Alternatives to Claims Workspace

Guidewire ClaimCenter stands out as a premier claims management platform aimed at optimizing the complete claims lifecycle for property and casualty (P&C) insurers. It encompasses a wide array of functionalities, spanning from the initial claim intake phase to final resolution, which empowers insurers to handle claims both swiftly and with precision. Among its notable features are automated workflows, integrated analytics, real-time performance tracking, and fraud detection capabilities, all of which work together to enhance operational effectiveness while boosting customer satisfaction levels. ClaimCenter caters to multiple insurance sectors, such as personal, commercial, and workers' compensation, and can be utilized independently or as a component of the Guidewire InsuranceSuite. By utilizing ClaimCenter, insurers not only expedite the claims process but also gain insights for informed decision-making and remain agile in response to shifting market conditions. Its implementation can lead to significant improvements in both efficiency and overall service delivery for insurers.

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.

Claims representatives now have the opportunity to work hand in hand with policyholders like never before. Engaging policyholders more thoroughly in the claims process not only enhances customer satisfaction but also helps in lowering the expenses associated with claims handling. Today’s policyholders anticipate a high standard of service that aligns with their schedules rather than the representatives'. When policyholders are actively involved throughout the entire claims process, their satisfaction with the experience tends to increase significantly. By utilizing ClaimXperience video collaboration, you can gain the advantage of "eyes-on-site" directly from your desk, allowing for effective triage and evaluation of damage severity. This increased precision enables more claims to be settled directly, eliminating the costs tied to on-site visits. Moreover, when an on-site assessment is truly required, you can ensure that the right expert is dispatched from the very beginning, thereby streamlining the process even further. Ultimately, this approach fosters a more efficient and customer-centric claims experience.

Duck Creek Claims offers a robust solution for managing the claims process, aimed at optimizing each stage of the lifecycle for insurance providers. It automates workflows from the first report through to the final settlement, while also simplifying data analysis via integrated analytics and ensuring compatibility with current systems. Notable features encompass advanced first notice of loss (FNOL) capabilities, automated assignments that consider adjuster expertise and current workloads, immediate access to policy and coverage information, and streamlined workflows for adjusters. This innovative platform significantly boosts operational efficiency and minimizes manual tasks, thus facilitating quicker claims resolutions and enhancing customer satisfaction, all while adhering to the latest regulatory standards. With its comprehensive tools and features, Duck Creek Claims positions insurers to effectively respond to the evolving demands of the insurance landscape.

360Globalnet's acclaimed no-code digital claims platform, 360SiteView, empowers insurers to seamlessly manage and automate the complete claims journey from the First Notice of Loss (FNOL) to the final settlement. This comprehensive digital solution enables customers to submit and track their claims through an intuitive, incident-specific template available on a website, app, or via a contact center. By leveraging video, images, and documents, the platform optimizes the claims process, which leads to reduced lifecycle times and improved customer satisfaction. A fully automated customer portal ensures that clients receive updates on their claim status without needing to remember extra logins or passwords. With nearly complete configurability, 360SiteView allows operational teams to create and implement digital workflows without requiring technical skills. It accommodates a diverse range of claim types, including but not limited to motor, property, casualty, travel, pet, warranty, commercial, engineering, aviation, and marine, making it a versatile solution for insurers. Furthermore, its user-friendly design and adaptability mean that it can evolve with the changing needs of the insurance industry.

A comprehensive mobile and AI platform designed to significantly lower the costs associated with insurance claims and to expedite the claim process from several days to mere hours. Utilizing the MotionsCloud estimation engine, the damages are assessed in real-time, ensuring swift and accurate evaluations. Evidence collected is of exceptional quality and encompasses a variety of media formats, such as text, audio, photographs, and videos. This evidence is securely stored in accordance with high security standards, effectively preventing any potential fraud. Claims specialists collaborate closely with customers through voice and video communication to facilitate the completion of the claim settlement process. By streamlining the procedure, customer satisfaction is notably enhanced. A positive claims experience not only aids in client retention but also has the potential to turn claimants into loyal customers, reinforcing the importance of efficient service in the insurance industry. Ultimately, this innovative approach ensures that clients receive timely support while maintaining the integrity of the claims process.

