QA Complete is our AI file review and audit product. The full file — photos, estimates, sketches, notes — audited against the carrier's exact guidelines.
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.
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.
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.
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.
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.
Evaluate the file for document completeness and baseline data consistency.
Provide actionable recommendations and next steps to address issues and keep the file moving.
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Check guideline X.Y.Z
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Cross-document reasoning
Photos × estimate × GLR · 3 sources reasoned.
Mitigation within window
Evidence and timestamps within window. No deviation.
Owner-declined repair noted
GLR documents per §B. Cleared automatically.
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.
Rules-only. No file-level reasoning across docs / photos / estimate. No carrier-guideline grounding.
External vendor review. Slow loop, no live UI, no carrier-specific configuration.
Reviewer-by-reviewer interpretation. Drift between adjusters. No audit trail.
Manual claim file auditing happens across all segments participating in claims.
Audit the file at any point in the lifecycle, vendor-agnostic. Same standard across every IA, TPA, and restoration partner in your panel.
See Carriers →Your standard lives in two senior reviewers' heads. Every file held to it anyway — including the ones they never touched.
See IAs & TPAs →Align scope and evidence against estimates. Hold to carrier guidelines. Maximize billable revenue.
See Restoration →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.
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.
Both QA Complete and our Claims Ops solutions are live in production today.
Stop spending unnecessary time manually combing through claim files.
Start seeing results in less than a month.
Ready to learn more? Book a time to talk with our sales team and learn how you can get started with Agentech AI.