Claimplex AI
Not a better draft — a digital claims workforce that files, chases, and collects.
A claimant-side claims operations engine for claims firms: intake, underwrite, draft, file to regulators, survive kickbacks, negotiate, and collect the fee. Unlike drafting-only tools, Claimplex actually files claims through official channels with screenshot evidence — and learns from every regulator rejection.
See Claimplex AI in action
What it does
The core capabilities that ship inside Claimplex AI.
6 specialized agents
Each agent owns one part of the workflow and hands off to the next — a coordinated team, not a single chatbot.
Triage Agent
A specialist agent inside Claimplex AI, working autonomously with the rest of the team to close its part of the workflow.
Economics Underwriter
Analyzes the data to score, predict, and recommend the highest-value next move.
Document Processor
Reads and understands inbound documents, extracts the key data, and files it where it belongs.
Portal Filer
A specialist agent inside Claimplex AI, working autonomously with the rest of the team to close its part of the workflow.
Evidence Nagger
Follows up relentlessly but politely across SMS, email, and calls until the loop is closed.
Standing Guard
Watches for compliance, fraud, and policy violations, and blocks risky actions before they happen.
One autonomous pipeline
Each agent completes its specialty, then passes the work forward — with a human approving anything high-stakes.