Sprout AI

Sprout.ai slashes claim-processing time from weeks to minutes by fusing 96 %-accurate AI with transparent, human-centric design. Trusted by MetLife and AXA, the platform auto-triages, flags fraud, and settles 60 % of claims instantly while keeping regulators and adjusters fully in the loop.

1. Real-Time Claims Triage

The platform automatically classifies incoming claims by complexity, routing low-risk, straightforward cases for instant settlement while flagging high-risk or incomplete files for human review. Insurers report that over 60 % of claims are now settled within minutes instead of weeks .

2. Fraud & Anomaly Detection

Using unsupervised learning on billions of historical claims, Sprout.ai surfaces subtle inconsistencies—duplicate invoices, inflated repair costs, staged accidents—before payment is issued. Early adopters have documented a double-digit drop in fraudulent payouts.

3. Policy-Matching Engine

Instead of relying on keyword search, the engine semantically compares claim details against policy wording to ensure coverage alignment. This reduces wrongful denials and subsequent appeals, cutting customer-service workload.

4. Explainable AI Dashboard

Adjusters receive a human-readable rationale for every AI recommendation, ensuring transparency for regulators and empowering staff to override decisions when necessary.