Platform Architecture
ClaimSense is a modern, cloud-native platform built to integrate seamlessly with your existing infrastructure while delivering powerful AI capabilities.
Claims / documents
received from clients
Business workflow / App
for Humans
AI agent (Claim handler)
(instructions, best practice, available actions)
Claim's core system
(states, facts, transaction, results,...)
Resolved claim cases
to be communicated to clients
Platform Layers
Each layer of ClaimSense is designed for specific responsibilities, ensuring scalability, maintainability, and seamless integration.
Business Workflow Layer
The user-facing application layer where claims handlers interact with the system. Provides intuitive interfaces for case management, decision-making, and collaboration.
- Case management dashboard
- Task queues and workflows
- Reporting and analytics
AI Agent Layer
The intelligence layer powered by LLMs and specialized AI models. Processes claims, extracts information, and provides decision support.
- Document understanding
- Decision recommendations
- Natural language search
Core System Layer
The data foundation layer storing all claim data, states, and transaction history. Ensures auditability, compliance, and data integrity.
- Claim state management
- Full audit trails
- Data integrations
Deploy on Your Infrastructure
ClaimSense runs on Databricks and is fully deployable on your existing cloud infrastructure. Leverage your current data platform investments and simplify integration.
Unified data & AI platform
Microsoft Azure Cloud
Google Cloud Platform
Amazon Web Services
Ready to See It in Action?
Book a demo to see how ClaimSense integrates with your existing infrastructure.
Book a Demo