ClaimSentinel™ is an AI-powered claims QA platform that boosts claims accuracy, decreases cycle time, and improves the customer experience. Built by RENFROE®, one of the leading and most-tenured claim solutions providers in the P&C industry, ClaimSentinel leverages 30 years of experience to deliver a product that eliminates the issues present in today's manual QA process.
SEE IT IN ACTION
The current quality assurance process relies entirely on humans, requiring them to spend time and effort on redundant, low-complexity, manual tasks. This is not only inefficient, it can contribute to mental fatigue, resulting in inaccuracies and overlooked errors. Perhaps even worse? Due to the lack of scalability, most carriers currently QA less than 20% of handled claims, with some checking fewer than one in ten claims that pass through their workflows.
You don't screen only 10% of passengers at an airport, and you don't inspect only 10% of cars leaving an assembly line. Why should insurance claims handling be any different?
Your human experts are an invaluable resource, but even the best minds are susceptible to errors and oversights. Fatigue, stressors, distractions, and cognitive biases all contribute to reduced accuracy and efficiency.
The current QA process can take as long as three business days, often unnecessarily adding to cycle times. As an extremely manual process, it can also add hundreds of dollars to each claim's Loss Adjustment Expense
You don't screen only 10% of passengers at an airport, and you don't inspect only 10% of cars leaving an assembly line. Why should insurance claims handling be any different?
Your human experts are an invaluable resource, but even the best minds are susceptible to errors and oversights. Fatigue, stressors, distractions, and cognitive biases all contribute to reduced accuracy and efficiency.
The current QA process can take as long as three business days, often unnecessarily adding to cycle times. As an extremely manual process, it can also add hundreds of dollars to each claim's Loss Adjustment Expense
ClaimSentinel is a claims solution born right out of the claims industry. Built on the foundation of RENFROE's 30 years of experience in the industry, the platform was developed using insights from our work training more than 100,000 claim handlers and handling millions of claims for carriers of all sizes. Leveraging the input of our own internal experts as well as feedback from numerous carriers, ClaimSentinel was built with thoughtful features designed to address the pain points and needs common in today's claims workflows.
Instead of only spot-checking a handful of claims, the AI technology behind ClaimSentinel thoroughly reviews every claim, allowing for straight-through processing. Claims that need a closer look by a human expert get flagged without slowing down those that do not.
ClaimSentinel's debiased AI engine consistently applies your company's QA rules to every claim it checks. This maintains quality and fairness by eliminating human bias from first-line quality assurance.
ClaimSentinel instantly and effortlessly scales to fluctuations in your claim volume. Handle claim surges without disruption of service, and never worry about sacrificing quality, accuracy, or customer satisfaction.
ClaimSentinel learns autonomously from your claim data and user inputs, then uses that learning to self-improve and become even more efficient and accurate.
Automated processing allows for continuous around-the-clock QA of claims, meaning faster claim resolution and lower cycle times.
ClaimSentinel leverages trusted third-party data sources such as weather reporting services and aerial imagery providers, as well as your own historical claim data. This enhances both the accuracy and thoroughness of the AI agent.
Instantly Reconfigurable
Integrates new rules and procedures rapidly, allowing for immediate retraining.
Live Reporting Dashboard
Provides real-time, enterprise-wide insights into your claims handling and QA processes.
Detailed User Feedback
Offers comprehensive claim handler feedback, highlighting trends and areas for improvement.
Pattern Identification
Detects subtle patterns and anomalies, improving consistency and accuracy.
Drop-In Integration
Harmonizes with existing systems to boost efficiency without requiring workflow changes.
Multilingual Capability
ClaimSentinel is capable of processing claims in various languages for accurate results.
