Claims Automation

Shift Claims Automation: Digital Journey is an AI-powered solution that covers every aspect of digital claims submission, management, analysis, and decisioning. It is comprised of a carrier-branded UI and an ultra-accurate AI decision engine that integrates seamlessly with insurers’ core systems.

Digital Journey delivers a more efficient, transparent customer experience while reducing claims processing workloads and timeframes significantly.

• Simplifies digital claim submission & analysis
• Maps and uses all available internal & external data
• Makes decisions throughout the claim with >99% accuracy and defers to human experts when this level of accuracy is not possible
• Reduces claims processing timeframes
• Delivers a world-class digital claims experience

Shift Claims Automation: Augmented Adjustment is an AI claims decision and triage engine that accurately analyzes claims submitted via multiple channels. The solution is designed to fully automate claims decisions when possible, while optimizing human decision-making with guidance and contextual information when full automation is not possible.

• Delivers full automation of many types of claims
• Accurately flags claims for human review as needed
• Enables fast, fair settlement of claims
• Integrates directly in your existing claims management system
• Contributes to amazing customer experiences that improve retention