AI Claims Examiner
Human expertise meets predictive intelligence
AI Claims Examiner is a cloud-based tool that automatically resolves claims suspensions with less administrative oversight. Powered by our flagship AI Cognitive Engine (ACE), Examiner leverages a combination of AI/ML models, predictive business rules, and operational expertise.
Real world results backed by client success

Your claims process will never be the same
Manual tasks, disjointed tools, and communication bottlenecks can quickly turn your claims process into a cost center. AI Claims Examiner blends human expertise with predictive intelligence, resulting in a powerful AI assistant that resolves suspensions and flags duplicates with fewer interventions.

All the benefits of cloud-based AI without the risk
Housed in the cloud, AI Claims Examiner reduces financial burden by cutting down staff time spent on manual corrections and endless requests for more information. Examiner features a built-in ethical framework that guarantees no rejection, denial, or adverse decision is ever automated. The result is a faster, secure, and more cost-effective approval process.
Introducing the AI Foundry:
Our homegrown innovation engine
AI activation isn’t a check-the-box initiative at enGen. And it’s not something only a few individuals work on in isolation. It’s a cultural pillar that lies at the foundation of everything we do. That’s why we created the AI Foundry—an internal framework responsible for AI development, validation, and implementation.
AI Foundry focuses on four core pillars: