ClaimVision

ClaimVision

Decision Agency OÜ
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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.

About

Automated end-to-end claims platform with AI decision models for data acquisition, policy & coverage checks, medical coding & consistency checks. Reduce leakage and improve your loss ratios with our robust & specialized AI fraud, waste, and abuse detection models for health and life. Qantev enhances the performance of health and life insurers around the globe, helping them reduce losses, optimize their processes, and increase client satisfaction. By blending artificial intelligence with medical expertise, our team of specialized data scientists and engineers has built innovative solutions that boosts the claims management process and uncover instances of fraud, waste, and abuse. Specialized and contextual AI-driven tools to capture, clean, enrich & digitize data from any type of claims document, in any language. Improve your medical provider network's performance through automated AI-driven insight, pricing gap detection, strategy recommendations, simulations, and more.

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

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

Audience

Insurers looking for a solution to reduce losses, optimize their processes, and increase client satisfaction

Support

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

Support

Phone Support 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

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

Pricing

No information available.
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 Not Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Supported
Webinars Not Supported
Live Online Supported
In Person Supported

Company Information

Decision Agency OÜ
Founded: 2025
Estonia
claimvision.ai

Company Information

Qantev
Founded: 2018
France
www.qantev.com

Alternatives

Duck Creek Claims

Duck Creek Claims

Duck Creek Technologies

Alternatives

Context 4 Health Plans Suite

Context 4 Health Plans Suite

Context4 Healthcare
Guidewire ClaimCenter

Guidewire ClaimCenter

Guidewire Software
Direct Claim Solution

Direct Claim Solution

Innovative Computer Systems

Categories

Categories

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 Supported
Guidewire ClaimCenter Supported
Sapiens ClaimsPro Supported

Integrations

Duck Creek Claims Not Supported
Guidewire ClaimCenter Not Supported
Sapiens ClaimsPro Not Supported
Claim ClaimVision and update features and information
Claim ClaimVision and update features and information
Claim Qantev and update features and information
Claim Qantev and update features and information