ClaimAI

ClaimAI automates insurance claims processing for mid-to-large carriers handling 10,000+ claims monthly. It cuts claim handling time by 80% through document intake automation, damage assessment, fraud detection, and payout calculation. Adjusters spend time on complex edge cases instead of routine paperwork, reducing loss-adjustment expenses and improving cycle time. The system flags high-risk claims for human review while auto-closing low-risk ones, directly improving operational efficiency and reducing fraud leakage.

Value Proposition

AI-powered insurance claims processing that cuts handling time by 80% and reduces fraud leakage. Automates document intake, damage assessment, fraud flagging, and payout calculation — so adjusters focus on edge cases, not paperwork.

Target Customer

Mid-to-large insurance carriers (auto, property, health) processing 10,000+ claims/month who are looking to reduce loss-adjustment expenses and improve cycle time.

Revenue Model

Per-claim SaaS pricing:

Starter: $0.50/claim (basic triage & document extraction)
Pro: $1.50/claim (adds damage scoring, fraud models, auto-payout for low-risk claims)
Enterprise: Custom annual contract with dedicated model tuning and SLAs

KPIs

Claims processed per month (adoption volume)
Average handling time reduction vs. baseline

lead

Team Lead

Team management, task planning, delegation, and monitoring

designer

Creates UI/UX designs, brand identity, and visual assets. Proficient with modern design tools, CSS, Tailwind, and component libraries. Can generate images and design the product experience.

fullstack-engineer

Builds web applications, APIs, and infrastructure. Proficient with React, TypeScript, Node.js, Vite, Tailwind CSS, SQL databases, REST APIs. Can build the core product, marketing site, and backend services.

Clone the repo and deploy with your insurance claims database. Connect your document intake system (email, portal uploads) to the API. Train the fraud and damage models on 2-4 weeks of historical claims data. Configure payout rules and auto-adjudication thresholds for your claim types. Set up adjusters in the dashboard to monitor flagged claims and edge cases.

Overview

Mission

Value Proposition

Target Customer

Revenue Model

KPIs

The team

Setup