Alternatives to Shift Claims

Compare Shift Claims alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Shift Claims in 2026. Compare features, ratings, user reviews, pricing, and more from Shift Claims competitors and alternatives in order to make an informed decision for your business.

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    Parascript

    Parascript

    Parascript

    Ensure faster, more accurate mortgage and loan document processing automation with Parascript software; automate insurance document-based tasks for the intake and review of healthcare insurance data. Optimize health plan process efficiencies, increase data accuracy and reduce costs through document processing automation. Parascript software, driven by data science and powered by machine learning, configures and optimizes itself to automate simple and complex document-oriented tasks such as document classification, document separation, and data entry for payments, lending, and AP/AR processes. Every year, over 100 billion documents involved in banking, government, and insurance are processed by Parascript software.
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    Guidewire ClaimCenter

    Guidewire ClaimCenter

    Guidewire Software

    Guidewire ClaimCenter is a leading claims management system designed to streamline the entire claims lifecycle for property and casualty (P&C) insurers. It offers comprehensive functionality from initial claim intake to resolution, enabling insurers to process claims efficiently and accurately. Key features include automated workflows, embedded analytics, integrated fraud detection, and real-time performance monitoring, all of which enhance operational efficiency and improve customer satisfaction. ClaimCenter supports various lines of insurance, including personal, commercial, and workers' compensation, and can be deployed as a standalone solution or as part of the Guidewire InsuranceSuite. By leveraging ClaimCenter, insurers can accelerate claims processing, make data-driven decisions, and adapt to evolving market demands.
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    Duck Creek Claims

    Duck Creek Claims

    Duck Creek Technologies

    Duck Creek Claims is a comprehensive claims management solution designed to streamline the entire claims lifecycle for insurers. From the initial report to final settlement, it automates workflows, simplifies data analysis through integrated analytics, and ensures seamless integration with existing systems. Key features include dynamic first notice of loss (FNOL) capabilities, automated assignment based on adjuster skills and workload, instant access to policy and coverage data, and efficient adjuster workflows. By enhancing operational efficiency and reducing manual workloads, Duck Creek Claims enables faster claims resolution, improved customer satisfaction, and compliance with the latest regulations.
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    ALFRED Claims Automation
    Filing claims are complex and critical processes. More than 60% of people do not file complex due to its complex processes and time taking nature. Artivatic’s dedicated claims platform for each insurance vertical helps insurance businesses to enable digital claims journeys, self-claims processing, automated assessment, risk & fraud intelligence and claims payout. ONE PLATFORM FOR ALL YOUR CLAIMS NEEDS. End to End Claims Automation and Assessment Platform AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS
    Starting Price: $10/claims/month
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    Curacel

    Curacel

    Curacel

    Curacel’s AI powered platform enables insurers track fraud and automate claims seamlessly. Collect your claims from your Providers in real-time and easily auto-vet the claims. Curacel Detection helps you detect and curb fraud, waste and abuse in the Claims Process. Collect claims from their providers and prevent fraud, waste and abuse in the claims process. We studied the Health Insurance industry to understand where the most value is lost by Insurers. This was identified to be the Claims Process. The Process is mostly manual and is fraught with a lot of fraud, waste and abuse. Our solution, driven by AI, helps to curb wastage and make the Insurer more efficient, thereby making them unlock hidden value. ravel insurance is peculiar in that it is built on on-demand policies that cover relatively short periods of time. Should a policy holder want to make a Claim, both the insurer and the insured want claim settlement to be as efficient and accurate as possible.
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    MarvelX AI

    MarvelX AI

    MarvelX.ai

    MarvelX builds agentic AI for financial services and highly regulated industries, starting with AI claims agents for insurance. The platform handles autonomous claims processing at high volume, from first notice of loss (FNOL) through policy validation, adjudication, and settlement, so insurers cut claims handling time from days to under an hour. Built for P&C, motor, travel, health, life, and embedded insurers, plus MGAs and TPAs, MarvelX validates policy details, checks document completeness, and routes edge cases to human reviewers, keeping a human in the loop with audit-ready output. It also offers AI document data extraction for insurance: structured fields from documents, each with a source reference. Beyond insurance, MarvelX is extending the same agent architecture to other regulated workflows, such as KYC/KYB verification for notarial services. MarvelX connects to the systems teams already run, including HubSpot and Dutch registries (KVK, RDW, SchadeGarant).
    Starting Price: Price on request
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    CoreLogic Claims Connect

    CoreLogic Claims Connect

    CoreLogic Australia

    CoreLogic’s Claims Connect is a powerful solution designed for the insurance industry to streamline and manage claims processes efficiently. The platform allows insurance companies to quickly assess property damage, automate claims handling, and access real-time property data, helping to accelerate claims resolution. By integrating advanced property data analytics, Claims Connect helps insurers improve decision-making, reduce processing times, and enhance customer satisfaction. With features such as automated workflows, reporting tools, and access to accurate property information, this platform optimizes the claims lifecycle from start to finish.
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    Reserv

    Reserv

    Reserv

    Reserv is an AI-driven insurance claims platform designed to improve how claims are processed and managed. It combines technology and expertise to deliver efficient claims handling across the property and casualty insurance sector. The platform offers analytics and reporting tools that provide actionable insights for claims and underwriting teams. Reserv uses an AI-powered engine to automate routine tasks while enabling adjusters to focus on complex cases. It supports global operations with teams across North America, the United Kingdom, and the European Union. The system is built with modern infrastructure, allowing easy integration with partners and rapid deployment of solutions. Reserv also emphasizes structured data capture to improve decision-making and operational visibility. By combining technology and human expertise, it helps organizations achieve better claims outcomes.
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    EvolutionIQ

    EvolutionIQ

    EvolutionIQ

    Our solutions drive lower loss costs, lower expenses, and higher customer satisfaction, and are proven at tier 1 carriers. EvolutionIQ enables the future of claim handling for complex lines of coverage, a deep partnership between skilled professional adjusters, and a highly specialized predictive guidance system. Equipped with clear prioritization, pro-active claim alerts, and rich context, empowered adjusters reduce losses and expenses while delivering an enhanced claimant experience. Reduce unwanted variability in the claims pipeline with a consistent, scalable claim guidance system. With the more efficient allocation of adjuster resources & fewer wasted claim reviews. With targeted claim investigations, litigation avoidance, and timely claim settlement. Our claims AI acquires and harnesses data to deliver the tactical guidance your team needs. EvolutionIQ combines structured and unstructured carrier data with our proprietary third-party data.
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    Beagle Labs

    Beagle Labs

    Beagle Labs

    Streamlining the claims process from end to end. Technology-driven, people-centric, and built on integrity. A robust claims service interaction platform for insurance carriers, MGAs, captives, and self-insured entities. Deployments, claims organization, and advanced file management at your fingertips. At Beagle, we understand the unique challenges faced by insurance service providers and independent adjusters when it comes to claims handling. Our core software functionality is designed to streamline the process, reduce costs, and provide rapid responses to your claims. Our technology brings efficiency and expertise to every step of the adjustment process. Express claims and inspection responses that reduce liability and drive efficiency. New policy inspections, policy renewals, and daily losses. Beagle was developed to handle the processes required on a daily basis. Streamlined claims handling by leveraging the latest technologies that enable a more efficient resolution.
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    ClaimsXPress
    In insurance, no interaction has a greater long-term business impact than a claim. It’s the moment of truth for insurers and policyholders. ClaimsXPress maximizes insurers’ opportunities to deliver distinctive experiences that drive positive results. Claims service is a major differentiator for insurers, no matter the market. ClaimsXPress helps insurers enhance the claims experience, earn customers’ loyalty and drive more business from distribution channel partners. Nimble companies know they can grow faster with efficient processes and systems that are able to scale. ClaimsXPress is designed with insurers’ growth in mind. Speed is valuable, in claims response and access to data. ClaimsXPress is a top performer in both areas, enabling users to accelerate their objectives.
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    MediConCen

    MediConCen

    MediConCen

    The ultimate insurance claim automation solution powered by patented blockchain technology. Claims are the moment of truth for all insurance, and with our solutions, everything has been craftily designed to automate insurance claims for insured and insurers with unbeatable accuracy and speed, from claim estimation before a claim occurs, to making the right claim decision and settling the payments. MediConCen is a leading insurance technology that automates insurance claims and makes insurance usable for insurance companies, medical networks, and clinics using Hyperledger Fabric blockchain. We empower claim assessors with powerful AI models and expert knowledge decision rule engines so that fraud and abuse can be spotted instantly and clean cases can be approved right away for consistently perfect claim cost management and unbeatable efficiency. Be in the know with powerful claim analytics that simply work for underwriting and product development.
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    Shift Subrogation

