Insurance Operations
Claims infrastructure, policy intelligence, and financial exposure — every capability built on the ClaimChain verification layer.
Try the Insurance Operations Demo
Interactive2 minWalk a carrier-side claim through the full adjuster flow in 5 animated steps — inbox, verification, fraud detection, decision, carrier impact. No login required.
Claims Infrastructure
Every workflow starts here. ClaimChain is the verification layer all capabilities build on.
Policy & Compliance Intelligence
AI-powered policy analysis cross-referenced against your live compliance posture.
Insurance Policy Intelligence
AI-powered insurance coverage analysis — cross-referenced against your live compliance posture.
- Carrier extraction
- Exclusion mapping
- Framework alignment
Regulatory Coverage Map
See exactly which HIPAA, SOC2, FINRA, and other framework requirements your policies satisfy — and which are uncovered. No other platform can do this.
- HIPAA: 94% covered
- SOC2: 87% covered
- FINRA: 2 gaps
Claim Pre-Check
Before filing a claim, verifies eligibility, identifies denial risks, flags missing documentation, and drafts a professional claim narrative.
- Denial risk scoring
- Missing doc detection
- Narrative generation
Financial Exposure & Recovery
Capture every dollar adjusters miss. Align to carrier patterns. Surface total exposure.
ESX Gap Analyzer
Upload adjuster Xactimate estimate. Identifies missed line items, underpaid quantities, and underpriced items in seconds.
- Avg $8,400 recovered
- O&P detection
- Market rate comparison
Carrier Alignment Analysis
Compares your submission against carrier-specific rules and approval patterns. Flags mismatches before submission.
- State Farm: 82% match
- Allstate: 1 mismatch
Financial Exposure Dashboard
Aggregate view of underpaid estimates, missed supplement opportunities, and total recoverable value across all active claims and carriers.
Insurance Oracle
Voice not supported — type below
Speak naturally — coverage review, claim supplements, denial flags — and the Oracle parses your voice into structured claim line items anchored to the verification chain.
All surfaces anchored by ClaimChain verification · 7 active modules · Engine v2.4.1