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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

ClaimVision is an innovative AI-driven platform hosted in the cloud, tailored for property insurers and third-party administrators in the United States. It processes various claim-file documents, such as adjuster reports, inspection notes, repair estimates, policy forms, photographs, and relevant correspondence, transforming them into organized claim data for further evaluation. The system assesses policy coverage, reconciles financial figures, highlights potential issues for adjusters to investigate, and associates findings with specific supporting documents or policy clauses. Claims teams can pose inquiries regarding the claim data using everyday language and access the referenced evidence with ease. Additionally, ClaimVision meticulously logs recommendations, confidence levels, adjuster choices, and reasons for overrides in a comprehensive audit trail. This platform is engineered to seamlessly integrate with an insurer’s current claims system, ensuring that the insurer maintains authority over the final claim decision, while enhancing the overall efficiency and accuracy of the claims handling process. In doing so, it empowers claims teams to make well-informed decisions based on systematic data analysis.

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.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

No images available

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

Pricing is based on claim volume and scope, with terms determined for each pilot.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
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 No 
Live Rep (24/7) No 
Online Support No 

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) Yes 
In Person Yes 

Vendor Details

Company Name

Decision Agency OÜ

Founded

2025

Country

Estonia

Website

claimvision.ai

Vendor Details

Company Name

Qantev

Founded

2018

Country

France

Website

www.qantev.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

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 

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