Connect the policy terms
Prepare the relevant cover, limits, conditions, exclusions, and notification language for review.
Insurance workflow / claims review
A claim is a file, and the file is scattered.
We build private workflows that assemble the policy, claim notice, correspondence, evidence, and timeline into a review pack for the claims owner. The workflow prepares the record; the insurer and adjuster own the coverage decision.
Policy contextClaim fileEvidence mapCoverage review
Pattern demonstration / same workflow, synthetic material
Fixed-scope setupClient-owned accountsDraft-and-review firstFull handover
Where claim review loses time
The decision waits on the missing page.
The recurring work is collecting the right policy sections, notices, evidence, and dates before a reviewer can decide.
Assemble the claim evidence
Organize notice, correspondence, loss details, photographs, reports, and third-party records.
Prepare the decision pack
Build a timeline, open questions, and the evidence index the claims owner needs.
The claims boundary
The system prepares the file. It does not decide the claim.
Coverage stays professional
Whether a loss is covered, payable, or excluded remains with the insurer, adjuster, and policy terms.
No automatic payout
Reserving, settlement, and payment remain explicit human and business decisions.
Keep the evidence attached
Every item in the review pack is linked to the policy version, notice, report, or record that produced it.
A first claims workflow
Start with one claim type and one review pack.
Choose the claim type
Pick motor, property, health, liability, or another line with a known evidence set.
Define the pack
List the policy sections, notices, evidence, and timeline fields the reviewer needs.
Test against closed claims
Compare the prepared pack with completed files and fix missing, stale, or misplaced items.
Hand over the review
Deliver the claim pack, source links, and open questions to the responsible claims owner.
A claim review is faster when the policy, notice, and evidence are one readable file.
Why trust Pristine3D?
We build and operate production software.
Pristine3D Ltd builds and operates live digital products, and we run private AI workflows internally as part of our own operations. We scope around your real workflow: the documents you own, the questions your team asks, and the access boundary you approve. Based in Lagos, Nigeria, we work remotely with clients worldwide.
We already run live products
Based in Lagos, Nigeria, Pristine3D currently builds and operates smartcards.ng, venu.ng, photoshoot.ng, and ugc.ng in production.
We start with the actual workflow
One input, one output, one test set, and one person who owns the result. We scope a real workflow instead of a transformation programme.
The boundary stays visible
Cloud, model, storage, and messaging accounts stay in your name. The chosen data path, access rules, test record, documentation, and training are part of the agreed scope.
Pricing / fixed scope
Know the starting numbers before you ask.
The final quote follows the workflow. Infrastructure and model bills stay on your accounts.
One Workflow
Starting from$3,500 / ₦2.5m
2 to 3 weeksOne workflow for a small team, with training and handover.
See the one-workflow packageFirm-wide
Starting from$7,500 / ₦8m
4 to 6 weeksMultiple sources, roles, integrations, and admin handover.
See the deploymentAnnual support
Starting from$3,000 / ₦1.5m
per yearStandard care for one delivered workflow. Optional. Larger deployments and active monitoring are separately scoped.
See supportArchitecture review from $500. Standard annual support is $3,000 / ₦1.5m per year for one delivered workflow. New workflows, integrations, active monitoring, and infrastructure are separately scoped; infrastructure, model, storage, and messaging bills stay on client accounts. Full pricing and what changes the quote
Straight answers
Common questions.
Does this decide whether a claim is covered?
No. It assembles and organizes the file. Coverage and settlement decisions stay with the insurer and adjuster.
Can it read claim evidence formats?
Yes, where OCR and file handling are scoped. Images, scans, reports, and correspondence are tested against the actual claim types.
How is this different from the insurance policy wording page?
That page reviews wording at the product level. This page is the operational claim file: policy context, evidence, and timeline for a specific review.
Own your knowledge base
The model is not the product. The knowledge base is.
Documents, the retrieval index, access rules, and the workflows built around them are the asset, and they compound. We deploy so the knowledge base stays yours: on your accounts, in the environment you choose, under access rules your team defines. The model behind the answers is a connector, so the knowledge base moves with you, not with a vendor.
Your corpus, your index
The document store, metadata, and retrieval setup live on accounts you own. No vendor holds the corpus.
Models are swappable parts
Change the model provider, move regions, or go local without rebuilding the knowledge base or the workflow.
The knowledge base is the alpha
Every improvement to the corpus improves the answers, and the improvement stays with you, not with a vendor.
Keep exploring
Related setups.
Start with the claim type
Which claim file takes the longest to assemble?
Tell us the line, the policy source, the evidence formats, and the claims owner. We will scope the review pack around your workflow.