ClaimVision

ClaimVision

Decision Agency OÜ
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About

ClaimScore is the only independent software solution dedicated to resolving the ever-expanding claim fraud problem in class action settlements. Each claim is reviewed individually using our proprietary AI, ML, & Cloud Architecture in real-time and each result is reported instantaneously in an interactive dashboard. Each claim begins with a ClaimScore of 1,000 and is reduced each time it fails a criterion. Each criterion has either a fixed weight or sliding weight depending on both the correlation to fraudulent claims and the correlation to valid claims. To maximize transparency, each claim is tagged with deduction codes associated with the criteria it fails, thus ensuring that the parties, the administrator and the court definitively know all specific reasons why each claim was rejected.

About

ClaimVision is a cloud-based AI claims intelligence platform for U.S. property insurers and third-party administrators. It reads claim-file materials—including adjuster and inspection reports, repair estimates, policy forms and endorsements, photos, and related correspondence—and turns them into structured claim data before review. The platform checks policy coverage, reconciles figures, identifies issues for an adjuster to examine, and links findings to the supporting document page or policy clause. Claims teams can ask questions about claim data in plain English and view the cited evidence. ClaimVision also records recommendations, confidence indicators, adjuster decisions, and override reasons in an audit trail. It is designed to work alongside an insurer’s existing claims system; the insurer retains the final claim decision.

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 wanting a solution to resolve claim fraud problems

Audience

Claims leaders at property and casualty insurers and TPAs

Support

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

Support

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

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

No images available

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

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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 Not 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

ClaimScore
Founded: 2022
United States
www.claimscore.ai

Company Information

Decision Agency OÜ
Founded: 2025
Estonia
claimvision.ai

Alternatives

Alternatives

No Alternatives
Claims Signal

Claims Signal

Athenium Analytics

Categories

Categories

Integrations

No info available.

Integrations

No info available.
Claim ClaimScore and update features and information
Claim ClaimScore and update features and information
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Claim ClaimVision and update features and information