The process of filing claims is intricate and essential. Over 60% of individuals refrain from submitting complex claims due to the involved procedures and the time they require. Artivatic offers a specialized claims platform tailored to various insurance sectors, empowering companies to facilitate digital claims experiences, enable self-processing, automate evaluations, and implement risk and fraud intelligence alongside claims payouts. A SINGLE PLATFORM TO ADDRESS ALL YOUR CLAIMS REQUIREMENTS. Comprehensive Automation and Assessment for Claims. AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS – EVERY CLAIM MATTERS.

Introducing the revolutionary insurance claim automation system, which is enhanced by innovative blockchain technology. The claims process represents a critical juncture for insurance providers, and our solution is meticulously engineered to streamline claims for both policyholders and insurers, ensuring unparalleled precision and rapid processing—from pre-claim assessments to final payment settlements. MediConCen stands at the forefront of insurance technology, leveraging Hyperledger Fabric blockchain to transform the claims landscape for insurance firms, medical networks, and healthcare facilities. Our platform equips claims adjusters with sophisticated AI algorithms and advanced decision-making tools to swiftly identify fraudulent activities while allowing legitimate claims to be processed without delay, ensuring optimal management of claim costs and remarkable operational efficiency. Additionally, we provide insightful analytics that enhance underwriting processes and drive product innovation, empowering stakeholders with the information they need to succeed in a competitive marketplace. This comprehensive approach not only simplifies the claims experience but also fosters trust and reliability in the insurance industry.

CoreLogic revolutionizes the global property and casualty insurance sector by offering adaptable, collaborative, and secure technologies for claims estimation. We focus on delivering exceptional experiences that enhance business operations and positively impact lives. With Claims Connect™ from CoreLogic®, the claims process is streamlined for all stakeholders through a cohesive digital ecosystem. Transform your workflow to ensure that your customers’ claims are addressed with greater efficiency and precision. All relevant information is securely consolidated within a single platform, making it easily accessible to everyone involved in the claim. Say goodbye to the hassle of toggling between various software applications to modify and review claims data. You can create estimates or implement changes directly in Claims Connect, which immediately updates the information, ensuring that everyone has real-time access to the latest details. By keeping all participants in the claims process informed with timely information, you will facilitate simpler, quicker, and more effective resolutions to claims issues. This innovative approach not only improves operational efficiency but also enhances customer satisfaction throughout the claims experience.

Five Sigma embarked on a quest to empower claims organizations to embrace innovation. Their collection of claims management tools and distinctive platform equips insurers with what is necessary to adapt their claims operations to an ever-evolving environment. By offering a suite of Claims-First Cloud-Native and User-Centric products, Five Sigma enhances the capabilities of adjusters, enabling them to manage claims more effectively and swiftly. Through the automation of routine administrative tasks, adjusters can concentrate on making informed decisions while the system efficiently manages the rest. Introducing Clive™ by Five Sigma, the first AI-driven claims adjuster in the industry, is revolutionizing the claims processing landscape for insurers, MGAs, and TPAs. By harnessing cutting-edge AI and automation, Clive optimizes the entire claims lifecycle, from the First Notice of Loss (FNOL) to the final settlement. This AI agent not only boosts the efficiency of claims handling but also improves accuracy and reduces costs by automating various tasks, ultimately leading to a more streamlined and effective process for all stakeholders involved. In this way, Five Sigma is setting a new standard for the future of claims management.

Claims and Litigation Management Software for Captive or Risk Retention Group property or casualty claims. Direct Claim Solution provides a complete system that manages vendor, claims, and policy management for Self-Insured programs, Captive programs, or Risk Pool programs. This tool provides industry-specific tools for analyzing and investigating law. Modules for litigation management, subrogation, loss recovery and document management are included. The Merge feature allows for easy email or letter creation. The robust report screen allows management to query multiple conditions of claims by date ranges, state of loss and exposure type. External service providers can access the system and populate the fields as required to speed up reporting and collaborative analysis. See our website at www.directclaimsolution.com

A risk management solution for property and casualty. All-in-one benchmarking and claims management system that simplifies claims-related processes and makes adjusters' lives more simple. TerraClaim provides two tools to simplify claims-related operations. These tools are powerful enough on their own, but even more so when combined. An innovative cross-industry data analytics and claims benchmarking solution that compares your claims performance to industry peers. This helps you set better goals, manage risk reserves, and improve claim outcomes. The world's best property and casualty claims management software that streamlines your internal processes, improves productivity, drives desired results, and prevents fraud.

