AI Intelligence engine
The brain behind
every fair decision.
The brain behind
every fair decision.
FairClaim AI Engine works as a modular intelligence layer that connects to existing claim systems and analyzes every dimension of a claim — from intake and documentation to injury severity, property damage, liability, fraud signals, settlement value and negotiation strategy.
Built on millions of structured claim, medical, legal, and settlement data points — not generic public AI data.
Built on millions of structured claim, medical, legal, and settlement data points — not generic public AI data.
983,799
983,799
Data points
Modules
Seven modules. One reasoning trace.
Seven modules. One reasoning trace.
Each module is a specialist — fine-tuned on its own corpus, scored against its own outcomes, and exposed independently through the API. The planner composes them per file.
Each module is a specialist — fine-tuned on its own corpus, scored against its own outcomes, and exposed independently through the API. The planner composes them per file.
Reduce manual claim review time by up to 70% with AI-powered intake intelligence.
The pipeline
Five stages every claim runs through
Each Intelligence Module composes the same five-stage pipeline. Bring in raw signal, end with reasoning your compliance team can trust — and decisions teams can act on confidently.
White-Label Experience
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Responsible AI
Bias monitoring, human-in-the-loop for settlements, model version control, and reproducibility of AI outputs to meet NAIC AI bulletin and state insurance laws.
Compliance & certifications
HIPAA-compliant data handling with full BAA support, SOC 2 Type II framework, GDPR and CCPA aligned controls, annual third-party penetration testing.
Identity & integrations
SSO (SAML 2.0, OIDC), SCIM provisioning, role-based access control, and REST APIs for Guidewire, Duck Creek, and claims management systems.
Audit & accountability
Immutable activity logs, reasoning trail behind every AI decision, exportable evidence packs for auditors and regulators, market conduct exam-ready documentation.
HIPAA Ready: Built to support secure handling of sensitive medical and claim-related information.
The pipeline
Five stages every claim runs through
Each Intelligence Module composes the same five-stage pipeline. Bring in raw signal, end with reasoning your compliance team can trust — and decisions teams can act on confidently.
White-Label Experience
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Responsible AI
Bias monitoring, human-in-the-loop for settlements, model version control, and reproducibility of AI outputs to meet NAIC AI bulletin and state insurance laws.
Compliance & certifications
HIPAA-compliant data handling with full BAA support, SOC 2 Type II framework, GDPR and CCPA aligned controls, annual third-party penetration testing.
Identity & integrations
SSO (SAML 2.0, OIDC), SCIM provisioning, role-based access control, and REST APIs for Guidewire, Duck Creek, and claims management systems.
Audit & accountability
Immutable activity logs, reasoning trail behind every AI decision, exportable evidence packs for auditors and regulators, market conduct exam-ready documentation.
HIPAA Ready: Built to support secure handling of sensitive medical and claim-related information.
Output
Every claim becomes a clear answer.
Every claim becomes a clear answer.
The engine turns raw narrative and documents into a defensible settlement recommendation — a low, fair, and high range, each number broken down by medical costs, lost wages, pain and suffering, and jurisdictional limits. Every figure is benchmarked against comparable claims, weighted by jurisdiction, injury type, and attorney involvement, and backed by plain-language reasoning. No black box. Just a number you can explain, defend, and stand behind.
The engine turns raw narrative and documents into a defensible settlement recommendation — a low, fair, and high range, each number broken down by medical costs, lost wages, pain and suffering, and jurisdictional limits. Every figure is benchmarked against comparable claims, weighted by jurisdiction, injury type, and attorney involvement, and backed by plain-language reasoning. No black box. Just a number you can explain, defend, and stand behind.
Transparency
Every decision is explainable.
Every decision is explainable.
No black box. For every settlement range, FairClaim shows you the factors that moved the number, the gaps that are holding it back, and exactly what would change if those gaps were filled — so you understand the reasoning, not just the result.
01
What impacted value
01
What impacted value
See the specific factors that drove the settlement range up or down — medical costs, injury severity, lost wages, jurisdictional caps, liability signals — each with its contribution to the final number made explicit.
02
What’s missing
Identify the missing documents, evidence, statements, or claim details preventing more confident settlement decisions and tighter valuation ranges.
02
What’s missing
Identify the missing documents, evidence, statements, or claim details preventing more confident settlement decisions and tighter valuation ranges.
03
What changes the outcome
03
What changes the outcome
Understand how the number would move if the gaps were closed — add a missing medical record or resolve a conflicting statement, and see the projected impact on the range before you go chase it down.
Get a Sneak Peek Into the Future of Claims
Explore an interactive preview of FairClaim’s AI Intelligence Engine and experience how modern claim operations could work.
Test AI-powered claim analysis, settlement simulations, custom dashboards, and intelligent workflows inside our live product demo.
Get a Sneak Peek Into the Future of Claims
Explore an interactive preview of FairClaim’s AI Intelligence Engine and experience how modern claim operations could work.
Test AI-powered claim analysis, settlement simulations, custom dashboards, and intelligent workflows inside our live product demo.
Get a Sneak Peek Into the Future of Claims
Explore an interactive preview of FairClaim’s AI Intelligence Engine and experience how modern claim operations could work.
Test AI-powered claim analysis, settlement simulations, custom dashboards, and intelligent workflows inside our live product demo.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.