Sold by: Avenir Digital Inc
Claim Shift is a self-service, AI- and RPA-powered SaaS platform that automates the end-to-end insurance claim lifecycle, from claim intake and validation to adjudication, payment initiation, and customer communication. Insurers can independently configure and operate claims workflows through a web interface and APIs to improve speed, accuracy, and compliance.
Overview
Claim Shift is an AI-powered SaaS platform designed to autonomously automate insurance claim operations across health, motor, property, and travel insurance. The platform manages the complete claim lifecycle, including claim intake, policy verification, document processing, adjudication, fraud detection, approvals, payments, and audit logging through configurable workflows.
The solution uses OCR and machine learning models to extract data from claim forms, invoices, medical bills, and incident reports. It validates policy eligibility, applies business rules for deductibles and exclusions, detects duplicate or potentially fraudulent claims, and supports automated approvals for low-value claims based on configurable thresholds. Exceptions are automatically flagged for review.
Claim Shift integrates with core claims systems, ERP platforms, and payment gateways using secure APIs. It generates automated customer communications, initiates claim payments, maintains immutable audit trails, and securely archives records to support regulatory and compliance requirements. The platform enables insurers to reduce turnaround time, improve accuracy, and scale claims processing independently.
Highlights
- Self-service configuration of claim intake, validation rules, adjudication logic, and approval thresholds through a web-based dashboard and APIs.
- Automated document OCR, policy verification, fraud detection, and claim adjudication powered by built-in AI and RPA components with no manual intervention.
- End-to-end claim audit trails, automated customer communication, and scalable cloud deployment for compliant insurance operations.
Details
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Pricing
Pricing is based on actual usage, with charges varying according to how much you consume. Subscriptions have no end date and may be canceled any time.
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Dimension | Description | Cost/request |
|---|---|---|
claimshift | Automates claim capture, validation, fraud checks, approval, and payment via AI/RPA. | $1.00000001 |
Dimensions summary
You pay for Claim Shift based on usage, measured by Requests. Each request represents a claim processed through the system, which automates capture, validation, fraud checks, approval, and payment. This single dimension means your cost scales directly with how many claims you process. There are no separate tiers or fixed commitments. Higher claim volumes lead to higher total charges, and low volumes keep costs down. This structure supports variable workloads without a fixed subscription.
Top-of-mind questions for buyers
A Request represents one claim moving through the system. Each claim you submit for capture, validation, fraud checks, approval, and payment counts as a single request. The system ingests claims from channels like email, portal, and scanned documents. Your count rises with each claim processed.
Charges scale directly with the number of Requests you process. Higher claim volumes add more requests and raise your total. Low-volume periods reduce charges since you only pay per claim handled. There is no fixed minimum or committed amount, so cost tracks actual usage.
Both count as Requests. The system auto-approves low-value claims and routes complex ones for human review. Regardless of the path a claim takes, each claim processed counts as one request. The billing does not vary by approval route or complexity.
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Delivery details
Software as a Service (SaaS)
SaaS delivers cloud-based software applications directly to customers over the internet. You can access these applications through a subscription model. You will pay recurring monthly usage fees through your AWS bill, while AWS handles deployment and infrastructure management, ensuring scalability, reliability, and seamless integration with other AWS services.
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Support
Vendor support
AvenirDigital provides technical support for Claim Shift, including platform availability, incident resolution, and usage-related assistance. Support includes access to product documentation, API references, and troubleshooting guidance.
Support hours: Monday to Friday, 9 AM to 6 PM IST Email: info@avenirdigital.ai
AWS infrastructure support
AWS Support is a one-on-one, fast-response support channel that is staffed 24x7x365 with experienced and technical support engineers. The service helps customers of all sizes and technical abilities to successfully utilize the products and features provided by Amazon Web Services.
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