The Shift Insurance Suite provides AI-powered solutions to automate and optimize insurance decision making. It offers products for claims fraud detection, claims automation, subrogation detection, underwriting fraud detection, and financial crime detection. The suite bridges the gap between data and decisions by incorporating new data into proven models and making all data available to its AI decision engine. This allows insurance professionals to automate and improve decision making across key functions. The Shift differentiates itself by having a 100% focus on solving carriers' biggest challenges, a proven track record of deployments, and highly accurate and scalable AI solutions.
2. Confidential
Continuous growth through innovation
and investment since day one
2
3 Founders
Seed round 2m$
Iris, Elaia
First Client:
Fraud Detection
Series A 10m$
Accel
First International
Office
Series B 28m$
Accel,
General Catalyst
Clients on 4
continents
First Client:
Claims
Automation
CB Insights Top
100 Global AI
Opens Boston
Office
Series C 60m$
Bessemer
Named to La French
Tech Next 40
Fintech Global
InsurTech 100
EFMA-Accenture
Innovation in
Insurance Award
Launched Multi-
product Strategy
350+
Employees
80+ Clients
10 International
Offices
CB Insights
Fintech 250
First Client
Subrogation
Financial Crime
Detection
2014
2018
2019
2020
2017
2016
2015
Our DNA:
100% Focus on Insurance
1 in 3 employees in Data Science, 50% investment in R&D
Solving Insurance Decision Challenges through AI
3. Confidential
A growing global footprint
3
55% P&C
30% Health
15% other LoBs
6 insurance
Consortiums
More than
1.6 billion claims
analyzed
17 Clients in
6 Countries
50 Clients in
11 Countries
18 Clients in
7 Countries
4. Confidential
The Insurance Decision Environment
4
FNOL / Reporting Claim review Solutions
(for inspection,
repairs or settlemnt)
Inspection Appraisal First payment Repairs
–Waiting time
–Questions
Alert review Investigation Decision/Action
Invoices and other
documents collect
Invoices and other
documents review
Final payment Investigation
with third parties
Subrogation Recovery and
deductible refund
Agent portal
Provider
Call center
CMS
Policyholder In network
Out of
network Quote
Onsite appraiser
Appraisal
system
e.g. CCC Claim adjuster Agent
Provider
Policyholder
Appraiser
Upload document Recovery
Quote
SIU
Policyholder
Digital
capture Pictures
Claim adjuster Third party
TP insurer
Subro team
Claim
adjuster
Estimation &
Triage tool
e.g. CCC, Xactimate
No inspection
Denials, Total loss
Digital portal
Policyholder, TP Claimant
Review
claim
Review claim
Industry portal
(e.g. SafeLite)
Email
Policyholder, Agent,
TP Claimant, TP
Insurer
Triage for
suspicion or
subrogation
Assign
provider
Assign
provider
Write
quote
Send document
Payment
order
Review
document
Guidance
Notification
Policyholder
Payment
order
Adjuster
Refund
deductible
Policyholder
Notification
Ask
Answer
Question
Propose
solutions
Send request
Negociate
Review
subrogation
alert
Get statement
Insurance professionals make countless decisions
5. Confidential
Structural Challenges Facing Insurance Decisions
5
Data: difficult to consider
all available information
Platforms: geared toward
workflow, not decision making
Human factor: natural limits
to capacity & accuracy
Underwriting
Data
Claims Data
3rd Party Data
Entity Data
Historical
Policy Data
Core Systems
Human Teams
Intuition & Experience-
Driven Actions
6. Confidential
Incorporate New
Data Into Proven,
Pre-Configured
Models
Make All Data
Available to the Shift AI
Decision Engine
Automate &
Optimize Decision
Making In One or
More Functional
Areas
Quickly Collect &
Organize Existing
Data
Data to Decisions: Bridging the Gap
6
8. Confidential
Shift Claims Fraud Detection
Impact
Reduce fraud to drive
efficiency and lower costs
Efficiency
Empower faster, more
effective investigations with
actionable contextual
guidance
Accuracy
Find previously unseen
individual and network
fraud with unmatched
accuracy
8
9. Confidential
Shift Claims Automation
9
Claims loss reduction
Increased utilization of
preferred vendors and
more accurate outcomes
Workload savings
Automated claims handling
tasks don’t require human
resource involvement
Modern customer experience
Automation enables faster
processing,digital self-
service, and satisfaction
management
10. Confidential
Shift Subrogation Detection
Minimized false alerts Decision guidelines
Subrogation explanations
10
Shift Subrogation Detection sends alerts in real time
Actionable alerts optimized for operational
use by Claims teams
11. Confidential
Shift Underwriting Fraud Detection
Risk
Assessment
Fraud
Assessment
Compliance
Assessment
Application
Validation
100% automates a complete set of checks and controls
12. Confidential
Shift Financial Crime Detection
12
AML (Anti-Money
Laundering)
Monitoring
Internal Fraud
Checks
Compliance
Support
KYC (Know Your
Customer)
Validation
100% automates a complete set of checks and controls across
entities and transactions