ClaimSense Platform Features

Four pillars of an AI-native claims platform — from automated case handling to enterprise-grade infrastructure.

01
Feature 01

Automated Case Pre-processing by AI Agents

Every incoming claim is picked up by AI agents that analyze, structure, and enrich the case before it reaches a human handler. The agents extract key information from all documents and communications, build a complete case summary with suggested outcomes, and log every step of their reasoning.

Automatic document extraction & structuring
AI-generated case summaries with suggested outcomes
Full reasoning log & transparent decision trail
Complete data historization & version tracking
Built-in audit trail for every agent action
Claims dashboard with AI-proposed case statuses
02
Feature 02

Agentic Workflow Designer & Templates

Start with proven claim handling methodologies built into ClaimSense, or use the visual workflow builder to design processes that match your company's specific rules, approval chains, and edge cases. Every workflow is fully customizable and versioned.

Ready-to-use claim methodology templates
Visual builder for company-specific workflows
Configurable approval chains & escalation rules
Workflow versioning & rollback
Workflow definitions with version history
Workflow configuration context and naming
Workflow states configuration
Workflow resolution templates
Workflow state transition rules
03
Feature 03

Chat Across All Cases & Interactive Claim Analytics

Ask questions across your entire claim portfolio in natural language. Instantly search documents, emails, call recordings, and notes — then drill into analytics dashboards that reveal patterns, bottlenecks, and satisfaction drivers. Management gets real-time interactive insights to steer operations.

Natural language search across all case data
Interactive dashboards with drill-down analytics
Trend analysis by handler, segment, product & time
AI monitoring — detect accuracy drift & trigger reviews
Analytics Data Assistant with natural language queries
04
Feature 04

Full Claim Core System

The platform acts as a full claim management core, securely storing claim data and all processing actions. Complete audit trails, activity logging, and role-based access control ensure compliance and transparency. Enterprise-grade security standards protect all data and system access.

Enterprise-grade security & encryption
Complete audit trails & activity logging
Role-based access control (RBAC)
Compliance-ready architecture
Full linear history with complete audit trail
Document extraction and field matching records

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.

Databricks

Unified data & AI platform

Azure

Microsoft Azure Cloud

GCP

Google Cloud Platform

AWS

Amazon Web Services

Book a Demo

You have bigger priorities than building your own AI Agentic platform for Claims & Ops

Leave the AI-heavy lifting to us. Book a 30-minute call and see how your team can benefit from client intelligence right away — no internal build required.

Live demo on real data

See ClaimSense running with scenarios that mirror your workflow — ready to use, not ready to build.

Data source assessment

We’ll map your communication tools and estimate how fast you can go live.

Early-adopter pricing

Pilot customers get meaningful discounts as we bring ClaimSense to market.

Trusted by 25+ companies — Join leading organizations in Insurance, Healthcare, Banking, and more who have already transformed their processes with DataSentics, creators of ClaimSense.

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