    Shift Subrogation

    Shift Technology

    Shift Subrogation is an AI-powered SaaS product that automatically identifies, scores, and surfaces subrogation recovery opportunities for insurance companies, especially in the Property & Casualty (P&C) domain. Using a combination of structured data (policy, claim, exposures) and unstructured text (loss descriptions, adjuster notes), generative AI and other models assess liability, apply relevant state/negligence law, compare exposures, take into account statute of limitations and jurisdiction rules, and reference external data sources (e.g., product recalls). It generates alerts with a score and rationale for each recovery opportunity, so handlers know not just which cases to pursue but why. The system supports continuous monitoring of claims as they evolve (for example, recognizing new information added later) and updates alerts if the recoverability changes.
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    InsurSuite

    InsurSuite

    Nuvento

    Digital technology has changed expectations around how solutions are delivered. Everybody wants quick-to-access, fast and intuitive digital experiences that let them get the job done faster and the same goes for insurance customers. Insurers need to leverage technological solutions that increase the pace of their innovation, helping them deliver truly digital insurance software solutions to their stakeholders as well as their customers. They need to cater to the evolving need of customers with personalized and real-time experiences on the platforms they use. Enable your policyholders to report an insurable event by making simple conversations with an AI-powered chatbot. The FNOL chatbot is your customers’ digital insurance software solution assisting claims that allows them to report a loss and see it through to a claim in a digitalized mode. Its NLP and ML capabilities grasp the user’s intent quickly.
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    omni:us

    omni:us

    omni:us

    Seamless integration into existing claims systems. Automate processes and reduce costs. No longer is it a choice between saving costs and improving the customer experience. Better decisions with data-driven insights. Automate manual processes. Empower your claims personnel. Invest in your customers’ happiness. Seamlessly integrate incoming claims with your insurance core system. Tackle process inefficiencies with claim automation and watch your customer satisfaction skyrocket. Reduced manual claims incidence of low to moderate complexity by automating claims handling. Improved triaging and manual claims assignment increased case team effectiveness drastically. Decreased process time for remaining manual claims. Allowed a real-time claims settlement in significant amount of cases. Automated digital claims journey by applying FNOL-completeness check, coverage check, automated claims file creation.
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    TrackAbility

    TrackAbility

    Recordables

    Liability claims management software solutions from Recordables. Software solutions to improve claims management including General Liability, Auto, Property, Incidents, and more. Recordables Liability insurance tracking software organizes incidents and claims that include auto, property, and general liability policies. Tracking all liability and risk incidents and claims, TrackAbility provides comprehensive liability claims tracking software solutions Benefits of TrackAbility liability claims management include start to finish injury liability claims management from incident through completion. Create customizable liability claim types with user-selectable criteria. Safety professionals and field users can collaborate on claims and reports, continuing to add pictures and videos for incidents or claims. Receive a holistic view of financial data necessary for claims management, such as payments and losses based upon individuals, locations, policy specifications, and other data.
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    Tractable

    Tractable

    Tractable

    Our AI assesses damage and estimates repair costs in real time. So claims can be settled faster, and livelihoods restored. Our AI assesses car damage and expedites claims and settlements today, in real time. When floods, fires and hurricanes hit, our AI will help insurers respond more efficiently and quickly. Our AI learns to interpret what’s in an image, just like a human - but at scale. With our AI, the auto repair ecosystem - from insurers to bodyshops - can respond to accidents up to 10 times faster. Our AI Review and AI Estimating products help them improve their claims processes and produce live, end-to-end estimates of vehicle damage. We carry out meaningful applied research: transforming breakthrough discoveries in deep supervised and semi-supervised learning into products that help people recover from accidents and disasters more quickly.
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    Claims Software

