CLAIMExpert

CLAIMExpert

Acrometis
ClaimVision

ClaimVision

Decision Agency OÜ
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+

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About

The Acrometis flagship claims processing solution offers unparalleled workflow management, with documents automatically routed by a configurable rules engine. Based around claim assessment scoring, body part to claim compensability matching, jurisdictional directives, relatedness scoring and a host of other claim elements the Acrometis business rules are designed to reduce claim duration and costs. CLAIMExpert automatically processes 65 percent of incoming medical bills and non-medical documents with no user intervention. Documents requiring adjuster intervention are flagged and sorted for easy review and straightforward decision making. Automatically processes incoming documents with NO adjuster intervention. Clients typically see between 11 and 23 points medical loss improvement in the first year. CLAIMExpert contains rules for over 190 different document types, quickly handling whitemail and any other documents that come across your adjuster’s desk.

About

ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page: adjuster and inspection reports, repair estimates, policy forms and endorsements, photos and correspondence. It checks coverage on every claim, reconciles figures, and flags missing items and subrogation opportunities for an adjuster to examine. Claims teams can ask questions about claim data in plain English, including documents not yet processed, and view the cited evidence. Every recommendation and human override is kept in an append-only audit trail. ClaimVision works alongside Guidewire ClaimCenter, Duck Creek, Sapiens or an in-house system, which stays the system of record; the insurer keeps the final claim decision. ClaimVision runs on Microsoft Azure. It is built to SOC 2 principles and is working towards SOC 2 Type 2. It is not yet SOC 2 certified.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Companies searching for a automated Claim Handling Process solution

Audience

US property insurers and carriers, MGAs, TPAs and independent adjusting firms. Claims executives, claims managers, adjusters and IT leaders.

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Not Supported
24/7 Live Support Not Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Pricing

Pricing is based on claim volume and scope, with terms determined for each pilot.
Free Version Not Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Not Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Company Information

Acrometis
Founded: 2002
United States
www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Company Information

Decision Agency OÜ
Founded: 2025
Estonia
claimvision.ai

Alternatives

Newgen Claims Processing

Newgen Claims Processing

Newgen Software

Alternatives

Duck Creek Claims

Duck Creek Claims

Duck Creek Technologies
Claims Software

Claims Software

Claim Ruler
ClaimBook

ClaimBook

Attune Technologies
Guidewire ClaimCenter

Guidewire ClaimCenter

Guidewire Software
CyberSource Medical

CyberSource Medical

ComCom Systems
Direct Claim Solution

Direct Claim Solution

Innovative Computer Systems

Categories

Claims Processing Supported

Categories

Claims Processing Features

Adjustor Management Supported
Case Management Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Supported
Paper-Based Claims Not Supported
Payor Management Supported
Policy Administration Supported

Insurance Claims Management Features

Claims tracking Not Supported
CRM Not Supported
Customer portal Not Supported
Document management Supported
EDI data exchange integrations Not Supported
Electronic claims Not Supported
Fraud management Not Supported
Reporting Supported

Integrations

Duck Creek Claims Not Supported
Guidewire ClaimCenter Not Supported
Sapiens ClaimsPro Not Supported

Integrations

Duck Creek Claims Supported
Guidewire ClaimCenter Supported
Sapiens ClaimsPro Supported
Claim CLAIMExpert and update features and information
Claim CLAIMExpert and update features and information
Claim ClaimVision and update features and information
Claim ClaimVision and update features and information