Our advanced technology, driven by artificial intelligence, accelerates and enhances the precision of claims decisions, allowing you to improve your customer service experience significantly. By customizing specific features and integrating various data sources, we have created a versatile solution that caters to all insurance sectors, including health, life, motor, and property insurance. Sprout.ai ensures speedy and precise claims decisions across different industries. Our system can process a wide range of claim documents, extracting pertinent information from sources such as handwritten notes from doctors, call transcripts, and prescription records. Each claim is further validated using external data points, which include treatment codes, provider network guidelines, and medication details, ensuring comprehensive accuracy by cross-referencing with policy documents. Utilizing deep learning AI algorithms, we not only predict the optimal next steps for each claim but also provide a transparent rationale behind those recommendations, enhancing trust in the claims process even further.

Sapiens ClaimsPro is an all-encompassing claims management system tailored for Property & Casualty (P&C) insurers, featuring auditable, customizable, and AI-enhanced automation applicable across various business lines. The software's intelligent, rules-based workflows expedite claims processing, thereby reducing both costs and the time to settle claims. Its user-friendly interface allows adjusters to access essential features with just a single click, significantly improving their overall experience. Additionally, a centralized repository provides a comprehensive view of claims, policies, and accounts, which enhances customer service and streamlines vendor management. ClaimsPro also empowers insurers to swiftly adapt to evolving business needs, manage intricate claims with advanced case management tools, detect and mitigate fraud, and proactively address exposure in response to catastrophic incidents, ensuring timely service delivery. Thus, this software not only optimizes operational efficiency but also strengthens the insurer's capacity to respond effectively to unprecedented challenges.

Oracle's Digital Insurance Platform equips insurance companies with the tools needed to create cutting-edge solutions and outstanding digital experiences for customers. This all-encompassing system simplifies everything from sales channels to back-office functions, allowing for quick introduction of new products and easy adaptation to changes. By leveraging real-time analytics, insurers can acquire critical insights that support better decision-making processes. The platform accommodates both individual and group life insurance, as well as annuities, by integrating underwriting, policy management, billing, and claims handling into one streamlined system. Health insurance providers experience enhancements in enrollment procedures, premium billing, and claims processing, which leads to greater member satisfaction thanks to clear and tailored services. Furthermore, the platform improves the bancassurance process by facilitating immediate connectivity between banks and insurance firms, which guarantees efficiency, uniformity, and trust. This interconnected approach fosters a more dynamic insurance environment, ultimately benefitting both providers and their clients.

ARNIE serves as an efficient motor claims management platform that simplifies the claims process by seamlessly connecting the individuals and systems involved in the background, making the entire handling procedure more straightforward. Claims handlers leverage ARNIE to access crucial information precisely when they need it, while assessors benefit from ARNIE's mobile capabilities to perform and finalize vehicle evaluations effortlessly on the go. Additionally, repairers utilize ARNIE to collaborate effectively with insurers, ensuring that tasks are completed efficiently. We are thrilled to be developing straightforward AI and machine learning solutions, along with providing the necessary support for their integration into your business and technological frameworks. Our conviction lies in the idea that minor enhancements made consistently over time can revolutionize the motor claims industry, and we are equally inspired by the notion that ambitious visions can be realized sooner than anticipated. In this evolving landscape, we are committed to being at the forefront of these transformative changes.

ClickClaims is ideal for small to medium-sized property and casualty insurers, independent claims adjusters firms, and third-party administrators who require advanced technologies to drive a competitive market. ClickClaims SaaS model is fast and cost-effective. It offers a scalable, flexible, secure, and performance that legacy systems simply cannot match. Your investment will appreciate over time because it is built to adapt to new technologies.

Crunchwork is designed for insurers that want to gain an edge in the market with a customer-centric, fast claims process. Crunchwork, a cloud-based software for insurance claim management, has everything your supply chain needs to triage, complete, and process claims. In one platform. This is the easiest way to transform all aspects of your claim lifecycle. Crunchwork, unlike other platforms for managing claims, is flexible and powerful enough to run your entire business the way you prefer.

