QA Complete AI file review & audit

What if every claim file met your carrier's standard — regardless of who reviewed it?

QA Complete is our AI file review and audit product. The full file — photos, estimates, sketches, notes — audited against the carrier's exact guidelines.

Live · today — Live in 3 weeks
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
THE PROMISE

"Every file, every reviewer, every carrier —
held to standard."

The carrier's guidelines are the anchor. Every claim file should hold to that anchor regardless of who reviewed it, what day they reviewed it, or how experienced they are. Today, files drift — reviewer to reviewer, day to day. We make the anchor hold.

— THE ANCHOR
FNOL
Triage
Field
File Review— ANCHOR
Carrier
03 Why QA Complete

Every claim tells a unique story.
And it isn't in a single file.

01 REASON 01

Full file, not just the estimate.

Photos, estimates, sketches, field notes, signed documents. XactXpert and Validate by Cotality stop at the estimate. The carrier doesn't and neither does QA Complete.

[Diagram · reason 01] photos + estimate + sketches ~520 × 280
02 REASON 02

Your senior reviewer's judgment, on every file.

We capture the undocumented expertise that lives in your best file reviewer's head and apply it across every claim — including the ones they never touched.

[Diagram · reason 02] judgment → captured → applied ~520 × 280
03 REASON 03

Built on rules, tags, and AI — in that order.

Where a rule is durable, we use a rule. Where judgment is needed, we use AI. You never have to take "trust the AI" on faith.

[Diagram · reason 03] where rule fits, rule first ~520 × 280
04How it works

AI used intentionally

We're not just throwing everything at an AI model and hoping for the best. We've engineered a structured approach that leverages AI where it's useful and rules when they're needed.

01

Baseline

Evaluate the file for document completeness and baseline data consistency.

02

Compliance

Provide actionable recommendations and next steps to address issues and keep the file moving.

03

Recommendations

Placeholder copy for the recommendations step. Replace with what the reviewer is handed to sign off.

QA Complete / Reviewing · Baseline Live
Carrier · Tier 2 · 14 docs · 32 photos · GLR + estimate STEP 01 / 03
R

Check guideline X.Y.Z

Lorem ipsum dolor sit amet, consectetur.

Rule
AI

Cross-document reasoning

Photos × estimate × GLR · 3 sources reasoned.

LLM

Mitigation within window

Evidence and timestamps within window. No deviation.

Pass

Owner-declined repair noted

GLR documents per §B. Cleared automatically.

Pass
The AI surfaces. Your team decides. Every time.

What this replaces.

Three categories of tool sit between adjusters and a confident close. QA Complete sits in the file-review seat — and it does the work the others can't.

— 01 — Compliance suites

XactXpert

Rules-only. No file-level reasoning across docs / photos / estimate. No carrier-guideline grounding.

Rules only
— 02 — Validation services

Validate by Cotality

External vendor review. Slow loop, no live UI, no carrier-specific configuration.

Slow loop
— 03 — Manual checklists

Spreadsheets · checklists

Reviewer-by-reviewer interpretation. Drift between adjusters. No audit trail.

Manual drift
07 Where this goes

Get started today.
Add on more tomorrow.

YOU ARE HERE

QA Complete

QA Complete is an easy way to get started. Once we've configured your guidelines and best practices, claim oversight extends naturally to FNOL, document handling, periodic status updates, and cross-system sync.

01 — File Review LIVE 3 WK
02 — Evaluation CONTINUOUS
— NEXT PRODUCT

Claims Ops
The expansion.

Continuous oversight at FNOL, on every document, every 7 days, across integrated systems. Same anchor — your carrier's exact standard — applied at progressively more beats.

— FOUR BEATS
FNOL
Status Updates
Document Management
XactAnalysis
See Claims Ops →
"See results in weeks"
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 preferences

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.

— Live in 3 weeks— QA Complete · in production— Claims Ops · in production