Your claims data already knows where the next loss is coming from. The question is whether you can read it or not.
Most enterprises manage claims in silos, one claim at a time. The patterns that predict future losses, reveal reserve leakage, and surface fraud are hiding in the data that you already have. Covasant's Claims Intelligence platform connects every claim across every category, so that your risk team stops reacting and starts preventing proactively.
Claims Intelligence // Live Active
2,847
Claims Active
$4.2M
Open Reserve
23
High Risk
Live Activity
Workers Comp TX-047 — Slip and fall Day 14
now
Review
General Liability — Vendor incident $185K
1h
High Risk
Property Dallas — Equipment failure $67.5K
2h
Subrogation
Auto Liability Fleet — 3rd party collision $28K
3h
Low Risk
Workers Comp CA-023 — Pattern: 3 claims 90d
1d
Pattern
Agent Insight: 3 slip-and-fall claims at location TX-047 in 90 days — recommend site safety inspection. Estimated prevention value: $126K. Subrogation opportunity identified in Fleet Claim — third-party liability indicators present at intake.
Claims managed in isolation are intelligence wasted.
Every claim that your organization processes, carries crucial data about locations, vendors, employees, failure patterns, and litigation signals. Processing those claims one at a time, in separate TPA systems, means the patterns that could prevent the next loss are invisible until after it happens.
VP Risk Management / Chief Risk Officer
Litigation risk and subrogation opportunities buried inside workers' comp claims
Workers' compensation claims carry signals that predict litigation, identify subrogation recovery, and reveal workplace safety patterns. Those signals require cross-claim pattern recognition that no manual review team can deliver at scale.
Head of Claims / Insurance Director
Third-party liability claims with no early fraud detection or reserve accuracy
Manual triage of general and auto liability claims means fraud signals accumulate before they are caught, reserves are set on gut instinct rather than data, and settlement opportunities are missed because no one is watching case development continuously.
CFO / Risk Finance Director
Property claims data sitting unused as a loss prevention intelligence source
Recurring equipment failures, high-loss locations, and maintenance gap patterns show up clearly in claims history. Without cross-portfolio analysis, those patterns stay invisible, and the same losses happen again at the same facilities.
Recurring
Loss patterns invisible without cross-portfolio AI analysis
Chief Risk Officer
Reserve accuracy that depends on experience rather than data
Reserve decisions made without comparable case data, jurisdiction history, and real-time claim development signals produce both over-reserving and under-reserving. Both cost the organization money. Neither is necessary with AI-powered reserve intelligence.
General Counsel / Litigation Manager
Litigation tracked in spreadsheets across dozens of open matters
When open litigation is managed in spreadsheets and individual case files, settlement windows are missed, reserve adequacy is not monitored continuously, and the strategic view of your full litigation portfolio is never visible to the people who need it.
Risk Committee / Board
Board risk reporting built from manual data, not live portfolio intelligence
Risk committee reports assembled by hand from multiple TPA systems and RMIS platforms reflect a historical snapshot, not the current risk state. Decisions made on last quarter's data carry the risk of this quarter's surprises.
From siloed claims data
to proactive loss prevention intelligence.
Step 01
Connect All Claims Data
Connect TPA, carrier, and RMIS data sources. Normalize claim records across categories, systems, and time periods into a single intelligence layer, regardless of format or source system.
Step 02
AI Triage and Classification
Agents classify every claim by severity, litigation risk, fraud indicators, and prevention category automatically, at intake. Reserve recommendations generated from comparable case data and jurisdiction history.
Step 03
Cross-Portfolio Pattern Detection
Pattern detection agents identify loss concentrations, systemic causes, subrogation opportunities, and prevention patterns across the full portfolio, finding the correlations between locations, vendors, employees, and loss events.
Step 04
Actionable Intelligence Output
AI-generated loss prevention recommendations, reserve actions, and litigation strategy guidance delivered to the right teams, with board and broker reporting generated automatically from the continuous portfolio intelligence.
Six agents. Every stage of the claims lifecycle
working as loss prevention intelligence.
Covasant's Claims Intelligence platform deploys a coordinated team of AI agents across your entire claims portfolio. Each agent specializes in a specific part of the claims lifecycle. Together they surface intelligence that no individual claim review can produce.