    Claims Software

    Claim Ruler

    A new and smarter way to process and settle claims. Modern, end-to-end solutions to settle claims for all lines of property, liability, and workers’ compensation insurance. ClaimRuler™ is a cloud-based claims management system designed specifically for I/A firms and Third-Party Administrators, CAT Adjusters, Insurance Carriers, Self-Insureds, and Municipalities. The platform supports end-to-end claims processing with built-in guided workflows, robust reporting capabilities, and a fully automated diary system to streamline the settlement of claims. ClaimRuler™ was purposefully built to service the needs of real people in the industry. Its functional and intuitive approach to design makes working with forms, lists, documents, and photos a simpler and more natural experience. From I/A firms, TPAs, and insurance carriers to municipalities and self-insured corporations, ClaimRuler™ adapts and scales along with your organization.
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    Total Loss Pro
    The frequency of total loss claims continues to rise, now accounting for some 20 percent of collision and liability losses across the auto insurance industry. Yet, far too often, carriers’ total loss operations lack cohesive integrated digital workflows, leading to excessive costs, customer dissatisfaction, and poor visibility and oversight. Enter Total Loss ProTM from Vemark. It’s the one solution you need to transform total loss claims processing from a frustrating black hole to a well-oiled machine while allowing you to keep up with the rapid pace of change. Faster settlement for Improved policyholder experience and satisfaction. Higher employee morale from reduced frustration, and fewer tedious processes. Increased visibility and transparency for data-driven decision-making. Auto claims that result in a total loss are more complex than vehicle repair claims. Total Loss Pro is a cloud-based solution that improves all stages of this complex salvage vehicle workflow.
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    Assurance Reimbursement Management
    An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims.
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    Five Sigma

    Five Sigma

    Five Sigma

    Five Sigma set out on a mission to allow claims organizations to innovate. With the set of claims management tools and unique platform, Five Sigma's suite is what Insurers need to bring their claims operation to the rapidly changing world. With our suite of Claims-First Cloud-Native and User-Centric products, we enable adjusters to handle claims better and faster. With Automating administrative tasks, Adjusters can focus on making the right decisions, while the system takes care of everything else. Clive™ by Five Sigma is the industry's first AI-powered claims adjuster, transforming how claims are processed by insurers, MGAs, and TPAs. Leveraging advanced AI and automation, Clive streamlines the entire claims lifecycle, from FNOL (First Notice of Loss) through to settlement. The AI agent enhances claims handling efficiency, accuracy, and cost reduction by automating tasks.
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    Mobotory

    Mobotory

    Mobotory

    Our data predictor has a dynamic artificial intelligence core with proprietary algorithms and machine learning applications to identify and predict problematic risk for potentially high loss, excessive litigation, and other costs. We apply machine learning and statistical modeling methods to client data, then integrate it with external data sources for the AI to learn and id risk accurately. Our suite of products can be used end-to-end or incorporated into your current BI systems such as Board, Tableau, or MS BI. From worker’s compensation intake to processing general liability claims, we have a solution that integrates with your insurance company, TPA, or your own system if self-insured. Lower your risk with complete and accurate defense files, reduced settlement costs, faster resolution, and proactive risk reduction. We have general liability or worker’s comp claim cost prediction, rapid settlements, and more accurate premium settings.
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    Claims Signal

    Claims Signal

    Athenium Analytics

    Claims Signal™ is the next-generation open claims quality platform from Aon & Athenium Analytics that enables insurers to identify high-risk claims sooner. Enhance the policyholder experience while achieving a 4-6% improvement in claims indemnity and expenses. Today’s claims teams are under increasing pressure to improve the customer experience, operate more efficiently and mitigate leakage. Routine quality audits are effective at identifying root causes and deviations from best practices, but audit results may not be available for weeks or even months after claims are closed. What if you could monitor open claim files and address quality issues before they affect outcomes? The Claims Signal platform from Aon & Athenium Analytics uses artificial intelligence to analyze open claims, spot potential issues and push instant alerts so your front-line managers can intervene before a claim is closed. Reduce claims leakage by up to 4% with predictive analytics and proactive alerts.
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    Insuresoft Diamond
    Insuresoft's Diamond is an all-in-one enterprise solution designed for both personal and commercial lines, combining core policy processing, billing, claims, digital engagement, and intelligent data to advance each insurer’s mission. The platform offers real-time, cloud-based rating and underwriting specifically designed for personal and commercial lines of business, seamlessly extending to brokers, agents, consumers, and policyholders. Diamond Billing provides reliability and flexibility, improving operational efficiency and customer satisfaction by eliminating billing errors. The claims administration module empowers professionals to handle claims quickly and efficiently, with integrated coverage verification and third-party integration functionality. The platform includes pre-configured web portal access for agents and policyholders, allowing insurers to decide the extent of information and functionality to extend to users.
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    A1 Tracker

    A1 Tracker

    A1 Enterprise

    A1 Tracker is presented by the vendor as a robust & configurable risk management software offering either stand-alone or fully-integrated risk management software covering many business segments across an organization. Claims & Incident Management Claims & incident reporting for claims of any type: injuries, medical, commercial, customer, insurance, work comp, asset, auto, liability. Risk Management & Threat Assessment: Risk register for tracking risks at any level in an organization, including by entity, project, asset, contract, vendor, division, business, unit, region, and more. Real-time risk reports & heat maps, dashboard metrics, alerts, & notifications. Contract Management: Contract module for tracking contracts of any type with vendors, employees, customers, and any other parties. Insurance Policies & Certificates: Policies & certificates of insurance tracking with reminders & renewals. For agencies & carriers policy management includes tracking clients.
    Starting Price: $800/month
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    ALYCE Claims Management
    ALYCE is specifically designed for self-insureds, municipalities and small TPAs handling Workers’ Compensation, Auto Liability, Auto Property, General Liability, and Property claims. ALYCE has an intuitive design with important data elements on the main claim page, including the claim’s financial summary, with all of the other important details available with a quick scroll or a single click. Multi-tiered infrastructure for employer reporting requirements, based on locations and departments. Recoveries, including salvage, subrogation, and excess carrier payments. Automated scheduled and repeating payments with diary alerts. Automatic diaries based on events, time lines, and financial transactions. Automatic generation of form letters to claimants, lawyers, and other claim parties.
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    ClaimXperience
    Now claims representatives can truly collaborate with policyholders. Involving the policyholder more deeply in the claims process can help improve customer satisfaction and reduce claims-handling costs. Policyholders today expect a high level of service that works around their schedule, not yours. Policyholders who are closely involved in the claims process from start to finish are more likely to be more satisfied with the experience. Gain the advantage of “eyes-on-site”—right from the desk. ClaimXperience video collaboration helps you effectively triage the claim and assess the severity of damage. With greater accuracy, you can directly settle more claims, saving the cost of an on-site visit. And when an onsite visit is needed, you can send the right person the first time.
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    MotionsCloud

    MotionsCloud

    MotionsCloud

    All in one mobile & AI solution to reduce insurance claim cost and claim cycle time from days to hours. The value of the damages are estimated in real-time through the MotionsCloud estimation engine. The evidence collected is of the highest quality and in various kinds of media forms, including text, audio, photo and video. All evidence is stored in a high graded security standard, eliminating the possibility of fraudulent. Claims expert working closely with customer remotely through voice & video communication to complete the claim settlement. Improve customer satisfaction via smooth and efficient process. A great claims experience helps to retain clients and convert claimants.
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    ARNIE

    ARNIE

    Yarris

    ARNIE is a motor claims management platform that streamlines the motor claims process by integrating the people and the systems behind the scenes to make handling simple. Claims handlers use ARNIE to get the right information at the right time. Assessors use ARNIE and it’s mobile solutions to capture and complete vehicle assessments in the palm of their hand. Repairers use ARNIE to be able to effectively work with insurers to get the job done. We are excited to be working on simple AI and ML solutions, as well as being the support you need to integrate them into your business and your technology ecosystems. We believe that small improvements over time will change the world of motor claims, but we also like to dream big and realize the future is not that far away.
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    Strada

    Strada

    Strada

    Strada is the AI phone agent purpose-built for insurance teams. Carriers, MGAs, and brokers use Strada to scale thousands of inbound and outbound calls (from renewals and claims to quote intake, FNOL, and policy servicing) without adding headcount. Customers get 24/7 service with zero hold time, while your team focuses on closing business and building relationships. What Strada does best: - Handles renewals, FNOL, claims, and policy servicing automatically - Provides 24/7 availability with no hold time - Scales to thousands of calls instantly - Frees up agents to focus on sales and service Strada is a complete insurance automation platform. By removing call bottlenecks and eliminating post-call busywork, it drives retention, accelerates claims, prevents policy lapses, and ensures customers are served faster and smarter.
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    General Magic

    General Magic

    General Magic

    General Magic is an AI messaging platform purpose-built for the insurance industry, enabling companies to automate customer workflows directly through SMS and messaging channels. It deploys customer-facing AI agents that can handle quoting, renewals, policy changes, and claims updates in real time, allowing insurers to complete operational tasks within simple text conversations instead of calls or portals. It integrates directly with policy, quote, claims, and CRM systems through APIs so conversations are grounded in live insurance data and automatically update records as workflows progress. It monitors every customer interaction and scores users on intent, frustration, and churn risk, giving teams visibility into where intervention is needed. Its core product, Cell, is designed to translate customer messages into actions across core insurance systems, asking for missing information and following up automatically.
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    TrustLayer

    TrustLayer

    TrustLayer

    Avoid claims and lawsuits that can cost your business millions. We make time-consuming manual tasks a thing of the past. TrustLayer helps you automate the management and verification of certificates of insurance with AI & machine learning technology. Our technology enables you to verify coverages, check exclusions, get insight into insurance validity in real-time, and much more than conventional tracking tools. Real-time proof of insurance for frictionless onboarding. Easily request, verify, and track vendor insurance coverage. Offer customers live, verifiable proof of insurance. Reduce repetitive tasks that are error prone and time-consuming. Easily request and verify proof of insurance from your business partners. Verify insurance coverage and other compliance documents in real-time. Create new compliance goals for any information you want to verify.
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    ClaimsControl

    ClaimsControl

    Claims Control

    Our goal is to digitize the data exchange between all claims handling participants: insurers, brokers, their customers, loss adjusters, and all others. Use our platform to account and share your claims or connect your claims system to our API hub to get integrated with your partners. Connect your claims system to our API hub to start exchanging the data with your partners. Direct integration of all claims systems is impossible, therefore information is exchanged manually. This slows down the process, increases costs and complicates claims process automation. The purpose of ClaimsControl is to enable digital data exchange for all insurance claims handling process participants. If you develop any solutions related to claims management, let's talk and find the ways how we could help you to exchange the data with other systems or how we can provide your solution to our users.
    Starting Price: $400 per year
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    Brisc AI

    Brisc AI

    Brisc AI

    Brisc is an advanced agentic AI insurance software designed to improve productivity, simplify workflows, and support better decisions for insurance teams by automating complex operational tasks within carriers, managing general agents (MGAs), reinsurers, and brokers. Its suite of specialized AI agents acts as digital workers that autonomously execute tasks like reconciling bordereaux with bank statements, extracting and validating submissions and claims data, and triaging submissions based on underwriting criteria while working within existing business rules and workflows. Brisc’s natural language AI interface and command center, Brisc Insights, let users ask questions, access insights instantly, and interact with agents to refine workflows, generate reports, and automate repetitive processes. Built on a secure AI backbone that centralizes data, retains context, and continuously learns, the platform uses specialized tools to read, understand, and act on complex insurance documents.
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    Sprout.ai

    Sprout.ai

    Sprout.ai

    Our AI-powered technology helps you deliver fast and accurate claims decisions, enabling you to better serve your customers. However, by adapting certain features and data sources, we have developed a solution that’s configurable for every insurance line, from health and life insurance to motor and property. Sprout.ai provides fast and accurate claims decisions whatever the sector. From handwritten doctor’s notes, to call transcripts and prescriptions, our technology extracts all the relevant information from any type of claim document. The claim is validated with external data points such as treatment codes, provider network policies, or medication information, and then checked against policy documents. Deep learning AI algorithms predict the best next step for a claim and pair it with a clear justification.
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    CLARA Analytics

    CLARA Analytics

    CLARA Analytics

    CLARA Analytics brings AI to claims management with CLARAty.ai, the top-rated casualty Claims Intelligence Platform. Designed for risk professionals, CLARAty.ai incorporates Document Intelligence and Claims Guidance, ensuring a smarter, more efficient claims process. The platform also features an AI-driven Claims Management assistant that supports adjusters at carriers, MGA/MGUs, reinsurers, and self-insured organizations. By leveraging the power of AI and machine learning, CLARAty.ai helps reduce loss costs and operational expenses while streamlining claims handling and decision-making.
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    Majesco ClaimVantage
    Digital technologies are having a significant impact on insurance, and those keeping pace with this evolution are on track to maintain a competitive advantage. Traditional claim management tools, involving multiple systems, paper files and manual processes, are being replaced with cloud-native enterprise claim management platforms. The Majesco ClaimVantage Claims Management Software for L&H platform streamlines the claims process through the full life cycle of a claim, from intake through payment calculation, integrating multiple systems to improve the flow of information across your business. Improve the customer experience and drive operational effectiveness with accurate and timely claim decisions. Built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H enables insurance companies and TPAs to modernize and optimize their claims operations today and into the future.
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    ClaimLogik

    ClaimLogik

    Claim Central Consolidated

    Connect everyone in your property claim. ClaimLogik connects everyone in a property claim from first notice of loss through to completion. Property assess & repair ecosystem. We connect everyone in your property claim from start to finish. Stakeholder Management. ClaimLogik connects EVERY stakeholder in a claim with real time access, to complete tasks and manage activities at the right time, in the right order and with complete transparency. All stakeholders have access to workflow modules that have been customized to enable them to track, manage and complete tasks throughout the claim. Stay connected. All stakeholders connected on one claim. Complete transparency on claim status for all stakeholders. Line of sight for all activities across the entire claim. Digital contracts between Insurer and supply chain. Service level agreements with all suppliers and trades KPI management to measure and compare supplier performance. Automated exception management when tasks fall outside SLAs
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    Terra

    Terra

    Terra

    Antiquated on-premise systems are a liability. Streamline your claims operations and improve efficiency with Terra's Automation, Integration, and Intelligence. Terra's products include Claims Management, Policy Management, Benchmark, and an Ancillary Services Marketplace. Manage risk with Automation, Cloud-Native, Integration, and Intelligence! Terra is a Cloud-Native Risk Management Information System for Property & Casualty Insurance.
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    Simplifai

    Simplifai

    Simplifai

    ​Simplifai is an AI automation platform that streamlines business operations by automating complex processes, particularly in sectors like banking, finance, insurance, and the public sector. It offers solutions for document handling, customer service, and claims processing, utilizing advanced AI technologies to reduce manual effort and increase accuracy. It enhances customer support by automating responses and managing inquiries efficiently. Adhering to GDPR and ISO/IEC 27001:2013 standards, Simplifai ensures robust data security and compliance. Its AI agents are designed to address challenges such as increasing operational costs, low customer satisfaction, and scalability issues, delivering fast and accurate service while reducing errors. Simplifai provides a 360-degree view of claims, policies, and accounts, improving customer service and vendor management. By leveraging Simplifai, organizations can ensure accurate financial records, minimize manual work, etc.
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    DRILLER

    DRILLER

    DGTAL

    DRILLER is a powerful deep analytics tool that enables digitization and drilling into insurance portfolios by analyzing structured and unstructured data. Improved understanding and full durability of the portfolio and claim composition. Faster reserve release, to lower solvency capital requirements and cost of capital. The tool is powered by artificial intelligence models that support the analysis of a portfolio and claim and predict potential adverse development of a claim (severity score). Earlier identification of potential under or over-reserved claims. Full searchable documents and claims with a detailed understanding of portfolio composition. Identification of characters, numbers, and sentiment, classification of documents, and identification of claim characteristics. Review and prioritization of critical claims that require immediate action, with a full automated analysis of the portfolio.
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    Venue Claims Management

    Venue Claims Management

    KLJ Computer Solutions

    Venue ™ Claims Management for Independent Adjusters provides end-to-end management of the entire claims processing workflow. Whether you are an adjustment firm, third-party administrator, insurance carrier, or a self-insured organization, Venue ™ is for you. The user-configurable interface allows for extensive self-customization of the claim system by an end client. Built-in web service interface that allows for real-time or batch data import, update and export to virtually any third-party data sharing source of ALL claim-related information. Integration with policy and billing systems allows real-time synchronization on all policy-related details, which may include critical policy dates and flags such as active fraud investigation and assumed policy. Comprehensive capabilities for every aspect of claims processing, including claim payments and recovery, reserves tracking, contact management, excess and trust accounts, forms templates, reporting etc.
    Starting Price: $5 per month
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    Snapsheet

    Snapsheet

    Snapsheet

    Snapsheet makes claims simple. We do this through a suite of innovative insurance software solutions which transform insurance companies' ability to seamlessly manage claims, reduce cycle time, increase appraisal accuracy, and deliver payments effortlessly. We started it all with virtual appraisals, and followed that up with our leading claims management system. Today we are driving an industry-wide movement in claims by delivering solutions that enhance customer experiences while our customers create innovative, data-driven claims organizations.
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    KGiSL n-sure
    NSURE is the first ever AI-powered comprehensive and modern insurance management system designed for core operations, policy administration, claims administration, and operational automation for both Life and Non-Life insurance businesses. This fully integrated, web-based application enables customers and agents to generate policies online while leveraging automation to enhance business performance, efficiency, and productivity through digital solutions.
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    CaseworksPro

    CaseworksPro

    Insurance Technology Solutions

    CaseworksPro is an affordable web-based claims administration system designed to support a wide range of claim processing requirements. Developed by Insurance Technology Solutions, CaseworksPro is purpose-built for carrier claims departments, self-insured retentions (SIRs) and third-party administrators (TPAs). This easy-to-use solution offers a host of features that include SIR client-centric workflows, policy data capture, one-ff and scheduled payments, user-defined access permissions, check printing, electronic reporting, and NCCI and ISO stat code capture.
    Starting Price: $25000.00/one-time
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    FileHandler Enterprise
    Built with insurance claims and risk management in mind, our software features live dashboards, detailed reporting functionality, business intelligence tools, and the latest security technology. FileHandler Enterprise™ has become the benchmark for claims administration and risk management information systems (RMIS) in the industry. Our intuitive claims management software is great for third party administrators (TPA's), insurance carriers, risk pools, risk management companies, and a variety of other business professionals looking to make better and faster claims management decisions. No matter your size, our software is scalable from one employee to thousands. FileHandler Enterprise™ software will help you manage and close claims quickly, process payments to parties or vendors, and provide advanced reporting necessary to manage your business.
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    Shift Payment Integrity

    Shift Payment Integrity

    Shift Technology

    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.
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    Layr

    Layr

    Layr

    Grow your small business book with a platform that offers AI-powered prediction and placement, COIs on demand, a true end-to-end online application, and so much more. Layr empowers brokers and agents to provide small businesses with the insurance coverage they need. Layr's technology enables companies to get liability insurance protection and pay for it monthly with a credit card, entirely online. We provide detailed explanations of why the questions are asked and how answers may impact insurance premiums. Smart Quote lets you start a proposal now and finish it when you're ready. We revamped the standardized questions to ensure that our Smart Quote application is easy to follow and understand. While traditional insurance brokers are forced to wait on the insurance companies for quotes, we built our own rating algorithm so you don’t have to.
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    AUSIS

    AUSIS

    Artivatic.ai

    AUSIS – Full-stack Behavioral Underwriting AUSIS enables insurance businesses to provide in-depth underwriting, scoring & decisions in real-time. AUSIS provides reduction in cost, time, risk & fraud with enhancing efficiency, decision power, alternative scoring and more. AUSIS helps increasing STP from NSTP and also enables non-invasive methods of health data aggregation from AQI, Location, Mortality, Social, Photo, Video, Health Devices, Weather, Sanitation and more. AUSIS reduces up to 40% reduction in per policy issuance.
    Starting Price: $10/month/user
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    Claimable

    Claimable

    Claimable

    Claimable is claims management software for businesses that removes the headache of managing insurance claims. Increase your claims handling capacity by spending less time on admin. Stop searching shared folders and inboxes. Your claims data is just a few clicks away! Your data is securely stored in the cloud and is accessible from anywhere. No more paper! Be ready for an audit with a complete history of each claim at your fingertips. Keep track of your documents and access them whenever and wherever you need! Filter and report on your claims data, to drive productivity and stay informed. Label your claims to categorize and organize them to suit your workflow. Keep detailed notes on each claim and collaborate and share with your team. Assign tasks to your team and see at a glance which are due or completed. Build and manage your claims contact database, and find contacts in an instant.
    Starting Price: $79 per month