ClaimLogik ensures seamless connectivity among all parties involved in a property claim, facilitating the process from the initial report of loss to final resolution. This comprehensive property assessment and repair network links everyone engaged in your claim from beginning to end. The platform emphasizes stakeholder management by providing each participant with real-time access to perform tasks and oversee activities in an organized, timely manner while maintaining full transparency. Every stakeholder benefits from tailored workflow modules designed to help them monitor, manage, and complete their responsibilities throughout the claims process. By keeping all parties connected on a single claim, ClaimLogik guarantees complete visibility into the status of the claim for everyone involved. With a clear overview of all actions taken during the entire claim journey, the platform promotes accountability and efficiency. It also features digital contracts between insurers and their supply chains, along with service level agreements that ensure all suppliers and trades meet key performance indicators, thus allowing for effective measurement and comparison of supplier performance. Additionally, automated exception management is in place to address any tasks that fall outside the established service level agreements, ensuring a smooth claims process overall. This holistic approach enables improved collaboration and reduces delays in claim processing, ultimately benefiting all stakeholders.

Claims Signal™ represents a revolutionary open claims quality solution developed by Aon and Athenium Analytics, designed to help insurers detect high-risk claims at an earlier stage. By improving the experience for policyholders, this platform can lead to a significant enhancement in claims indemnity and expenses, estimated between 4% to 6%. In today's fast-paced insurance environment, claims teams face mounting pressure to elevate customer satisfaction, streamline operations, and minimize financial leakage. While routine quality audits can effectively highlight root causes and deviations from optimal practices, the feedback from these audits may not be accessible for weeks or even months post-claim closure. Imagine having the ability to continuously monitor open claims and resolve quality concerns before they negatively impact results. The Claims Signal platform leverages advanced artificial intelligence to scrutinize open claims, identify potential problems, and send immediate alerts, empowering front-line managers to take action before a claim reaches conclusion. With the integration of predictive analytics and timely alerts, insurers can achieve a reduction in claims leakage of up to 4%, ultimately transforming the claims management process. This proactive approach not only enhances operational efficiency but also fosters a culture of continuous improvement within claims teams.

An integrated solution that offers a comprehensive perspective on the property and casualty insurance lifecycle. Enhance efficiency and save valuable time with an advanced, rules-driven, multi-state underwriting module that automates the gathering of necessary information as well as the generation of quotes, endorsements, cancellations, audits, and renewals. Improve combined ratios by adopting a contemporary and efficient approach to the claims adjudication process, fostering both ease of use and collaboration. Boost new business opportunities by facilitating seamless information exchange with brokers, ensuring that data intake is streamlined and standardized while granting brokers round-the-clock access to essential information. Maintain control over what submissions your underwriters prioritize. Elevate customer satisfaction and retention rates by offering policyholders self-service capabilities for accessing policy details, submitting and reviewing claims, making online payments, and more. Ultimately, you have the flexibility to determine which portal features will deliver the optimal user experience for your clients, ensuring they receive the support they need.

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.

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.

FileHandler Enterprise helps TPAs, insurance carriers, public entities and self-insured organizations automate processes and improve efficiency. Our software keeps you on track with automation and customization, creating a standard claims management process for your business. From implementation to continuous, dedicated support through our Quality Assurance and Implementation Team Members, our goal is to deliver our client partners an effective business management tool, empowering them to automate workflows and increase productivity throughout their business cycle. FileHandler Enterprise allows businesses to facilitate integration with several third-party applications. We ensure that our software works well with preexisting systems in an essential part of our goal at JW Software; helping create customized third-party integrations for your preexisting ISOs, state systems, insurance systems, and much more. FileHandler Enterprise™ software will help you manage and close claims quickly, process payments to parties or vendors, and provide advanced reporting necessary to manage your business.

Reduce expenses by managing claims with unmatched precision and effectiveness. Ventiv stands out as a top contender in the realms of risk management, insurance claims, and advanced analytics, serving over 500 clients worldwide and still growing. We support some of the largest brands globally with our leading-edge risk analytics solutions, ensuring they have the tools necessary to navigate complexities with confidence.

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

Enhance your operational effectiveness and automate processes confidently by integrating timely and dependable insights into your claims management system. Utilize Claims Compass, a versatile platform that connects multiple solutions seamlessly, to incorporate these crucial insights directly into your system. By leveraging this platform, you can accelerate cycle times and refine the claims handling workflow, all while minimizing costs through access to comprehensive data and analytics. Streamlining your workflows allows for the application of advanced analytics, providing valuable intelligence that fosters improved decision-making throughout the claims process. Additionally, bolster your fraud prevention efforts by utilizing predictive analytics, sophisticated investigation techniques, and effective medical provider management tools. Ultimately, ensure a quicker restoration of your customers’ satisfaction by harnessing a claims management system that offers unmatched processing capabilities. This comprehensive approach not only benefits your organization but also enhances the overall experience for your clients.

