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Scale claim operations without payout leakage
Run claim intake, validation, approvals, and settlement from one governed workflow, so operations can move faster without losing control over payouts or audit trails.
Manual claims operations breed errors, leakage, and audit risk
When intake is unstructured and approvals are ad hoc, claim volume overwhelms teams and payouts slip through.
Unstructured intake
Claims arrive via email, spreadsheets, and portal uploads. Missing fields, duplicate submissions, and incomplete proof slow everything down.
Ad hoc approvals
Without structured routing, high-value claims get the same treatment as low-risk ones. Finance loses control and specialist review is bypassed.
Payout leakage
Duplicate claims, fraudulent submissions, and missed validation steps create excess payouts that damage program economics.
No audit trail
Without decision logs, escalation paths, and reviewer timestamps, compliance reviews become expensive investigations.
Govern every claim from intake to settlement, without slowing operations
Structured intake, risk-based routing, automated payout, and audit-ready logs in a single workflow.
Capture clean claims from the start
Collect invoices, receipts, and proof in one structured flow, with required fields and duplicate checks before review begins.
Route every claim to the right reviewer
Apply approval rules by value, category, region, and risk, so finance gets control without slowing routine claims.
Settle without manual payout steps
Approved claims trigger point credit, wallet transfer, or external settlement automatically. No spreadsheet exports.
Track queue health in real time
Finance and ops get a live view of queue size, SLA performance, leakage rate, and settlement velocity, without asking for reports.
From claim submission to settled payout in three steps
Structured claim submission and validation
Partners and members submit claims via guided forms. Required fields, duplicate checks, and proof validation run before the claim enters the queue.
Structured claim submission and validation
Risk-based routing and approval
Claims are routed by value, risk, and category to the right reviewer. Maker-checker controls and SLA tracking ensure finance governance without bottlenecks.
Risk-based routing and approval
Automated settlement and audit log
Approved claims trigger automatic point credit or wallet settlement. Every decision, including reviewer, timestamp, and reason, is stored for compliance.
Automated settlement and audit log
Use cases
Claims workflows built for every program type
Channel partner claims
Partners upload invoice claims in bulk. Auto-validation checks eligibility and routes high-value claims to finance review automatically.
Retail receipt validation
Members submit receipts via app or portal. OCR and rule-based checks validate purchase amount, date, and product eligibility before point credit.
Warranty and service claims
Service claims require specialist review. Multi-level approval paths with SLA tracking ensure resolution without audit gaps.
Insurance claim payouts
High-value claims get maker-checker controls and finance sign-off. Every decision is logged with reviewer identity and rationale.
Milestone and target claims
Milestone and target claims are validated against achievement criteria and routed through configurable approval tiers before settlement.
Dispute and exception handling
Disputed claims are escalated to specialist queues with full history, attachments, and prior decision context intact.