ClaimVisionDecision Agency OÜ
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Related Products
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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.
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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.
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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
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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
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Audience
Companies wanting a solution to resolve claim fraud problems
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Audience
US property insurers and carriers, MGAs, TPAs and independent adjusting firms. Claims executives, claims managers, adjusters and IT leaders.
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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PricingPricing is based on claim volume and scope, with terms determined for each pilot.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Training
Documentation
Not Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Training
Documentation
Not Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Company InformationClaimScore
Founded: 2022
United States
www.claimscore.ai
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Company InformationDecision Agency OÜ
Founded: 2025
Estonia
claimvision.ai
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Alternatives |
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Categories |
Categories |
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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
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Integrations
Duck Creek Claims
Not Supported
Guidewire ClaimCenter
Not Supported
Sapiens ClaimsPro
Not Supported
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Integrations
Duck Creek Claims
Supported
Guidewire ClaimCenter
Supported
Sapiens ClaimsPro
Supported
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