ClaimScore
Real-time claim validation and fraud detection with AI.. [Contact for Pricing]
Last verified:
What is ClaimScore?
ClaimScore (now evolved into Covalynt) is an AI-powered fraud detection and claim validation platform specifically designed for class action settlements and mass torts. It uses a proprietary 65+ point expert-system AI algorithm combined with neural-network machine learning to detect 35×10^18 unique fraud patterns in real-time. The tool reviews claims instantly via API integration with claim forms or through bulk file upload, providing immediate results on an interactive dashboard.
Key features include real-time claim validation that can process thousands of claims per second, deduction codes that provide transparency on why claims lose points, an interactive dashboard showing approved class members and payout amounts, CSV and PDF insight report downloads, mid-case consultation with advanced reporting and declarations, and API integration with any administrator's claim form. The system starts each claim at 1,000 points and rejects claims dropping below 700.
ClaimScore is designed for class action administrators, law firms, in-house counsel, defendants (like Apple, Google, Meta, Visa, Oracle), and courts handling complex litigation. It helps protect settlement funds by preventing fraudulent payouts while ensuring legitimate claimants aren't unfairly rejected.
ClaimScore pricing
Pricing model: Freemium
Pricing details are not publicly disclosed on the website. ClaimScore appears to be an enterprise solution for class action administrators, law firms, and corporations. The site mentions API usage limits with alerts when nearing or reaching defined limits, suggesting usage-based or tiered pricing. No free tier is mentioned. Contact appears required for custom enterprise pricing.
ClaimScore pros
- Detects 35×10^18 unique fraud patterns with AI algorithm
- Real-time claim processing at 1,000s of claims per second
- 78% more accurate than administrator fraud analysis in recent case
- Prevented over $3M in fraudulent claims and $40M total savings
- Bank-level data-driven backend validation like financial institutions
- Deduction codes provide transparency for rejected claims
- Interactive dashboard with real-time claim results
- API integration with any administrator's claim form
- Both real-time and retroactive bulk claim validation available
- Starts every claim with clean slate at 1,000 points
- CSV data and PDF insight report exports available
- SOC 2 auditing, vulnerability assessments, and penetration testing
- Mid-case consultation with declaration and full backup documentation
- Built by industry leaders with decade-plus fraud tracking experience
- Helped companies avoid $340 million in fraudulent payouts to date
ClaimScore cons
- No publicly disclosed pricing information on website
- Requires API integration or file transfer setup
- Claims below 700 score are automatically rejected
- Primarily focused only on class action/mass tort claims
- No free tier mentioned - appears enterprise-only
- Documentation requires login to access API docs
- May not work well for non-class-action claim types
- Custom enterprise solution may have high implementation cost
Frequently asked questions about ClaimScore
What is ClaimScore?
ClaimScore is an AI-powered fraud detection and claim validation platform for class action settlements. It uses a 65+ point expert-system AI algorithm with neural-network machine learning to detect fraudulent claims in real-time, starting each claim at 1,000 points and rejecting those below 700.
How accurate is ClaimScore?
In a recent case, ClaimScore was 78% more accurate than the administrator's fraud analysis, preventing over $3M in fraudulent claims from being paid and achieving over $40M in total savings. The system combines expert-system AI with neural-network machine learning for accuracy beyond humanly possible.
What types of fraud does ClaimScore detect?
ClaimScore detects both Bad Actors (individuals submitting multiple claims physically) and Programmatic Fraud (automated submissions using reverse-engineered claim forms with fake aliases, AI-generated names, and code that bypasses CAPTCHA). It can identify 35×10^18 unique fraud patterns.
How does the scoring system work?
Every claim starts at 1,000 points on a clean slate. Criteria are weighted based on correlation to fraudulent vs. valid claims. Points are deducted when criteria aren't met, with deduction codes showing which criteria caused point loss. Claims dropping below 700 are marked as rejected.
Can ClaimScore integrate with existing claim forms?
Yes, ClaimScore's Real-Time Claim Validation product integrates via API directly into any Claims Administrator's digital claim form. It reviews claims in real-time and provides review results instantly back to the Administrator with seamless, low-latency connectivity.
What is the difference between Real-Time and Retro Claim Validation?
Real-Time Claim Validation reviews claims as they are submitted through API integration with instant results. Retro Claim Validation reviews claims after completion via file upload. Both include access to the live interactive dashboard with aggregated results.
What reporting features are available?
The interactive dashboard shows approved class members, units/claims, and payout amounts in real-time. Users can filter datasets, download Raw CSV files with all claim details, and generate PDF Insight Reports with aggregated results, submission timelines, top claim sources, and top deduction codes.
Who uses ClaimScore?
ClaimScore is used by class action administrators, law firms, in-house counsel, and defendants including Apple, Google, Meta, Visa, Oracle, AT&T, Thomson Reuters, CVS Pharmacy, Gerber, Papa Johns, and Quaker Oats. It's trusted by legal teams counseling major corporations.
What is Mid-Case Consultation?
Mid-Case Consultation is a service where ClaimScore reviews claims for a case and provides advanced reporting, including a formal declaration and full backup documentation of review results. This helps administrators prepare for court with validated claim data.
Is ClaimScore secure?
Yes, ClaimScore has security engineered for high-stakes data with SOC 2 auditing, vulnerability assessments, and penetration testing. API Keys ensure claim data and communications are properly separated for each case, with secure, low-latency connectivity.