Claims Consolidation
Claims Consolidation Agent
Ingests and normalizes claims data from every TPA system, carrier portal, and RMIS platform into a single intelligence layer. Every claim across every category visible in one place, the foundation for all cross-portfolio pattern detection.
Risk Classification
Risk Categorization Agent
Automatically classifies claims by type, cause, severity, litigation risk, and fraud indicators, enabling portfolio-level analysis that manual triaging cannot achieve. Suspicious claims flagged at intake, not after settlement.
Loss Analysis
Loss Analysis Agent
Identifies loss trends, claim frequency patterns, and cost drivers across your entire claims portfolio, surfacing the correlations between locations, vendors, employees, and loss events that reveal true risk concentration. Subrogation recovery potential surfaced at intake.
Litigation Monitoring
Litigation Monitoring Agent
Tracks open litigation across all claims, monitoring case developments, reserve adequacy, and settlement opportunity windows automatically. Your litigation team makes informed decisions on every open matter, continuously.
Predictive Reserves
Predictive Reserve Agent
AI-powered reserve recommendations using claim characteristics, jurisdiction data, and comparable case outcomes, reducing reserve inadequacy and redundancy. Calibrated to your specific reserving methodology and risk appetite.
Analytics and Reporting
Claims Analytics Dashboard
Executive-ready dashboards tracking loss ratios, reserve accuracy, claim velocity, and prevention ROI, for board reporting and broker negotiations. Broker-ready analytics packages generated automatically for renewal conversations.
40%
Reduction in claims leakage through AI triage and continuous reserve monitoring
Claims Intelligence Deployment Data
$12M
Average annual loss prevention per enterprise using the platform
Covasant Customer Outcomes
5x
Faster resolution when AI handles triage, routing, and documentation automatically
Internal Benchmarking, 2024
28%
Lower insurance premiums with documented loss prevention programs at renewal
Customer Outcomes, 2023–2024
Every risk category. One portfolio view.
Continuous loss prevention intelligence.
The Claims Intelligence platform is configured for your TPA systems, risk categories, reserve methodologies, and reporting requirements. You go live with cross-portfolio intelligence that works across your actual claims environment, not a simulated dataset.
Cross-Portfolio Loss Intelligence
Spot loss patterns that only appear when all your claims data is in one place
The Claims Consolidation Agent ingests data from every TPA system, carrier portal, and RMIS platform into a single intelligence layer. The Loss Analysis Agent works across the full portfolio, identifying correlations between locations, vendors, employees, and loss events that reveal where your next significant claim is most likely to come from.
Chief Risk Officers and VP Risk Management
Litigation and Reserve Intelligence
Never miss a settlement window or let a reserve fall behind claim development
The Litigation Monitoring Agent tracks every open matter continuously, flagging case development milestones, reserve adequacy gaps, and settlement opportunity windows as they emerge. The Predictive Reserve Agent uses comparable case data and jurisdiction history to recommend reserve levels based on evidence, not estimates.
General Counsel and Litigation Management Teams
Fraud Detection
Identify duplicate claims, inflated costs, and fraud patterns before payment is released
The Risk Categorization Agent classifies every claim by fraud indicators, duplicate signals, and anomalous cost patterns. Suspicious claims are flagged at intake, not after settlement. Your SIU team investigates confirmed signals rather than searching for them across a manual review queue.
SIU Teams and Head of Claims
Board and Broker Reporting
Risk committee reports that reflect the current state of your portfolio, not last quarter's actuals
The Claims Analytics Dashboard generates executive-ready loss ratio reporting, reserve accuracy tracking, and broker-ready analytics packages automatically. Your risk committee sees live portfolio intelligence. Broker renewal conversations are supported by documented loss prevention program evidence that drives premium reductions.
Risk Committee and Insurance Brokers
Connects to the systems that you already run.
TPA Integration
TPA Platform
RMIS Integration
RMIS Platform
Risk Analytics
TPA Platform
Three ways in which the Claims Intelligence platform delivers
for your risk program.
Your claims environment is unique. Your TPA relationships, RMIS infrastructure, risk categories, and reporting requirements are specific to your business. We configure Claims Intelligence to fit your reality.