ScoutWorks stands as an innovative service platform designed to allow users to effortlessly access, manage, and monitor a diverse range of solutions, from field inspections to AI-enhanced claims processing. This versatile platform boasts more than 30 distinct service types, including field inspections and appraisals for various sectors such as automotive, heavy machinery, specialty services, and real estate. In addition, it offers features like photo inspections through applications like Scout and Scout Snap, as well as virtual inspections and appraisals, underwriter assessments, and on-demand desk adjusters for various tasks, including desk evaluations, subrogation assessments, and claim analysis. By combining cutting-edge technology with a nationwide network of professionals, ScoutWorks delivers its comprehensive services throughout all 50 states and Canada. With a rich history of over two decades in operations, the platform prioritizes transparency, accountability, and consistency in both claim management and its outsourcing solutions, ensuring a reliable experience for all users. Ultimately, ScoutWorks stands out as a multifaceted tool for organizations seeking to streamline their operational processes in a rapidly changing environment.

The vendor presents A1 Tracker as a robust and configurable risk management system that can be used standalone or in conjunction with other business segments within an organization. Risk Management & Threat Assessment: Register of risks to track risks at all levels within an organization. This includes entity, project, asset and contract, vendor, divisions, business units, regions, and more. Real-time risk reports and heat maps, dashboard metrics alerts & notifications. Contract Management Contract module to track all types of contracts with customers, vendors, employees, and customers. Claims & Incident Management Reporting on claims and incidents for any type of claim: injury, medical, customer, insurance or asset, liability, work comp, liability, etc. Certificates & Policies in Insurance: Policies & certificates for insurance tracking with reminders and renewals. For agencies & carriers policy management includes tracking clients.

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.

AI Insurance is a cutting-edge, cloud-based platform that leverages artificial intelligence to enhance and automate insurance management workflows for program managers, captives, third-party administrators, and risk retention groups. By integrating multiple functionalities into a unified interface, the platform facilitates claims management, financial tracking, digital portals, application processes, premium billing, policy issuance and signatures, rating engines, and data management. Among its standout features is AI-driven automation for tasks like invoice auditing, where defense counsel invoices are meticulously analyzed against established guidelines to thwart unauthorized legal fees, as well as application parsing that efficiently gathers data from received applications to fill out forms automatically. Furthermore, the platform boasts indemnity prediction capabilities, asserting a 25% increase in accuracy compared to traditional adjusters after one year of use, which aids in generating cost predictions and actionable recommendations for claims. This innovative solution not only enhances operational efficiency but also empowers users with valuable insights to improve decision-making in the insurance field.

Veritable enhances the process of verifying patient insurance eligibility and checking claims status by delivering immediate results through a user-friendly interface. It facilitates real-time and batch processing of patient lists, allowing eligibility verification with over 1,000 payers, including national Medicare and state Medicaid, across various service categories. Furthermore, it provides the capability to monitor claims status from the point of submission to reimbursement, enabling practices and billing firms to swiftly pinpoint issues that could lead to payment delays or denials. Notable advantages include the automation of eligibility and claims processes, which minimizes the need for manual data entry and reduces phone inquiries, thereby enhancing the patient experience at the front desk by confirming coverage and copay amounts during check-in. Additionally, it ensures a smooth integration experience for users of all technical skill levels while maintaining robust data security protocols. Another valuable feature is the “Code Explorer,” which allows for quick reference to ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes, making it easier for users to navigate coding requirements efficiently. Overall, Veritable streamlines administrative tasks within healthcare practices, ultimately leading to improved operational efficiency and patient satisfaction.

Our artificial intelligence technology evaluates damage and calculates repair expenses instantly, facilitating quicker claim resolutions and aiding in the recovery of individuals' lives. By rapidly assessing vehicle damage and streamlining claims processes, our AI enhances efficiency in real-time today. When natural disasters like floods, wildfires, and hurricanes occur, our AI ensures that insurance providers can respond with speed and effectiveness. Mimicking human interpretation of images, our AI operates on a large scale to assess damages accurately. This innovation allows the entire auto repair network, encompassing insurers and body shops, to address accidents at a speed that is up to ten times faster. With our AI Review and AI Estimating tools, stakeholders can refine their claims processes and generate immediate, comprehensive vehicle damage assessments. Furthermore, we engage in significant applied research, converting groundbreaking advances in deep supervised and semi-supervised learning into practical solutions that enable quicker recovery from accidents and calamities, ultimately improving resilience in the face of adversity. Our commitment to innovation not only enhances operational efficiencies but also contributes to a more responsive support system for those in need.

