VIP Claims · Carriers

Claims intelligence that leads to accountable action.

Surface claim-level signals, evidence requirements, invoice findings, and workflow priorities in context. Recommendations support authorized reviewers; they do not make final claim, coverage, invoice, legal, or financial decisions.

What it does

Prioritize evidence, findings, spend risks, and next work requiring authorized human review.

Claim signals

Bring relevant evidence and findings forward for a focused review.

Review priorities

Help teams sequence work that warrants attention.

Evidence context

Link signals to the source material available to the reviewer.

Accountable action

Require an authorized person to approve consequential next steps.

Inside the command center

Ten working areas, one accountable claim view.

01

Claims Intelligence overview

A single landing view of open priorities, spend exposure, evidence gaps and the work waiting on a reviewer.

02

Invoice Review

Line-level review of submitted invoices with documented findings, adjustments and approval status on the claim.

03

Demand 360

A structured view of the demand: amounts, supporting evidence, valuation context and the open questions behind it.

04

Claims Playbook

The carrier's own guidance applied in context, so reviewers follow one consistent standard across matters.

05

Evidence & Findings

Every finding cites the documents, line items and guidance that produced it, with missing evidence flagged early.

06

Find Specialists or Find Counsel

Search approved specialists and counsel by capability, coverage area, capacity and prior outcomes on similar matters.

07

Claim Rooms

Matter-scoped workspaces where approved participants share messages, files and decisions without seeing the whole claim.

08

Outcomes & Performance

Track cycle time, resolution outcomes, spend against expectation and performance by provider or matter type.

09

Connected Systems

Connections to the carrier's claims system of record, billing feeds and document sources, with the source record preserved.

10

Governance & Retention

Role-based access, audit trails and retention rules so authorized reviewers can defend decisions later.

Also in VIP Claims for Carriers
VIP™ — The Insurance Intelligence Layer

One connected flow, from first notice to final payment.