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30/04/2020 Insurance Innovation
Claimflo is a rule-driven claims platform that turns cost centers into profit centers for SIU and recovery specialists
Innovation details
Category
Insurtech
Keyword
Claims management

Innovation presentation

Claimflo is an AI-guided straight through processing platform focused on empowering special investigations and claims recovery specialists. Up to 15% of total paid losses in P&C alone could be recovered. Carriers recover less than 2%. Why? Because #1 they can't identify what's worth subrogating and #2 the workflow is painfully manual. We uniquely solve this problem through human-understandable business rules, entity resolution, and NLP. During our pilot, we identified 38% more opportunities for claims recovery than our competitor, driving 12 times more profit than a dollar premium. The problem remains unaddressed by competitors due to the complexity of business rules at the state level. Further, silos of claims data and the subjective nature of human decisions have become a barrier to actionable analytics.

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