AIaaS insurtech CLARA Analytics, a provider of artificial intelligence technology for insurance claims optimization, launched Claims Document Intelligence Pro, a major milestone in the evolution of its transformative insurance claims AI platform.
Claims DocIntel Pro offers advanced claims intelligence immediately, with no learning curve or customization needed. New customers can see benefits within weeks
The introduction of Claims DocIntel Pro (formerly CLARA Optics) marks groundbreaking advances with its deeper contextual analysis of legal demands and medical records.
CLARA Analytics plans to expand the product in early 2025, adding features like attorney and provider scoring, treatment pricing insights, overbilling detection, and more fraud indicators.
CLARA’s innovation combines GenAI with proprietary AI tools that identify salient details, assess the risk of escalation, and offer 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
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,” said Heather Wilson
CLARA’s Claims DocIntel Pro tackles the specific challenges of claims management. Unlike general competitors that rely on user-generated prompts, Claims DocIntel Pro provides a preconfigured experience with deep contextual insights and requires no training.
It delivers actionable, data-driven recommendations from documents, facilitating high-value claim interventions, saving time, and preventing escalating losses.
“For example, when an adjuster is dealing with conditions like whiplash or cervicalgia, it provides guidelines and key points to consider, ensuring that negotiations and settlements are grounded in real facts and fair value assessments,” Heather Wilson says.
One of CLARA’s advantages is its contributory database of closed claims, which draws from the experience of multiple insurers to develop a deep contextual understanding of medical and legal risk.
By tapping into a vast history of prior cases, the company empowers claims management teams with deep cognition that recognizes patterns, pinpoints hidden risk factors, assesses potential outcomes, and delivers actionable recommendations.
The product delves deeply into medical and claims contexts, identifying treatment patterns, omissions by plaintiff attorneys, and critical language like maximum medical improvement (MMI) and return to work (RTW).
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
CLARA Analytics is the AI as a service (AIaaS) provider that improves casualty claims outcomes for insurance carriers, MGAs, reinsurers, and self-insured organizations.
The company’s platform applies image recognition, natural language processing, and other AI-based techniques to unlock insights from medical notes, legal demand packages, bills and other documents surrounding a claim.
CLARA’s predictive insight gives claim professionals augmented intelligence that helps them reduce claim costs and optimize outcomes for the carrier, customer and claimant.
