Insurance & Government
43% faster claims adjudication, 68% document processing lift, and fraud losses down. No core system replacement.
Insurance and government AI from Allerin is claims automation, compliance document validation, government document processing and fraud detection that sit beside your core systems, measured by cycle time, backlog cleared and fraud found.
Who is this for?
Claims operations leaders, compliance teams, agency IT directors and the records units that own FOIA and public-records requests. It is for organizations running Guidewire, Duck Creek, Applied Epic or a legacy mainframe that is not going anywhere soon, and for agencies that need on-prem or air-gapped options.
What problem does it solve?
A claim spends most of its cycle time waiting. Photos and PDFs sit until an adjuster keys the data by hand, the complex and the simple land in the same queue, and the fraud signal, if anyone sees it, is seen late. For a state agency the backlog is paper: microfilm, handwriting, and a public-records request with a statutory clock that does not care about staffing.
Compliance adds the quiet risk. A policy form drifts out of step with a state bulletin, a disclosure goes missing, and the finding arrives at audit time rather than at filing time.
How does it work?
ClaimVista triages claims by complexity and fraud signals, extracts policy and loss data from photos and PDFs, and routes each claim to an adjuster with a pre-filled worksheet. Adjusters keep the judgment calls; the tool removes the keying. Flagged claims go to an SIU review queue before any denial, and the scoring is tunable with override.
DocQore runs OCR and NLP over scanned paper, microfilm and PDFs, with handwriting support and a human in the loop on low-confidence fields, then redacts PII for FOIA and PRA requests and builds a searchable archive with metadata. CompliChek validates policy documents against state and federal rules, flags missing disclosures and outdated clauses, and keeps the audit trail. FraudLens scores claim patterns and networks, runs image forensics on staged accidents, and links into SIU workflows with an explanation on every score.
We do not pretend the false-positive problem away. Precision and recall sit on the KPI dashboard where the claims leader can see them, and the thresholds move with the evidence.
Quick wins
- Claims automation & adjudication (ClaimVista)
- Compliance document validation (CompliChek)
- Government document processing (DocQore)
- Insurance fraud detection (FraudLens)
Capabilities
- AI
- Document Processing
- Fraud Detection
Solutions for Insurance & Government
- FraudLens
Insurance fraud detection
- DocQore
Archive digitization, OCR and reviewable redaction
- CompliChek
Policy form compliance validation
- ClaimVista
Claims automation & adjudication
- ClaimSentra
Roof/property claims triage
What does it connect to?
- Claims systems: Guidewire, Duck Creek and Applied Epic through REST and SOAP adapters
- Government systems: COTS case management and legacy mainframes through batch or API integration
- SIU and investigation workflows with override and escalation
- Export packs and audit reports for SOC 2, HIPAA and FedRAMP reviews
How is it deployed, and how long does it take?
FedRAMP-ready deployment with NIST 800-53 controls: on-prem, GovCloud or air-gapped for sensitive agencies, commercial cloud for insurers. PII masking, configurable retention and role-based access with complete audit logs are part of the build, not an add-on.
Every adapter is tested in the proof of concept against your data before the pilot, because the integration is where these projects fail, not the model.
Typical deployment in 60 to 90 days. Payback usually within a quarter through lower loss adjustment expense and faster cycle times.
Related products and services
- VISTA
Document AI for claims processing and compliance validation
- Data & Analytics Platform
Fraud detection models and legacy system integration