CLARA Analytics targets insurance claims optimisation

CLARA Analytics, a provider of artificial intelligence (AI) technology for insurers, has announced the launch of Claims Document Intelligence Pro, a new product designed to revolutionise insurance claims optimisation.

The introduction of Claims DocIntel Pro (formerly CLARA Optics), represents ground-breaking advancements with its deeper contextual analysis of legal demands and medical records.

It combines best-in-class generative AI with proprietary AI tools that identify crucial details, assess the risk of escalation, and provides actionable recommendations to claims managers.

“Claims DocIntel Pro is a game-changer because it’s designed and built by casualty insurance industry veterans. It’s specifically aimed at helping professional claims adjusters to be more efficient and more effective,” said Heather H. Wilson, CEO of CLARA Analytics.

“Claims DocIntel Pro identifies bad faith doctrines, time-sensitive conditions, and key medical issues. It even generates summaries, treatment timelines, and alerts to guide adjusters on the next best actions.”

Wilson continued, “For example, when an adjuster is dealing with conditions like cervicalgia (whiplash), it provides guidelines and key points to consider, ensuring that negotiations and settlements are grounded in real facts and fair value assessments.”

Claims DocIntel Pro has been designed to address the specific challenges associated with claims management.

In a market where generalist competitors typically rely on users to generate prompts, Claims DocIntel Pro differs as it offers a preconfigured experience and deep contextual insights, with no training required, CLARA explained.

It proactively offers actionable, data-driven recommendations from documents that enable high-value claim interventions, saving time and preventing losses from escalating.

One of the standout features of CLARA Analytics is its large contributory database of closed claims, which draws from the experience of multiple carriers to develop a deep contextual understanding of medical and legal risk.

The vast history of prior cases help claims management teams to recognise patterns, pinpointing hidden risk factors, assessing potential outcomes, and delivering actionable recommendations.

Claims DocIntel Pro delves deeply into medical and claims contexts, identifying treatment patterns, omissions by plaintiff attorneys, and critical language such as maximum medical improvement (MMI) and return to work (RTW).

It provides advanced claims intelligence out of the box, with no learning curve or customisation needed, which allows new customers to begin seeing benefits in a matter of weeks.

Wilson added: “CLARA has a track record of consistently delivering meaningful ROI for our clients. Our CLARAty.ai platform is purpose-built to transform the way claims management teams work.

“We deliver game-changing results because everything we do is laser-focused on improving claims management outcomes. We’re excited about this major step forward in the evolution of our product.”

CLARA Analytics plans to extend the product even further in early 2025, with integrated attorney and provider scoring, treatment pricing insights, overbilling detection, expanded fraud indicators, and more.

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