Complete TP Claims Automation
End-to-end automation for third-party claims processing. From historic backlog to new claims with intelligent verification and human handoff.
Comprehensive Claims Processing Platform
Complete automation for the entire claims lifecycle with intelligent verification and decision making
Historic & New Claims Processing
Unified processing pipeline for both historic claims backlog and incoming new claims.
Four-Step Verification Process
Comprehensive verification including document completeness, data validation, policy checks, and fraud indicators.
Missing Data Identification
AI-powered analysis to identify missing documents, incomplete information, and data inconsistencies.
Human Escalation Workflows
Intelligent handoff to human experts for complex cases requiring manual review.
Comprehensive Case Dashboard
Real-time visibility into all claims with status tracking, metrics, and performance analytics.
Fraud Detection
Advanced pattern recognition to identify potential fraudulent claims for investigation.
Four-Step Verification Process
Comprehensive verification ensuring accuracy and compliance at every step
Document Completeness
Verify all required documents are present and readable
- Policy document verification
- FIR and panchnama check
- Survey report validation
- Supporting document review
Data Validation
Cross-reference extracted data across all documents
- Policy number consistency
- Date and time validation
- Amount cross-verification
- Personal details matching
Policy Verification
Validate policy status and coverage details
- Policy validity check
- Premium payment status
- Coverage limit verification
- Exclusion clause review
Business Rules
Apply custom business rules and fraud indicators
- Claim frequency analysis
- Amount reasonableness check
- Geographic risk assessment
- Pattern anomaly detection
Processing Workflow
Streamlined workflow from claim intake to final settlement
Claim Ingestion
Automatic intake of new and historic claims
Document Analysis
AI extracts and validates all claim documents
Four-Step Verification
Comprehensive verification process execution
Decision Engine
AI determines approval, rejection, or escalation
Human Review
Complex cases routed to expert reviewers
Final Processing
Settlement calculation and system updates
Comprehensive Case Dashboard
Complete visibility and control over your claims operations
Real-time Operations Center
Transparent Pricing
Per-claim pricing with no hidden costs or setup fees
Standard Processing
For regular claim volumes with standard processing
- Four-step verification process
- Missing data identification
- Basic fraud detection
- Standard dashboard
- Email alerts
- 48-hour processing SLA
Advanced Processing
Enhanced features for complex claim operations
- Everything in Standard
- Advanced fraud detection
- Custom business rules
- Priority processing
- Real-time alerts
- 24-hour processing SLA
Enterprise
Full-featured solution for large insurers
- Everything in Advanced
- Custom workflow design
- Dedicated infrastructure
- Advanced analytics
- API customization
- 12-hour processing SLA
Volume Discounts Available
Processing more than 10,000 claims per month? Contact us for custom enterprise pricing and dedicated infrastructure.
Ready to Automate Your Claims Processing?
Transform your claims operations with end-to-end automation. Book a demo with your actual claims data.