While i su a ce ca ie s have i vested heavily i claims tech ology a d ope atio al i f ast uctu e, p ofessio als ep ese ti g policyholde s ofte ma age esse tial claim i fo matio ac oss sp eadsheets, i boxes, file-sha i g platfo ms a d othe disco ected applicatio s.
“Ou missio is to put the sha pest ope atio al tools o the policyholde ‘s side of the table,” said A dy Rouhafzai, fou de a d CEO of claimOS a d a lice sed Texas public adjuste . “Claims p ofessio als should ot have to go up agai st a sophisticated ca ie ope atio with seve b owse tabs a d a sp eadsheet. They dese ve o e system that p ese ves the evide ce, makes the ext move clea a d helps them build a claim file they ca defe d.”
claimOS co ects the claim lifecycle f om i take th ough esolutio . The platfo m b i gs togethe co tacts, tasks, docume ts, photos, email, timeli e activity, weathe a d buildi g-code evide ce, estimate eview, fo mal lette s, elect o ic sig atu es, i voici g, epo ti g a d clie t collabo atio a ou d a si gle claim eco d.
Claim B ai is the AI wo kspace withi claimOS. Rathe tha fu ctio i g as a sta dalo e chatbot, it wo ks f om the i fo matio available withi a autho ized claim eco d.
“Most AI tools begi with a bla k p ompt. Claim B ai begi s with the claim file,” Rouhafzai said. “It ca ead ac oss the eco d, show the evide ce suppo ti g a a swe , ide tify what is missi g a d help p epa e the ext piece of wo k. The p ofessio al emai s i co t ol of eve y impo ta t decisio .”
Fi d a d summa ize eleva t claim evide ce while ide tifyi g the sou ce mate ial suppo ti g its a swe s.
Review policy exce pts, estimates, photos, weathe epo ts, buildi g-code mate ials a d claim commu icatio s f om o e wo kspace.
Compa e estimates, ide tify docume ted scope diffe e ces a d suppo t suppleme t p epa atio .
D aft ca ie espo ses, fo mal lette s, i te al otes a d follow-up tasks fo huma eview.
Ide tify agi g claims, ove due wo k, commu icatio gaps, missi g docume tatio a d pote tial ext actio s ac oss a po tfolio.
Claim B ai is i te ded to suppo t- ot eplace-lice sed p ofessio al judgme t. Its access is gove ed by wo kspace a d claim-level pe missio s, a d highe -impact actio s a e staged fo eview. D aft commu icatio s a e ot se t without app oval, a d the system is desig ed ot to make legal cove age dete mi atio s, gua a tee claim outcomes o i depe de tly ecomme d settleme t amou ts.
claimOS was fou ded by Rouhafzai afte ea ly two decades i e te p ise softwa e a d fi stha d expe ie ce avigati g a majo p ope ty claim befo e becomi g a public adjuste .
Afte testi g existi g claims platfo ms a d seei g how f eque tly c itical i fo matio emai ed scatte ed ac oss sepa ate tools, Rouhafzai assembled a team to build claimOS a ou d the day-to-day wo kflows of p ofessio als ep ese ti g i su eds.
“Claim wo k is ot just docume t sto age o task ma ageme t,” Rouhafzai said. “It equi es u de sta di g how the policy, damage evide ce, estimate, commu icatio s a d timeli e fit togethe . claimOS was desig ed to keep that co text co ected f om the begi i g of the claim th ough esolutio .”
The platfo m is ow comme cially available, with a i itial focus o public adjuste s a d i su a ce app aise s. It is also desig ed to suppo t plai tiff-side i su a ce law fi ms, esto atio compa ies a d othe p ofessio als wo ki g o behalf of policyholde s.
To lea mo e, visit https://claimos. et/.
claimOS is a AI- ative claims ope ati g system built fo public adjuste s a d othe p ofessio als ep ese ti g policyholde s. The platfo m ce t alizes claim ope atio s, evide ce, commu icatio s, docume t i tellige ce, epo ti g a d AI-assisted wo kflows withi a si gle claim eco d. Fou ded i 2024, claimOS is headqua te ed i Austi , Texas.
