Insurance & Government
43% faster claims adjudication, 68% document processing lift, and fraud losses down. No core system replacement.
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
Related products and services
- VISTA
Document AI for claims processing and compliance validation
- Data & Analytics Platform
Fraud detection models and legacy system integration
Proven ROI
43% faster claims cycle time
Large P&C insurer reduced auto claims from 18 days to 10.2 days using ClaimVista for photo triage and data extraction
68% document processing improvement
State agency cleared 14-month FOIA backlog in 90 days with DocQore OCR and redaction pipeline
Frequently asked questions
Yes. We provide validated adapters for Guidewire, Duck Creek, Applied Epic, and legacy mainframe systems. All integrations are tested during the PoC phase before pilot deployment.
We offer FedRAMP-ready deployment options with NIST 800-53 controls and SOC 2 Type II audit compliance. Solutions support on-prem or air-gapped deployment for sensitive government workloads and meet HIPAA requirements for healthcare-related claims.
ClaimVista uses tunable scoring with adjuster override capabilities. All flagged claims route to an SIU review queue before denial. Precision/recall metrics are exposed in the KPI dashboard and continuously monitored.
Yes. We support full on-prem deployment for government agencies and GovCloud or commercial cloud options for insurance providers. All data processing and storage can remain within your infrastructure.
Typical payback occurs within one quarter through reduced loss adjustment expenses (LAE) and faster cycle times. Use our ROI calculator to model savings based on your claim volumes.
DocQore uses advanced OCR with human-in-the-loop validation for low-confidence fields. Accuracy is gated before archive ingestion, with quality metrics tracked per batch.
ClaimVista augments adjusters rather than replacing them. It pre-fills worksheets so adjusters can focus on judgment calls and customer interaction. Change management support is included in pilot deployment.