Dragonfile – The Smarter Way to Manage Claims Dragonfile is an intuitive, powerful claims management tool designed specifically for adjusters. Dragonfile, built by industry experts, streamlines workflows, automates update, and organizes documents, helping adjusters save time and reduce stress. Centralized File Management: All claim documents are stored in one place. Automated Reminders and Notifications: Never miss another deadline. Seamless Accessibility: Work from your desktop, tablet or mobile device, wherever you are. Zero to minimal training required - Simple and user-friendly interface designed for adjusters. Customizable Workflows: Adapt your workflow to your needs and work smarter. Dragonfile is a powerful tool that can help you manage P&C and Flood claims. It eliminates manual work and increases productivity.

Openkoda is a specialized application development platform tailored specifically for the insurance industry. It enables carriers, insurtech companies, managing general agents (MGAs), startups, and service providers to efficiently create comprehensive web applications, APIs, and internal tools much quicker than traditional development methods allow, while also ensuring that teams maintain complete control over their source code. Built on an open-source framework, the platform eliminates the risk of vendor lock-in. With a modular architecture and pre-existing templates, Openkoda speeds up essential insurance processes such as policy issuance, claims handling, endorsements, and renewals, all within containerized environments that can scale horizontally and do not impose per-user fees. Additionally, Openkoda comes equipped with industry-specific accelerators, including an AI-capable policy administration core, claims management workbenches, embedded insurance checkout components, and dashboards for underwriters that can access external risk information or activate machine learning models. This robust functionality positions Openkoda as a powerful asset for any organization looking to innovate within the insurance landscape.

FileTrac is the #1 claims management software in the industry. FileTrac Evolve builds on this reputation. This enhanced version is an integral part of the Evolve Suite - a comprehensive platform that revolutionizes your claims management process. FileTrac Evolve, a leading web based claims management system, is designed for independent adjusters and third-party administrators. It also works with managing general agents and insurance companies. FileTrac Evolve comes with a diary system that includes reminders. It also integrates with Quickbooks and Outlook, Xactanalysis and Symbility. Other key features include time tracking, expense tracking, invoices, adjuster timesheets and image and video uploads. Accounting reports, quick notes and more are also included.

Klear.ai stands out as a cutting-edge software solution tailored for claims and risk management, leveraging the power of native artificial intelligence. This all-encompassing platform integrates various aspects such as risk management, claims administration, analytics, auditing, and policy management, with the goal of optimizing operations and bolstering decision-making capabilities. Through its AI-driven predictive analytics, Klear.ai empowers organizations to foresee potential challenges, uncover hidden risks, and receive actionable recommendations, leading to more informed decisions and favorable results. The user-friendly interface and adaptable features of Klear.ai ensure that it can be customized to meet the specific needs of different businesses, creating a seamless user experience. By employing sophisticated machine learning algorithms, the software automates various workflows, minimizes manual tasks, and continuously enhances its processes by learning from new information. Furthermore, Klear.ai includes powerful fraud detection tools that significantly aid organizations in reducing unnecessary financial losses, strengthening their overall risk management strategies. Ultimately, Klear.ai positions itself as an indispensable tool for businesses seeking to enhance their operational efficiency and risk management prowess.

Shift Claims is an AI-driven platform built to modernize claims handling with precision, speed, and flexibility. Its Agentic AI model combines automation with generative AI, enabling insurers to process even highly complex claims without losing human oversight. AI Agents are designed with claims expertise, assessing everything from coverage and liability to fraud and personal injury in real time. By working alongside human teams, they not only accelerate processing but also enhance decision-making accuracy. The platform integrates seamlessly with core systems, removing friction and enabling straight-through processing where possible. Insurers benefit from faster triage, smarter advice, and automated handling of repetitive tasks, allowing staff to focus on customer care. Early adopters report significant gains in accuracy, efficiency, and policyholder experience. Shift Claims proves that AI can elevate the claims process while keeping insurers fully in control.

