Overseeing claims management operations is a precise and essential job. Every claim represents both a financial obligation and a customer touchpoint. For Chief Claims Officers, claims team leaders, Claims QA Managers, and reinsurers, maintaining visibility, control, and quality is fundamental to running a successful claims operation at scale. Yet, outdated claims management systems and manual processes create redundant workloads on top of already demanding responsibilities, slowing down decision-making, increasing claims leakage, and making compliance harder to maintain.
Clive is an AI Claims Adjuster, designed to improve claims management for adjusters as well as their managers. Clive is an all-in-one claims management multitool, offering advanced automation, data-based insights, as well as oversight and quality assurance. With Clive, managers get real-time access to detailed dashboards, comprehensive analytics, and automated reporting – all based on automatically collected, analyzed and processed claims data.
From tracking active claims to auditing closed ones, Clive’s configurable system empowers managers to dig in and easily extract needed data – in seconds.
Clive automates the tedious task of reviewing closed claim files. By modeling essential questions and utilizing our claims Q&A functionality, Clive generates comprehensive reports for each file, ensuring no crucial detail is overlooked.
Enhances audit efficiency, reduces manual effort, and improves the quality of closed file reviews, leading to continuous improvement in claims handling.
Clive assists in the continuous monitoring of open claims by automating the review process. He identifies when claims deviate from expected patterns, highlighting problematic cases and providing insights for timely interventions.
Benefits
Proactively identifies potential issues in active claims, allowing for corrective actions that can prevent escalation and reduce costs.
Clive offers automated and proactive compliance checks at each step of the claim process, ensuring adherence to regulatory requirements and internal policies.
Benefits
Minimizes compliance risks, avoids penalties, and ensures that all claims are handled in accordance with legal and regulatory standards.
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