Adaptional

Adaptional is an AI claims review platform for insurance carriers and brokers. It connects to a claims system, applies a configurable audit scorecard, and reviews every open claim file continuously, flagging compliance gaps, coverage questions, financial leakage, service quality problems, missed subrogation and reserve issues while the file is still open. The approach replaces the traditional quality assurance model, which the company notes samples only a small fraction of claims each month. It is designed for claims leaders and quality teams at carriers and brokers. The product works with Guidewire, Duck Creek or any other claims system, and the company states that no integration project is required to get started: connect the system, define a scorecard, and the audit runs. Findings are routed to managers as alerts on open files, and each issue is tracked through to resolution so leaders can see patterns across adjusters and lines of business. Reviews cover six dimensions: compliance, coverage, leakage, service quality, subrogation and reserves. Pricing is not published. Deployments are scoped and quoted directly with the company. Adaptional was founded by Suril Kantaria, previously at xAI and Primer, and Kevin Cox, formerly an engineering director at Clipboard Health, and lists insurance organizations including NFP and Aon among its customers.