Claims Manager is a complete, integrated RIMS system that streamlines your process from FNOL through settlement. Unique, configurable business rules engine automates workflow. It reduces duplicate and manual work, saves time, improves outcomes, and increases the value for all parties. Claims Manager's integrated solutions simplify workflow by allowing you to manage, adjust, and report on your property and casualty insurance claims. Claims Manager is an easy-to-use Risk Management Information System that provides tomorrow's solutions. Its intuitive interface seamlessly integrates into an automated workflow that can be accessed from any device, anytime, anywhere. It allows you to easily capture, benchmark and administer claims for all lines property and casualty insurance.

RiskVille empowers businesses to streamline essential tasks in policy, claims, and risk management, allowing for efficient handling of daily operations such as customer interactions, claims processing, and risk assessments all within a single platform. This cloud-based solution caters to various types of insurance companies, recognizing the significance of having a comprehensive view of business performance while executing daily tasks with precision. By automating repetitive tasks, RiskVille frees up your staff from mundane duties, enabling them to focus on more valuable activities. With a commitment to compliance, we ensure that your audit processes are smooth and straightforward, allowing you to approach audits with confidence and assurance. Our platform is fully compliant with GDPR regulations and is hosted on the trusted Microsoft Azure infrastructure, guaranteeing the safety and security of your sensitive data. Additionally, RiskVille enhances client satisfaction by offering straightforward online access to policies and claims, along with friendly reminders for renewals, ensuring that you not only meet but exceed client expectations in service delivery. Ultimately, RiskVille is designed to make insurance operations more efficient and effective, creating a seamless experience for both businesses and their clients.

Find out why insurance adjusters and contractors choose our easy-to-use Estimating Software to Process Claims and Property Repair. Create estimates, sketches, digital pictures, reports, and other insurance forms, with minimal training. Never pay again for technical support calls. Our knowledgeable and friendly support representatives are available to help you. Simsol offers the most competitive rates, especially if you sign up for an entire year. ClaimsWire, a web-based software solution designed for insurance companies, allows for electronic assignment, tracking and exchange of data related to property claims. It integrates seamlessly into Simsol and supports all platforms for property estimation. It has powerful management and review features, built-in accounts, and more.

NSURE breaks new ground as the first AI-powered insurance management system tackling all aspects of core operations. From handling policy administration and claims to automating tasks, it empowers both Life and Non-Life insurers. This web-based system seamlessly integrates everything, allowing customers and agents to create policies online. By harnessing the power of digital solutions and automation, NSURE boosts business performance, efficiency, and overall productivity

Damco's InsureEdge Insurance Software is an all-in one software designed to help insurance companies gain maximum value from its extensive modules. This highly configurable and customizable software features the best insurance processing functions in the industry. InsureEdge is suitable for multiple insurance lines and can efficiently and effectively manage and streamline workflows to increase profitability, performance, and accuracy. It supports a variety daily operations via back office automation and other modules such as customer relationship management, policy administration and claims processing. InsureEdge, an insurance software that is flexible and scalable, is the key to future-proofing your business.

Imagine happy, efficient claim handlers, fast, accurate claims resolution, and 5-star rating from policyholders. Our platform is flexible and future-ready, enabling your employees to perform like rockstars and equipping your company with scalable, intuitive processes that will fuel profitable growth. Our clients can reduce the cost of claims by up to 30% by automating and simplifying the process. VCA Software is a highly scalable and integrated platform. VCA Software is a favorite among TPAs as well as adjusting firms due to its robust features at a moderate price point.

Our data prediction system is powered by a sophisticated artificial intelligence framework that utilizes exclusive algorithms and machine learning techniques to detect and forecast potential risks associated with significant losses, extensive litigation, and other financial burdens. By harnessing machine learning alongside statistical modeling approaches, we analyze client data and complement it with external sources to enable the AI to accurately assess risk. Our comprehensive product offerings can function independently or be seamlessly integrated into existing business intelligence platforms like Board, Tableau, or Microsoft BI. Whether it's managing worker’s compensation claims or processing general liability issues, our solutions can align with your insurance provider, third-party administrator, or your internal systems if you are self-insured. By utilizing our services, you can mitigate your risk through precise and thorough defense documentation, diminished settlement expenses, expedited resolutions, and proactive measures aimed at risk reduction. We also offer tools for predicting costs associated with general liability or worker’s compensation claims, facilitating swift settlements and providing more precise premium calculations, ultimately enhancing your operational efficiency in risk management. Our commitment is to deliver innovative solutions that not only meet but exceed your risk management needs.