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Average Ratings 0 Ratings
Description
Shift Technology delivers a purpose-built AI solution for claims fraud detection and resolution, empowering insurers to protect revenue and increase efficiency. Unlike traditional systems, it leverages advanced AI models trained on insurance data to detect fraud patterns with speed and accuracy. Its integration with the Insurance Data Network enables carriers to see connections across organizations, making it possible to identify industry-scale schemes. Shift not only detects suspicious activity but also prioritizes cases based on business impact, giving SIU and claims teams the right focus. Insurers benefit from faster investigation cycles, reduced false positives, and optimized fraud management processes. Global leaders such as AXA and Assurant use Shift to prevent millions in losses and resolve cases that would normally take days within minutes. Customer success stories highlight reduced operational overhead, improved investigation accuracy, and higher fraud detection rates. With AI at its core, Shift Technology equips insurers with the tools to stay ahead of increasingly sophisticated fraudsters.
Description
eOxegen is an innovative claims management system powered by artificial intelligence, aimed at improving the efficiency of health insurance operations. By automating the claims process through a Straight Through Process (STP), it minimizes the need for manual intervention, resulting in quicker claim settlements and higher accuracy. The system features sophisticated fraud detection capabilities, leveraging AI algorithms to detect and flag potentially fraudulent activities at an early stage. Furthermore, eOxegen includes functionalities such as provider contracting and empanelment, management of pre-authorizations and adjudication, as well as comprehensive reporting through business intelligence analytics dashboards. Its AI-driven workflow automation guarantees consistent task execution, reduces repetitive activities, and boosts overall productivity. In integrating these diverse functionalities, eOxegen enables insurance providers and third-party administrators to refine their claims management processes while also lowering operational costs. Ultimately, the platform serves as a transformative tool for the health insurance industry, fostering a more efficient and reliable claims handling environment.
API Access
Has API
API Access
Has API
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
Shift Technology
Founded
2014
Country
France
Website
www.shift-technology.com/products/claims-fraud
Vendor Details
Company Name
eOxegen
Founded
2002
Country
India
Website
eoxegen.com
Product Features
Fraud Detection
Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval
Product Features
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting