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What is ClaimVision?

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. Before an adjuster opens a file, ClaimVision has read every page of it: the adjuster and inspection reports, the estimate down to its last line, the policy and every endorsement, the correspondence, and the photos. It checks coverage on every claim and ties each finding to the clause and page it came from, with its dollar impact. It flags missing items and subrogation opportunities, and keeps figures consistent from the estimate to the decision letter. Claims teams can question any claim in plain English, including documents that haven't been processed yet, and every answer points to its source. ClaimVision is an intelligence layer, not a replacement claims system. It works alongside Guidewire ClaimCenter, Duck Creek, Sapiens or an in-house core system, which stays the system of record. Every recommendation and every human override is kept in an append-only audit trail. The reading goes to the machine. The judgement stays with your people. On a real large-loss claim, ClaimVision did a full day's reconciliation work, exactly, in under a minute. ClaimVision runs on Microsoft Azure. It is built to SOC 2 principles and is working towards SOC 2 Type 2. ClaimVision is a product of Decision Agency.

What is ClaimScore?

ClaimScore is the only independent software solution dedicated to addressing the increasing problem of claim fraud in class action settlements. Each claim undergoes a detailed evaluation on an individual level using our distinctive AI, ML, and Cloud Architecture, with outcomes presented immediately on an interactive dashboard. At the outset, every claim is assigned a ClaimScore of 1,000, which decreases whenever it fails to meet certain criteria. These criteria are assigned fixed or variable weights, reflecting their correlation with fraudulent or legitimate claims. To promote transparency, each claim includes deduction codes that align with the criteria that were not met, making sure that all parties involved, such as the administrator and the court, are well-informed about the exact reasons for any claim denial. This comprehensive method not only builds trust among stakeholders but also strengthens the credibility of the claims process, ultimately contributing to a more reliable settlement environment. By leveraging advanced technology in this manner, ClaimScore ensures a rigorous defense against fraudulent activities.

Media

Media

Integrations Supported

Duck Creek Claims
Guidewire ClaimCenter
Sapiens ClaimsPro

Integrations Supported

API Availability

API Availability

Pricing Information

Pricing is based on claim volume and scope, with terms determined for each pilot.

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Not specified

Training Options

Not specified

Company Facts

Organization Name

Decision Agency OÜ

Date Founded

2025

Company Location

Estonia

Company Website

claimvision.ai

Company Facts

Organization Name

ClaimScore

Date Founded

2022

Company Location

United States

Company Website

www.claimscore.ai

Categories and Features

Insurance Claims Management

Document management
Reporting

Categories and Features

AI Insurance

Not specified

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