ClaimSense platform features

Five pillars of an AI-native claims platform — from automated case handling to enterprise-grade infrastructure.

Automated case pre-processing by AI agents

Every incoming claim is picked up by AI agents that analyze, structure, and enrich the case before it reaches a human handler. The agents extract key information from all documents and communications, build a complete case summary with suggested outcomes, and log every step of their reasoning.

Agentic workflow designer & templates

Start with proven claim handling methodologies built into ClaimSense, or use the visual workflow builder to design processes that match your company's specific rules, approval chains, and edge cases. Every workflow is fully customizable and versioned.

Master claims, specialist workstreams & agentic workflows

Complex claims rarely belong to one person or one department. ClaimSense connects specialist workstreams to one master claim, so the customer context remains complete while every team has a clear, focused responsibility — and configurable agentic workflows drive each case forward.

Chat across all cases & interactive claim analytics

Ask questions across your entire claim portfolio in natural language. Instantly search documents, emails, call recordings, and notes — then drill into analytics dashboards that reveal patterns, bottlenecks, and satisfaction drivers. Management gets real-time interactive insights to steer operations.

Full claim core system

The platform acts as a full claim management core, securely storing claim data and all processing actions. Complete audit trails, activity logging, and role-based access control ensure compliance and transparency. Enterprise-grade security standards protect all data and system access.