Claims Management
Augment claims handling and processing with a better understanding of your claims life cycle.
Our Claims Management analytics services help insurers optimize their claims workflows, assess claims severity and litigation propensity, and estimate losses by identifying trends and uncovering hidden insights in historical data.
How we help
Claims Performance Insights
Enable context-aware Q&A and insights by leveraging LLMs and embeddings to reduce time to insight and empower adjusters with ad hoc business queries.
FNOL Outlier Detection
Identify anomalies in FNOL submissions by comparing incident details with historical claim behavior to flag fraud, accelerate clean claims, and auto-summarize reports.
Claim Complexity Segmentation
Classify claims into severity buckets using regression and natural language processing to allocate expert resources up front and prioritize high-value claims.
Matching Claims to the Right Adjuster and Adjuster Knowledge Management
Route claims to the most suitable adjuster using graph-based assignment and decision trees to reduce rework and improve first-time-right resolution as well as leverage LLM-powered search and Q&A to provider adjusters with cross-organizational insights.
Litigation Propensity Prediction and Attorney Selection
Score claims based on the likelihood of attorney involvement to enable early negotiation and specialized adjuster routing, reducing legal costs and cycle times, as well as recommend the best-fit attorney for litigation based on case complexity, jurisdiction, and performance.
Settlement Optimization
Predict and prescribe optimal settlement strategies using medical, cost, and jurisdictional data to minimize indemnity leakage and litigation exposure.
Fraud Complexity Scoring
Generate fraud risk scores at FNOL using link analysis and machine learning scoring to flag recycled photos, geolocation mismatches, and other fraud indicators early.
Early Subrogation Detection
Detect subrogation opportunities at FNOL by analyzing liability, police, and third-party data to increase recovery rates and shorten timelines.
Together with our platform partners
VP, ERIE Insurance
CTO, ERIE Insurance
SVP, ERIE Insurance
Stay ahead with P&C-focused thought leadership
