AI + Human Intelligence for
High-Stakes Cases
High-stakes decisions require more than just algorithms. ClaimSense transforms complex medical and legal documents into fast, accurate, and defensible insights.
HIPAA Compliant
The Cost of Manual Review
High-stakes cases come with thousands of pages. Traditional review methods are breaking under pressure.
Overwhelming Volumes
Thousands of pages of medical records, legal notes, and scans.
Slow Turnaround
Manual reading takes weeks, delaying justice and resolution.
Inconsistent Results
Human fatigue leads to missed details and varying standards.
Current Landscape
Pure AI
Fast, but prone to hallucinations and lacks legal context.
Pure Human
Accurate, but impossible to scale and expensive.
Hybrid Intelligence for Critical Decisions
ClaimSense reads, organizes, and summarizes complex case files using AI — then applies human insight to validate, contextualize, and defend every output.
Speed & Accuracy
Drastically reduce review time without sacrificing precision needed for high-stakes outcomes.
Automation with Accountability
Every AI-generated insight is tracked, sourced, and ready for human validation.
Audit-Ready Defense
Build bulletproof documentation trails for audits, negotiations, and court.
How ClaimSense Works
A seamless, three-step transition from raw data to defensible intelligence.
AI Processing
ClaimSense instantly ingests thousands of pages of unstructured documents using advanced OCR and intelligent classification.
- OCR & Data Extraction
- Automated Timelines
- Risk Signal Flagging
Human Validation
Expert reviewers validate AI outputs and apply real-world context to ensure total accuracy.
- Contextual Analysis
- Defensible Annotations
- Confidence Markers
Actionable Intel
Receive a fully verified, source-linked report ready for audits, negotiations, or court.
- Verified Summaries
- Clear Chronologies
- Audit-Ready Reports
Built for High-Stakes Teams
Whether you are in Insurance, Law, or Compliance, ClaimSense adapts to your workflow.
Insurance
- Malpractice Claims
- Injury & Liability
- Workers' Compensation
Legal
- Malpractice Litigation
- Personal Injury
- Defense & Plaintiff Teams
Risk & Compliance
- Internal Investigations
- Incident Reviews
- Regulatory Audits
Enterprise-Ready Security
Built on Documenex, ClaimSense meets the rigorous security and compliance demands of regulated industries.
Role-Based Access
Granular permissions ensure only authorized personnel access sensitive data.
Complete Audit Logs
Every action is tracked and logged for full transparency and accountability.
HIPAA Compliant
Enterprise-grade security protocols protect PII and PHI at all times.
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🔒 Access Controlled
End-to-end encrypted
HIPAA
Compliant
Audit
Logged
Start With Confidence
Documenex ClaimSense helps you move faster — without increasing risk. Join the beta program today.