Klear.ai Audit Logo

Klear.ai Audit

AI-powered claims audit software for insurance compliance and performance mgmt.

Visit website
Claim and verify your listing
0

Klear.ai Audit Description

Klear.ai Audit is an AI-driven claims audit and performance management software designed for insurance organizations. The platform automates the identification and prioritization of claims for auditing using artificial intelligence and business rules. The system provides dedicated queues for different roles including auditors, examiners, managers, Special Investigation Units (SIU), and legal teams. It supports configuration for various audit types including quality, operational, fraud, and statutory audits. The platform includes AI-powered claim sampling and selection capabilities that compare case-level predictions with examiner judgments. Claims with notable differences are automatically flagged and assigned for audit based on predefined rules. The system pre-populates audit forms and provides AI-driven adjuster recommendations. Performance management features include heat maps for examiner performance analysis, quantification of auditor contributions, and audit program ROI calculations. Real-time dashboards display key performance indicators for audit status, gap identification, and monetary impact. The software supports workflow automation for multiple stakeholder groups and enables task reassignment for workload balancing. It includes fraud detection models for overbilling, accelerated billing, and injury/ICD anomaly detection. The platform can be deployed as an independent module or integrated into existing systems.

Klear.ai Audit FAQ

Common questions about Klear.ai Audit including features, pricing, alternatives, and user reviews.

Klear.ai Audit is AI-powered claims audit software for insurance compliance and performance mgmt. developed by Klear.ai. It is a GRC solution designed to help security teams with AI Powered Security, Analytics, Audit.

Have more questions? Browse our categories or search for specific tools.

FEATURED

Hudson Rock Cybercrime Intelligence Tools Logo

Cybercrime intelligence tools for searching compromised credentials from infostealers

Proton Pass Logo

Password manager with end-to-end encryption and identity protection features

NordVPN Logo

VPN service providing encrypted internet connections and privacy protection

Mandos Fractional CISO Logo

Fractional CISO services for B2B companies to build security programs

Stay Updated with Mandos Brief

Get the latest cybersecurity updates in your inbox

POPULAR

RoboShadow Logo

Automated vulnerability assessment and remediation platform

13
Cybersec Feeds Logo

A threat intelligence aggregation service that consolidates and summarizes security updates from multiple sources to provide comprehensive cybersecurity situational awareness.

7
TestSavant AI Security Assurance Platform Logo

AI security assurance platform for red-teaming, guardrails & compliance

5
OSINTLeak Real-time OSINT Leak Intelligence Logo

Real-time OSINT monitoring for leaked credentials, data, and infrastructure

5
Mandos Brief Logo

Weekly cybersecurity newsletter covering security incidents, AI, and leadership

5
View Popular Tools →