Risk Analyst

Risk Analyst

Intellect Design Arena
Shift Payment Integrity

Shift Payment Integrity

Shift Technology
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About

View relevant data and get alerts about a company from internal and external sources including financial and operations, competitors, legal filings, industry and associations. Find relevant insurance details about individuals or businesses like workers compensation, commercial auto, commercial property, general liability and BOP, and get relevant alerts for a given location. Gather social intelligence using Big Data; get a comprehensive picture of a person’s profile and relevant alerts based on analysis of key people associated with a business and its legal filings. In 5 steps, RA empowers you with relevant data, so you can make the best decision. Reddit, Glassdoor, Yelp, Quora, Wikipedia, Facebook, LinkedIn, Angie’s List, Time Out and thousands more. Better Business Bureau, Pitney Bowes, Google Places and many more. Billing, policy, claims, data warehouse.

About

Shift’s Payment Integrity is an AI-powered solution for health plans designed to improve accuracy and reduce costs in the claims payment process. It works both pre-payment (before claims are paid) and post-payment, helping plan administrators catch issues early and recover overpayments. Key features include claims editing (with updated, dynamic rules), generative AI-assisted medical record review, anomaly & fraud/waste/abuse detection, and external data enrichment for deeper context. The system supports evolving policy and guideline changes, allowing automated policy analysis and edit logic workbench features so health plans can test concepts before deployment. It provides explainable flags/alerts (so reviewers understand why claims are flagged), tools to accelerate document review, highlighting relevant parts of records, data mining for emerging trends, and a unified case management UI for investigative workflows.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Enterprises in need of a solution to improve underwriting decisions using enhanced risk analysis

Audience

Health plan administrators and healthcare organizations in need of a tool to reduce improper payments, detect emerging fraud and billing errors, and improve claims workflows

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

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
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Intellect Design Arena
Founded: 2014
India
www.intellectdesign.com/insurance/risk-analyst-solution/

Company Information

Shift Technology
Founded: 2013
France
www.shift-technology.com/products/payment-integrity

Alternatives

Alternatives

Shift Claims

Shift Claims

Shift Technology
Alaffia

Alaffia

Alaffia Health
MarvelX AI

MarvelX AI

MarvelX.ai

Categories

Categories

Commercial Insurance Features

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Policy Management
Quote Management
Reinsurance Administration
Risk Assessment
Underwriting Management

Integrations

Facebook
Glassdoor
LinkedIn
MyRepChat
Quora
Reddit
Yelp

Integrations

Facebook
Glassdoor
LinkedIn
MyRepChat
Quora
Reddit
Yelp
Claim Risk Analyst and update features and information
Claim Risk Analyst and update features and information
Claim Shift Payment Integrity and update features and information
Claim Shift Payment Integrity and update features and information