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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.

Description

Shift Subrogation is a software-as-a-service (SaaS) solution enhanced by artificial intelligence that autonomously detects, evaluates, and highlights subrogation recovery prospects for insurance firms, particularly in the Property & Casualty (P&C) sector. By integrating structured data like policy information and claims with unstructured text such as loss descriptions and adjuster comments, the platform employs generative AI and various analytical models to evaluate liability, apply pertinent state and negligence laws, compare exposures, consider statute limitations and jurisdictional regulations, and reference external information sources like product recalls. It provides alerts complete with scores and explanations for each recovery opportunity, allowing claims handlers to understand not only which cases to pursue but also the reasoning behind each recommendation. Furthermore, the system offers ongoing monitoring of claims as they develop, adjusting alerts as new information becomes available or as recoverability assessments change over time. This ensures that the insurance companies remain informed and proactive in their recovery efforts.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Acrometis

Founded

2002

Country

United States

Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

www.shift-technology.com/products/subrogation

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Product Features

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