Agentech
Industries
— IAs & TPAs
FOR INDEPENDENT ADJUSTERS & TPAs

Your standard lives in two senior reviewers' heads. Every file held to it anyway.

Carriers grade you on cycle time, accuracy, and audit findings. Your best file reviewer is excellent at all three. Everyone else is somewhere in between — and that gap is the single biggest variable in your performance. QA Complete captures how your senior reviewers actually review and applies that standard to every file, regardless of who touched it.

— What this means
for IAs & TPAs
100%of files
— Held to standard
3minutes
— for each review
Live in 3 weeks
01 The Problem

One claim. Multiple handoffs.
No single source of truth.

The standard you're being graded on is enforced by humans, in handoffs, with no shared version of the truth. The gap isn't effort — it's transfer.

— PAIN 01 01 / 03

The standard lives in two heads.

Your senior reviewer has a mental model that took years to build. Newer reviewers approximate it. Checklists capture the rules but not the judgment.

— PAIN 02 02 / 03

Every handoff is a chance to bounce.

A reviewer flags a missing line item. The file goes back to the field adjuster. Two days pass — and it was already documented in the GLR. A loop that shouldn't have happened, multiplied across thousands of files.

— PAIN 03 03 / 03

Cycle time is marked against you.

Carriers grade you on cycle time, accuracy, and audit findings. The gap between your best reviewer and everyone else is the single biggest variable in all three.

- The compounded cost

"Every handoff is an interpretation. Every interpretation, a chance to drift. The cost compounds — into cycle time, rejections, and rework."

06Two products

Two starting points.
One standard across both.

Start with audits or with claims handling. Run them side by side. Neither depends on the other.

File review & audit · live in production

QA Complete

Holds every file you receive to the carrier standard. Photos, estimate, GLR, and sketch reasoned together — surfaced for a human to sign off.

  • Cross-document reasoning
  • Carrier-tier guidelines
  • Reviewer sign-off in-app
Learn about QA Complete →
Claim orchestration · live in production

Claims Ops

FNOL analysis, 7-day status summaries, document management, and XactAnalysis sync. The same standard, applied across the lifecycle.

  • FNOL analysis
  • Status summaries
  • Document handling
Learn about Claims Ops →
"Two products, not a funnel. Pick the one that fits the file in front of you."
QA Complete → Claims Ops →
04Entry product · QA Complete

What's different for IAs and TPAs.
The product, on your files.

01

Full file, not just the estimate.

XactXpert and Validate by Cotality only review the estimate. Carriers reject for reasons outside it — missing photos, inconsistent sketches, scope mismatches with field notes. We catch those.

02

Your senior reviewer's judgment, captured.

Onboarding (3 weeks) codifies how your best reviewer actually reviews — not a generic ruleset someone else wrote. The standard scales without them in the room.

03

Carrier-specific, not carrier-generic.

If you handle three carriers with different guidelines, we map all three. Each file is reviewed against the right one — automatically.

— WORKED EXAMPLE

"Photo report shows interior water damage. Estimate has no line items. A checklist bounces the file. QA Complete reads the GLR, understands why it's excluded, and passes the file cleanly — the way your senior reviewer would."

"The AI surfaces. Your team decides."

See QA Complete →
QA Complete / File Review Reviewing
Carrier · Tier 2 · CLM-2026-04918 · 14 docs · 32 photos
!
Photo evidence ≠ estimate
IMG_0418–0422 not in line items. Resolved: GLR §B.
Cleared
✓
Tier 2 guideline 4.3 · pass
Mitigation evidence within window. No deviation.
Pass
AI
Cross-doc reasoning
3 documents reasoned. No checklist bounce.
Held
— QAC · file review · what they see [real screenshot here]
05Expansion product · Claims Ops

Claims Ops for carriers.
Continuous oversight, native to your CMS.

01

At FNOL

LIVE
— on intake

Pull claim data on intake. Run analysis against your guidelines. Push back an Action Plan as a claim note.

02

Every 7 days

LIVE
— status summary

Scrape claim notes and activity. Summarize the week. Push back as a claim note.

03

On every document

LIVE
— webhook → tag

Webhook triggers categorization, renaming, tagging, and tasking. What we can't reliably handle lands in an Exception Queue for human resolution; resolutions feed back into the model.

04

Across systems

LIVE
— XactAnalysis ↔ CMS

XactAnalysis ↔ CMS bidirectional sync. Assignments out, events and documents back. Closes the gap between systems your team runs in parallel.

— The Natural Next Step

With QA Complete's verified-file foundation, orchestration becomes a natural next step. We apply the standards we've configured across the claims lifecycle - wherever it makes sense.

Claims Ops / Orchestration Running
— FOUR BEATS
2 LIVE · 2 IN DEV
FNOL Analysis
— on intake
LIVE
7-day Status
— every 7 days
LIVE
Doc Management
— on every document
IN DEV
XactAnalysis Sync
— across systems
IN DEV
— Claims Ops · 4 beats · status
05Live in production

Already delivering value to claims organizations

Both QA Complete and our Claims Ops solutions are live in production today.

— Time saved per file review
75%
From 60–75 min → under 15

Stop spending unnecessary time manually combing through claim files.

— Onboarding time
3weeks
Live, configured to carrier

Start seeing results in less than a month.

CLAIMS OPS · IN PRODUCTION

"Implementing Agentech was a breeze. It just works."

QA COMPLETE · LIVE TODAY

Running across Carriers · IAs · TPAs · Restoration Companies.

08Book the call

Let's talk about
where to start.

Ready to learn more? Book a time to talk with our sales team and learn how you can get started with Agentech AI.

Contact Sales Talk to us about Claims Ops
— Live in 3 weeks— QA Complete · in production— Claims Ops · in production