Platform

AI Claim Analysis

Identify missed opportunities and claim recovery potential with AI-assisted triage before expert review.

AI Workflow

What the AI Reviews

AI Claim Analysis reviews claim documentation before expert review, helping identify opportunities, documentation gaps, and areas that may warrant further investigation.

  • Documents Reviewed

    • Carrier Estimates
    • Contractor Estimates
    • Scope Sheets
    • Claim Documentation
  • What It Detects

    • Missing Line Items
    • Code Opportunities
    • Pricing Discrepancies
    • Documentation Gaps
  • Output

    • Opportunity Scoring
    • Supplement Recommendations
    • Recovery Insights
    • Expert Review Queue
  • Opportunity scoring

    Prioritize claims with the highest supplement and recovery upside.

  • Scope gap detection

    Flag line items and documentation gaps common in carrier estimates.

  • Expert validation

    AI accelerates triage; specialists drive final strategy and negotiation.

  • Calculator integration

    Connect field intake to intelligence reports your team can act on.

Frequently Asked Questions

Answers to common questions about AI claim analysis.

AI-assisted review scans estimates and documentation for scope gaps, pricing inconsistencies, and supplement opportunities. Expert teams validate findings before anything goes to a carrier — AI accelerates review, humans make the call.

No. AI is assistive — it flags items worth a closer look. Experienced supplement specialists interpret results, apply carrier context, and decide what belongs on the file. Technology speeds the process; expertise drives outcomes.

AI is effective at pattern recognition across large scopes — missing line items, quantity gaps, and inconsistent pricing. It is not infallible. Every flagged item is reviewed by your Claims Ninja team before submission.

Estimates, carrier scopes, photos, and structured claim documentation can feed AI review depending on claim type and scope. The system works best when intake documentation is complete and organized.

Your claim files are handled under partnership data practices. AI analysis runs within controlled workflows — we do not treat your proprietary claim data as public training material. Ask us for details on your agreement.

Yes. We compare carrier estimates to field scope and your documentation to flag defensible gaps — quantities, trade separation, code items, and documentation-supported scope. AI-assisted review can accelerate first-pass triage; expert teams validate before carrier submission.

View the full FAQ library →

Ready when you are

Start with a free claim review

Tell us about your operation. We'll assess your claim workflow, identify recovery opportunities, and outline next steps.