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Average Ratings 0 Ratings

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features
design
support

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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

Evaluator assists in making informed decisions by systematically comparing various alternatives against a unified set of criteria. For instance, when choosing a vendor's product or service, factors like features, pricing, and availability are taken into account. Each alternative receives a score based on these criteria, allowing for straightforward comparison among all options. The significance of each criterion can be adjusted through weighting, which modifies its effect on the total evaluation score. This tool also allows for collaborative input, where multiple individuals can contribute their scores, resulting in a consolidated scorecard that reflects the group's collective assessment. The outcomes of this evaluation can be displayed in different formats and compiled into a comprehensive report. Additionally, it is possible to establish a scorecard baseline at any time for auditing purposes. Users can create scorecard templates derived from pre-existing evaluation criteria, facilitating rapid development of new scorecards tailored for evaluating alternative options using the same benchmarks. Furthermore, it is essential to assign a weight to each criterion according to its importance in the decision-making process to ensure balanced evaluations.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Mimasa AI No 

Integrations

Mimasa AI Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version Yes 

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 No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

ClaimScore

Founded

2022

Country

United States

Website

www.claimscore.ai

Vendor Details

Company Name

Midrig

Country

United Kingdom

Website

midrig.com/evaluator/

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

Decision Support

Application Development No 
Budgeting & Forecasting No 
Data Analysis Yes 
Decision Tree Analysis No 
Monte Carlo Simulation No 
Performance Metrics No 
Rules-Based Workflow No 
Sensitivity Analysis No 
Thematic Mapping No 
Version Control No 

Alternatives

Alternatives

Claims Signal Reviews

Claims Signal

Athenium Analytics