AI-Powered Insurance Claims Management Software
Offering thorough coverage and trustworthy support, guaranteeing peace of mind to you and your loved ones.
Why Select Everestek?
Next-Gen Claims Management Software
We deliver more than claims management software. Here's why Everestek is different:
AI/ML‑driven automation to drive intake, adjudication, and fraud detection.
Low-code customization to respond rapidly to your process.
Configurable rules engine that scales with policy sophistication.
Multilingual and multi-region support so we can go global.
A specialized onboarding and support team is available 24/7.
Everestek is a technology partner, not a vendor. We've constructed insurance systems that combine policy, claims, enrollment, and billing—from our work with Silvereel and other customers, extending to global markets
Who is it for?
Built for Every Role in the Claims Ecosystem
We crafted this solution to address the requirements of every participant in the insurance claims process
Property & Casualty Insurers
You require expedient, predictable claim results. Our platform provides.
Healthcare Payers & Providers
Streamline medical claims with rules-based adjudication.
MGAs, Brokers & TPAs
Obtain real-time visibility and more efficient handoffs.
Adjusters & Operations Teams
Work smarter through workflow orchestration and automated routing.
Real Impact, Real Results
P&C Insurer
Automated the full claims cycle to cut cycle times.
Healthcare Payer
Cut claim errors significantly at intake with embedded adjudication logic.
Broker Network
Provided real‑time claim tracking for agents and policy holders.
Adjuster Portal
Streamlined communication and approvals reduce processing time.
End-to-End Claims Management Features
FNOL & Intake Automation
- We enable multi-channel intake through web, mobile, and email
- Built-in AI-driven data capture and validation pull policy information and claimant information the instant a report is made
- No more typing in forms
Workflow Automation
- Our insurance claims management system automatically routes cases.
- It imposes approvals or escalations based on defined workflows.
- It reduces exceptions with rules that can be configured.
Document Management
- All claim documents reside within one central claim document store.
- Our Smart OCR is able to process structured forms, medical history, images, and PDFs.
- This helps minimize manual uploads.
Adjudication & Decision Engines
- Computerized coverage checks and policy validation
- Real-time decisions
- Built-in AI powered fraud detection
Analytics & Reporting
- Interactive dashboards provide real-time visibility into KPI trends, leakage, cycle times, and operational efficiency.
- Automated alerts proactively identify and surface anomalies before they become costly.
- Faster response, better control, and improved decision-making.
Portals & Notifications
- Provide a self-service portal for policyholders with live claim status updates.
- Adjusters and agents receive automated notifications to stay informed.
- Ensures seamless coordination so nothing falls through the cracks.
Scalable. Configurable. Secure.
Think of it this way: choose only what you need.
Modular design that flows across lines of insurance.
Available as a cloud-native or on-premise deployment.
Role-based access control, audit trails, encrypted data at rest and in transit.
Fully compliant with industry regulations and standards.
What You’ll Gain
Think of it this way, choose only what you need.
Real-world clients have seen 40–50% faster claim turnaround times.
Significant reduction in manual processing costs.
Enhanced customer satisfaction through real‑time transparency in claim status.
Proactive fraud detection and prevention keep costs in check.
A platform that scales with your business, from small portfolios to enterprise operations.
What Our Client Says
Partnering with Everestek has been a transformative experience for Silver Eel. They took us from having no tech infrastructure to a fully functional, comprehensive insurance platform. Their innovative solutions, such as the instant quote feature and agent onboarding system, have allowed us to expand our offerings and streamline operations. Everestek’s technical expertise and ability to understand our business needs have been invaluable in helping us serve our clients more efficiently.
Peter Gaillard
Founder, Silvereel Technologies
Implementation in 5 Simple Steps
Process Mapping & Workflow Design
We work together to map out your existing flow.
System Configuration & Customization
Establish rules, forms, and user roles.
Data Migration & System Integration
Integrate your policy admin system, ERPs, and EHRs.
User Training & UAT
Workshops with your team and pilot running.
Go‑Live & Continuous Optimization
We remain involved after the launch to fine-tune and optimize.
FAQs
Why is your system an insurance claims management system and not merely software?
What differentiates medical claims processing software from regular claim processing?
Is your solution truly AI-driven?
Can you integrate with existing policy admin systems?
Are workflows customizable?
Do we have multi-region and multi-language support?
We Connect with Your Favourite Tools
Integrations
Get In Touch
For any business-related questions or partnership opportunities, feel free to reach out to us at hello@everestek.com. We're here to assist you!