ClaimKavach
An AI claims assistant that answers from the policy wording, with the clause to prove it.
What ClaimKavach does
OverviewClaimKavach is an AI insurance assistant for insurers, TPAs, and brokers in India. Its assistant, Claim Ji, answers policyholder questions only from the approved policy wording and cites the exact section for every answer. It compares plans side by side, explains what evidence a claim needs, and gives status updates, while every claim decision stays with your rule engine and licensed adjusters.
- Policyholders get a straight answer at any hour, with the clause that backs it
- Fewer support calls about room rent limits, deductibles, and waiting periods
- Claims arrive with the right documents the first time
- Every answer traceable to the wording, so nothing is promised that the policy does not say
- Adjusters spend their time on decisions, not on repeating the policy
- Suite
- Industry Platforms
- Built for
- Insurers, TPAs, and insurance brokers in India
- Delivered as
- Hosted AI assistant and policy portal, configured on your wordings and supported by Charviam
- Connects with
- Your approved policy wordings, Your claims rule engine, Your adjuster and TPA workflow, PDF export for comparisons
ClaimKavach, step by step
How it works- 01
Load your policy wordings
Approved wordings are indexed section by section, so every answer can point to its clause.
- 02
Policyholders ask Claim Ji
Questions about cover, limits, and claims are answered from the wording, with the section cited.
- 03
Claims are guided, not decided
Claim Ji explains the evidence needed and the status. Eligibility runs through your rule engine.
- 04
People sign off
Claims above your threshold, and anything ambiguous, go to licensed adjusters for review.
Everything in one platform
PlatformClaim Ji, the policy copilot
Conversational answers grounded in the wording.
- Answers only from approved policy wording
- Exact section (§) citation on every answer
- Each term marked as confirmed in the wording
- Clear AI disclosure: informational, not a claim decision
Plans side by side
Health and motor plans, clause by clause.
- Sum insured, room rent, and ICU limits
- Deductibles, co-payments, and waiting periods
- Exclusions and claim notice deadlines
- Export or print the comparison as a PDF
Guided claims and grievances
From first question to resolution.
- Cashless and reimbursement steps explained
- Evidence checklist and status updates
- Four-eyes review above your claim threshold
- Three-level grievance path up to the Insurance Ombudsman
Built for grounded, private answers
Security and dataNo invented coverage
Claim Ji answers only from approved wording and cites the clause. If the wording does not say it, neither does Claim Ji.
People make the decisions
Approvals and denials come from your rule engine and licensed adjusters, never from the AI.
Medical records protected
Uploads are quarantined, scanned, and stored encrypted with row-level security.
Your data never trains models
Private medical and claim data is used only for policy interpretation and claims administration.
Questions about ClaimKavach
FAQSee ClaimKavach in action
A walkthrough with the engineers who build and support it.