Products · SaaS Platform

AI Claims
Automation Platform

End-to-end claims processing powered by AI — from first notice of loss to settlement. Reduce manual handling, accelerate turnaround times, and eliminate fraud risk. Built for insurers, brokers, and third-party administrators.

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78%
Reduction in manual processing
Faster claim settlement
94%
Fraud detection accuracy
24/7
Automated intake & processing
Platform Capabilities

Everything You Need to Automate Claims

Intelligent Intake

AI-powered FNOL capture across web, mobile, email, and voice. Automatic document classification, OCR extraction, and completeness validation — no manual data entry.

Fraud Detection

Machine learning models flag suspicious patterns, duplicate claims, and inconsistencies in real time. Risk score every claim automatically with explainable AI reasoning.

Automated Triage & Routing

Rules-based and AI-driven routing assigns claims to the right adjuster, fast-tracks low-complexity claims for straight-through processing, and escalates high-risk cases.

Reserve & Settlement

AI-recommended reserve amounts based on claim type, historical data, and policy limits. Automated settlement offers for eligible claims with full audit trail.

Claimant Self-Service Portal

White-labelled portal for claimants to submit, track, and communicate on claims 24/7. Reduces inbound call volume by up to 60%.

Analytics & Reporting

Real-time dashboards for claims KPIs — cycle time, STP rate, combined ratio impact, adjuster performance. Export to PDF or CSV for management reporting.

Pricing

Simple, Transparent Subscription Pricing

All plans billed monthly. No setup fees. Cancel anytime. VAT excluded.

Basic
R799/mo

Ideal for small brokers and independent adjusters getting started with claims automation.

  • Up to 200 claims/month
  • 1 user account
  • AI-powered intake & FNOL capture
  • Document OCR & classification
  • Basic fraud scoring
  • Claimant self-service portal
  • Email notifications
  • Standard reporting dashboard
  • Custom workflows
  • API access
  • Dedicated account manager
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Enterprise
R7,999/mo

For large insurers and multi-line operations requiring unlimited volume, white-labelling, and SLA-backed support.

  • Unlimited claims
  • Unlimited users
  • Everything in Pro
  • White-label claimant portal
  • Custom AI model training
  • Multi-product & multi-line support
  • Dedicated account manager
  • Priority 4-hour SLA support
  • Custom integrations & webhooks
  • On-premises deployment option
  • Quarterly business reviews
Contact Sales
Feature
Basic
Pro
Enterprise
Monthly claim volume
200
2,000
Unlimited
User seats
1
10
Unlimited
AI intake & FNOL
Document OCR
Fraud detection
Basic
Advanced ML
Custom models
Automated triage & routing
AI reserve recommendations
Straight-through processing
Claimant self-service portal
White-label
API access
Advanced analytics
Dedicated account manager
SLA support
Best effort
8-hour
4-hour

All accounts require manual activation after sign-up. You will receive confirmation within 1 business day. Questions? Contact us.

Process

How a Claim Flows Through the AI Platform

01
FNOL & Intake

Claimant submits via portal, email, or phone. AI captures and validates all fields.

02
Document Processing

OCR extracts data from photos, medical reports, and supporting documents instantly.

03
Fraud & Risk Scoring

ML model scores the claim in seconds. High-risk claims are escalated automatically.

04
Triage & Routing

Rules engine assigns to the right adjuster or triggers straight-through processing.

05
Settlement & Close

AI recommends reserve and settlement. Adjuster approves. Payment triggered.

Ready to Start?

Start Automating Claims Today

Sign up for any plan and our team will activate your account within 1 business day. Need a custom solution or a live walkthrough? Book a consultation.

Get Started — R2,499/mo → Book a Consultation