Overview

Shift Claims Document Decisions is an AI-powered solution designed to streamline the insurance claims process by automating the analysis of documents. The software leverages artificial intelligence and machine learning to extract relevant details from claim documents and present them in a contextual view, enabling claims handlers to make faster and more informed decisions. This solution addresses the challenge faced by claims handlers who spend a significant portion of their time—upwards of one-third—reviewing documents. By minimizing this low-value work, Shift Claims Document Decisions allows adjusters to focus on more complex and critical aspects of the claims process. The AI models are specifically trained with insurance documents, resulting in an accuracy level that matches or surpasses that of experienced human claims adjusters.

Key Features

• AI-Powered Document Analysis: Automatically analyzes claim documents to identify and extract key information, accelerating the review process.
• Contextual View: Creates a contextual view of action items required to move the claim forward, providing adjusters with a clear understanding of the next steps.
• Timely and Comprehensive Alerts: Provides alerts on potentially fraudulent claims and other issues, enabling proactive intervention.
• Seamless Integration: Integrates with existing claims management systems for a streamlined workflow.
• Data-Driven Decision Making: Supports data-driven decision-making by providing insights into claim patterns and trends.
• Insurance-Specific Training: The AI models are trained specifically with insurance documents, ensuring high accuracy and relevance.
• Streamline document analysis: By automating the analysis process, Shift Claims Document Decisions minimizes the time spent manually reviewing documents, freeing up adjusters to focus on more complex tasks.
• Timely and comprehensive alerts: The software provides alerts on potentially fraudulent claims and other issues, enabling proactive intervention and reducing losses.
• Seamless integration: Shift Claims Document Decisions can be easily integrated with existing claims management systems, minimizing disruption and maximizing efficiency.

Benefits

• Reduced claims processing time
• Improved accuracy of claims decisions
• Increased efficiency of claims handlers
• Proactive identification of fraudulent claims
• Enhanced customer experience
• Better data-driven decision-making