CLARA Analytics
UnclaimedAI-driven claims intelligence platform for optimizing casualty claims management and reducing loss costs.
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TL;DR - CLARA Analytics
- AI-powered platform for casualty claims management.
- Reduces loss costs and expenses through intelligent automation.
- Provides actionable insights for claims adjusters and risk professionals.
Pricing: Paid only
Best for: Enterprises & pros
Pros & Cons
Pros
- Significant reduction in loss costs and claim expenses
- Accelerates claim closure and improves productivity for adjusters and legal teams
- Provides early detection of high-risk claims and potential fraud
- Streamlines time-consuming manual processes like document review and MSA submissions
- Rapid implementation (8-12 weeks) with minimal IT lift required
Cons
- Requires historical claims data for model training
- Specific ROI depends on the organization's existing claims volume and processes
Key Features
AI-Driven Claims Document Intelligence Pro for scanning and analyzing claim documents and medical recordsCLARA Triage for early detection and management of potentially costly claims, including subrogation opportunitiesCLARA Treatment for optimizing care selection and achieving better patient outcomesCLARA Litigation for understanding defense panel performance and minimizing attorney-involved claim costsCLARA MSP for streamlining future medical cost projection report productionCLARA Fraud for detecting and referring suspicious claimsReal-time alerts for claim severity, subrogation, and attorney involvementPredictive analytics for claim severity and attorney involvement
Pricing
Paid
CLARA Analytics offers paid plans. Visit their website for current pricing details.
About CLARA Analytics
By Toolradar Team·
CLARA Analytics provides an AI-driven Claims Intelligence Platform designed for insurance carriers, MGA/MGUs, reinsurers, and self-insured organizations. It leverages artificial intelligence and a vast claims database to enhance claims processing, reduce loss costs and expenses, and elevate best practices. The platform offers modules for document intelligence, early claim triage, treatment optimization, litigation management, future medical cost projection, and fraud detection.
The platform addresses challenges such as time-consuming manual document review, rising medical and indemnity expenses, costly provider selection, increased attorney involvement, and the need for efficient MSA submissions and fraud detection. By integrating with existing RMIS systems and workflows via APIs, CLARA Analytics aims for rapid implementation and quick return on investment, helping claims organizations improve productivity, accelerate claim closure, and prevent escalations.
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CLARA Analytics FAQ
How does CLARA Claims Document Intelligence Pro handle unstructured data from various document types?
CLARA Claims Document Intelligence Pro utilizes advanced AI to identify, index, transcribe, and summarize various claims documents, including medical records and legal demands. It extracts key insights, highlights important details, and can enrich structured claims data to improve predictions and insights across other CLARA modules.
What specific types of alerts does CLARA Triage provide to adjusters, and how are these alerts customized?
CLARA Triage issues real-time alerts for claims severity, subrogation opportunities, attorney involvement, and other customizable parameters. These alerts are generated through automated risk analysis, flagging high-risk claims before they escalate, allowing adjusters to take prompt action.
Can CLARA Analytics integrate with proprietary or less common RMIS systems, or is it primarily designed for widely adopted platforms?
CLARA Analytics is designed for flexible integration with existing core RMIS systems and workflows through pre-built APIs. This allows for seamless data exchange and ensures that adjusters can access claims directly via the cloud-based module or through their current systems, regardless of the specific platform.
How does CLARA MSP streamline the future medical cost projection report production, and what compliance standards does it maintain?
CLARA MSP significantly reduces the time required for future medical cost projection report production from weeks to hours. It achieves this by leveraging AI to analyze relevant data, while maintaining compliance with necessary regulatory standards for such reports.
What is the typical timeframe for a full implementation of CLARA Analytics, and what is involved in the initial setup phase?
A full implementation of CLARA Analytics typically takes 8-12 weeks. The process involves providing historical claims data for quality reviews and ROI baseline establishment (weeks 1-4), training the AI models with client data and CLARA's contributory database (weeks 5-8), and integrating the AI-as-a-Service with existing systems and training adjusters (weeks 8-12).
Beyond identifying fraud, does CLARA Fraud provide insights into the patterns or common characteristics of fraudulent claims it detects?
CLARA Fraud allows users to refer suspicious claims with confidence to reduce payment on fraudulent losses. While the primary function is detection, the underlying AI models are trained on millions of claims, which inherently provides a basis for identifying patterns and characteristics associated with fraudulent activities, enabling more informed action.
Source: claraanalytics.com