Features
Continuous real-time audit of 100% of claims
Customizable audit scorecards (compliance, coverage, leakage, reserves, service quality, subrogation)
Ingest data from Guidewire, Duck Creek, or any claims system
AI-powered analysis of claim notes and documents
Real-time alerts to managers on open files
Monitor issue resolution progress
Flag compliance deadlines and regulatory requirements
Detect coverage errors and missed exclusions
Identify overpayments and billing errors
Measure service quality metrics (contact frequency, documentation, communication)
Surface subrogation opportunities before statutes expire
Highlight stale or inadequate reserves
Replace manual pulling of files and scorecard filling
Strategic targeting of high-risk claims versus random sampling
Extract coverage terms, limits, exclusions, and endorsements
Side-by-side policy comparison
Identify non-standard language and coverage gaps
Generate summary reports with key findings
Natural language search across policies
Automated compliance checks
Track policy versions and changes
Export reports to PDF or Excel
Batch upload of multiple policies
Customizable report templates