01
Risk Technology Teams and IT Leaders
Build your own claims intelligence platform on CAMS.
Your team has deep knowledge of your risk programs. CAMS provides the agent infrastructure so that your engineers can build claims intelligence, not data pipelines. Deploy faster with governance built in from day one.
- Agent Studio for custom claims workflow automation
- Native connectors to major TPA and RMIS platforms
- AgentEval to validate AI before it touches live claims data
- Agent Registry with governance guardrails for every agent
- AI Agent Control Tower for continuous performance monitoring
02
Risk Management, Claims, and Finance Leaders
Deploy Claims Intelligence, configured for your claims environment.
Claims Intelligence is built and ready. We configure it for your TPA systems, risk categories, reserve methodologies, and reporting requirements. You go live with working intelligence, not a months-long implementation project.
- Configuration for your TPA, carrier, and RMIS data sources
- Fraud detection tuned to your claims mix and loss patterns
- Reserve methodology aligned to your risk appetite and actuarial standards
- Board and broker reporting templates matched to your governance calendar
- Continuous performance monitoring through the AI Agent Control Tower
03
CROs and Risk Executives with a Specific Challenge
Bring us your claims challenge. We build the solution on CAMS.
A subrogation recovery program, a workers' comp fraud detection system, a litigation intelligence platform. You bring the risk domain knowledge. We use CAMS to build and deploy an agentic solution, governed and validated from the start.
- Risk program definition with your claims and actuarial leadership
- Rapid build using CAMS as the development foundation
- Data integration with your existing TPA and RMIS infrastructure
- Agent governance and compliance guardrails embedded from day one
- Deployment, validation, and hypercare through go-live
Questions that risk leaders ask us
If your question is not here, our team will answer it directly.
Talk to a Specialist →How does the Claims Intelligence platform connect to our existing TPA and RMIS systems?
The Claims Intelligence platform includes native connectors to the major TPA platforms, such as Sedgwick, Gallagher Bassett, Broadspire, and others, and RMIS systems including Riskonnect, Ventiv, and Origami. The CAMS Data Ingestion layer handles normalization across systems with different data formats and claim structures. For proprietary or legacy systems, we use the CAMS custom connector framework. No manual data extraction or transformation is required on your team's side.
How long does initial deployment take before the Claims Intelligence platform is producing intelligence?
For organizations with standard TPA and RMIS infrastructure, the initial data ingestion and pattern detection capability is live within four to six weeks of engagement start. The reserve intelligence and cross-portfolio analysis capabilities require a minimum of twelve months of historical claims data to produce reliable recommendations. Most customers see initial loss prevention insights within the first sixty days of full deployment.
How does the Predictive Reserve Agent handle jurisdiction-specific reserve requirements?
The Predictive Reserve Agent is configured with jurisdiction-specific settlement benchmarks, litigation frequency data, and regulatory reserve requirements. During onboarding, we work with your actuarial team to align the reserve models with your organization's existing reserving methodology and risk appetite thresholds. The agent makes recommendations within your established framework rather than overriding it, with full audit trail for every reserve recommendation it produces.
Can the Claims Intelligence platform support multiple lines of coverage across a complex risk program?
Yes, the Claims Intelligence platform is specifically designed for complex, multi-line risk programs. The platform handles workers' compensation, general liability, auto liability, property, professional liability, and specialty lines simultaneously, with cross-category correlation analysis that identifies risk concentrations spanning multiple coverage types. Organizations with captive programs and self-insured retentions benefit from the unified portfolio view that individual TPA systems cannot provide.
How does the Claims Intelligence platform support broker relationships and renewal negotiations?
The Claims Analytics reporting capability generates structured loss control documentation, loss ratio trend analysis, and risk management program evidence specifically designed for broker and carrier conversations. Customers regularly use these outputs to support premium negotiation at renewal and to demonstrate loss prevention program maturity to prospective carriers. The reporting format can be configured to match the specific requirements of your brokerage relationship.
Claims Intelligence · Built on CAMS by Covasant
The patterns behind your next significant loss are already available in your claims data.
See how the Claims Intelligence platform transforms your existing claims portfolio into a proactive loss prevention program. A demo built around your actual claims environment, risk categories, and TPA infrastructure.