes
Predictive Analytics
No
Reputation Risk Management
No
Response Management
No
Risk Assessment
Yes