ClaimSense
DataSentics s.r.o. · Operations & Productivity
Certification per Microsoft Marketplace.
Evidence tier Source Confirmed · 7 captures on record
What the publisher says
As described on Microsoft Marketplace.
Your claims team is drowning in paperwork. Here's how to fix it.
Every day, your claims handlers open claim reports, manually type data into spreadsheets, dig through policy documents to check coverage dates, calculate payouts with formulas they keep in their heads, and copy-paste emails to clients. When a new person joins the team, it takes months before they can work independently. When volume spikes, the backlog grows and clients start calling.
Show the rest of the publisher’s description (26 more lines)
ClaimSense gives you a working claims processing engine with AI already built in. You tell us what documents your clients submit, what rules you check, how you calculate payouts, and what emails you send. We configure it. Your team starts processing claims faster within weeks.
What actually changes for your team:
Your claims handlers stop doing data entry. When a client submits a claim with photos, invoices, and reports — ClaimSense reads every document automatically. OCR for text-heavy files. Vision AI for damage photos and labels. Structured data appears in the case file without anyone touching it.
Your validation becomes consistent. Today, one claim handler catches a VIN mismatch, another misses it. ClaimSense cross-checks every claim against the same rules every time — policy dates, name matching, document consistency, fraud signals. The AI flags problems. Your team makes final decisions.
Your payout calculations become auditable. No more hidden spreadsheets. ClaimSense runs the same formula for every claim — amortization, deductibles, co-payment, limits — and shows exactly how the number was calculated. Every step is logged for compliance.
Your client communication becomes instant. Approval emails, rejection letters, requests for additional documents — generated automatically with the right numbers and case details filled in.
How you set it up: 8 steps, no coding
ClaimSense has a guided workflow builder that your operations team can configure without developers:
- Overview — Link the workflow to your product and case type
- Documents & Parameters — Define what clients upload and what data AI should extract
- States — Define possible outcomes (approved, rejected, needs review)
- Validation — Write cross-check rules — AI executes them
- Payout — Enter calculation formulas with real business logic
- Templates — Create multilingual emails and protocols with dynamic variables
- Transitions — Set routing rules so claims move between states automatically
- Case Detail View — Configure what claims handler see when reviewing a case
Who uses ClaimSense today:
Operations teams at insurance companies, healthcare providers, manufacturers processing warranty claims, and logistics companies handling damage cases. Typically companies processing 1,000+ cases per month where manual handling is no longer sustainable.
What it costs:
Per-claim pricing. No large upfront license. No developer team required. You pay for what you process.
Security and compliance:
Data processed within the EEA. GDPR compliant. DORA-ready. EU AI Act aligned. Full audit trail on every action. Deployment available for regulated industries.
About us:
ClaimSense is built by DataSentics, a Bull company — 300+ engineers, 500+ delivered AI solutions across Europe. We've been solving data and AI problems for enterprises for over 15 years. ClaimSense is where that experience meets a specific, painful problem: claims that take too long.
Ready to see it work?
Contact us for a demo with your own documents, or start a Quick Start pilot — live results in a weeks.
Preview
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Agent build and provenance
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Compliance
- FedRAMPConfirmedNot listed90%, registry-checkedNo FedRAMP Marketplace entry matched this vendor's domain, checked 2026-08-27registry recordas observed 2026-08-27
Confirmed means matched to a public authoritative registry. Claimed means the vendor or its listing states it, not yet cross-checked. A framework not shown was not found in any source we hold, which is not evidence against it. Not listed means a scoped registry check found no match for this vendor's domain: a No is a scoped registry check, not a compliance judgment. Confidence bands: 95% domain-verified, 90% registry-checked, 80% self-attested, 70% weak signal. Self-attested items marked “vendor's site” are gathered from the vendor's own website and are not verified by us.
Vendor
External enrichment
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Publisher resources
3 linksLinked repositories
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