Platform architecture

ClaimSense is a modern, cloud-native platform built to integrate seamlessly with your existing infrastructure while delivering powerful AI capabilities.

From incoming claim to resolved case

Platform layers

Each layer of ClaimSense is designed for specific responsibilities, ensuring scalability, maintainability, and seamless integration.

Layer 1

Business workflow layer

The user-facing application layer where claims handlers interact with the system. Provides intuitive interfaces for case management, decision-making, and collaboration.

• ›Case management dashboard
• ›Task queues and workflows
• ›Reporting and analytics
• ›Master claim workspace and linked specialist workstreams
• ›Accountable end-to-end tasks and process subtasks

Layer 2

AI agent layer

The intelligence layer powered by LLMs and specialized AI models. Processes claims, extracts information, and provides decision support.

• ›Document understanding
• ›Decision recommendations
• ›Natural language search

Layer 3

Core system layer

The data foundation layer storing all claim data, states, and transaction history. Ensures auditability, compliance, and data integrity.

• ›Claim state management
• ›Full audit trails
• ›Data integrations
• ›Parent-child claim relationships and shared case context
• ›Permission-aware information sharing across linked workstreams

Deploy on your infrastructure

ClaimSense runs on Databricks and is fully deployable on your existing cloud infrastructure. Leverage your current data platform investments and simplify integration.

ClaimSense runs on Databricks and is deployable in your selected cloud infrastructure. This deployment model is designed to support enterprise control over data, access and operations. ClaimSense is built by DataSentics, part of the Bull group.