DigitalClerx

Claims ClerX

Reduce cost per claim. Minimize error rate. Improve customer satisfaction.

Agentic AI-powered claims automation

Streamline every step of claims lifecycle with unmatched speed and precision with Claims ClerX – our next-gen multiagent system. Empower your employees to focus on complex issues while our ClerX effortlessly handles end-to-end claims processing with minimum human intervention.

Claims ClerX isn’t just any other automation solution. It’s a group of self-learning AI agents that learn from every interaction and adapt to changing scenarios. The specialized agents work together in tandem to effortlessly automate claims processing, from data extraction to settlement. The agents go beyond rules-based automation and make effective decisions on your behalf with robust safety guardrails in place.

Self-learning

High accuracy

Adaptability

Want to see our Claims ClerX in action?

Assemble your AI agent workforce for automated claims processing

  • Extract data automatically from claim forms, invoices, medical records, and more using Optical Character Recognition (OCR) and Natural Language Processing (NLP).
  • Verify the data and identify missing information.
  • Validate customer details against existing records.

The impact:

  • No manual data entry
  • Zero human errors
  • Automatically verify policy details against the claim type.
  • Ensure claim consistency.
  • Identify incomplete claims and request corrections.

The impact:

  • Reduce disputes
  • Reduce manual workload
  • AI-powered fraud detection models to identify anomalies in claims.
  • Discover patterns of duplicate or inflated claims using agent Long Term Memory
  • Cross-check claim details with historical data and external databases.

The impact:

  • Minimize financial losses
  • Boost regulatory compliance
  • Accurately calculate settlement amounts factoring in coverage, depreciation, etc.
  • Get data-driven suggestions on negotiation for claims requiring human review.
  • Grounded in your organization’s settlement process and latest banking & insurance guidelines.

The impact:

  • Faster settlements
  • Improved customer satisfaction
  • Personalized emails to acknowledge upon claim submissions.
  • Notify adjusters and customers of required actions.
  • Provide real-time updates on claim status to customers.

The impact:

  • Reduce inquiry calls
  • Improve transparency

Redefining claims processing like never before

30%

Productivity boost

25%

Efficiency boost

12%

Fraud reduction

20%

Cost savings

Embrace Agentic AI for claims processing with confidence.

LLM-agnostic

Go with the model that best serves your interests. No restrictions.

Platform-agnostic

Cloud, on-prem, or both – deploy the Claims ClerX on any platform.

LOB Integration

Flexibility to connect with more than 1000 LOB systems. No silos.

Controllable autonomy

Agentic AI that works by your rules. Smooth hand-off to humans when necessary.

Faster deployment

Get started with Claims ClerX in less than a week.

Customizable

Tailor the solution to meet your unique needs. One size doesn’t fit all.

The road to the future of AI-driven claims processing

Consulting

Meet with us to identify opportunities to leverage agentic process automation in your claims process. We help you create a tailored, strategic roadmap for successful implementation.

Customization

Orchestrate the Claims ClerX multi-agent system as per your workflow. Train the models on your enterprise data and infuse domain-specific skills for better performance.

Implementation

Integrate the multiagent system with your line-of-business systems. Seamlessly implement the solution in your infrastructure without disrupting your existing claims workflows.

Monitoring

Our team proactively monitors performance of Claims ClerX, ensuring high availability and reliability with swift support. We continuously innovate and enhance its capabilities to maximize value and efficiency.

Unlock the true power of automation in claims processing. The Agentic Way.

Get more done without increasing headcount. Minimize errors and risks in claims processing with agentic AI. Are you ready? Fill out the form, and we will reach out to you shortly.

Frequently asked questions on Claims ClerX

Our Agentic AI solution for claims processing

What is Claims ClerX?

Claims ClerX is a multiagent system that automates and optimizes the claims lifecycle. It uses specialized AI agents to perform specific tasks, reducing processing time and improving accuracy.

Yes. You can customize the agentic AI solution for your own business use cases. You can train the models on your enterprise- and industry-specific data and infuse specialized skills and knowledge.

Yes. We offer consulting and workshops to help you identify potential opportunities to leverage multiagent systems in your business. To book a free consultation, contact us.

Yes. We help you integrate the multiagent system with your existing business systems using connectors and APIs.

Yes. We offer free live demo of Claims ClerX, simulating your environment and connecting to your enterprise data. Schedule live demo.

Yes. We ensure that Claims ClerX stays compliant with industry standards and most stringent regulations by working closely with your team and harnessing our expertise.