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Predictive Analytics for Workers Comp
Audit (1) (1).webp

Are you looking to automate your worker's compensation claims audit?

KlearAuditâ„¢ 

AI powered Audit Management Platform for Workers' Comp

Automation

Enhance Efficiency through Automation of Audit Programs for Workers Comp Claims Management

Collaboration

Extend the audit program by seamlessly integrating multiple teams into the workflow

Artificial Intelligence

Leverage cutting edge AI to identify claims for audit; Enable the system to recommend the audit decisions

Performance Management

Objectively quantify the accuracy of examiners, contribution of auditors and ROI of audit program to your organisation.

Why KlearAudit?

Features!

Leverage the power of ‘Artificial Intelligence’

Increase auditors’ productivity exponentially by 

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  • Leverage cutting edge AI to identify claims for audit

  • Enable KlearAudit to recommend the audit decisions based on business rules or AI based decisioning.

  • Expand the audit effectiveness by utilizing the KlearAI predictive outputs with respect to Severity, Reserves, Fraud, Litigation and Subrogation. Know More.

Enhance Efficiency through ‘Intelligent Automation’

Enhance Efficiency through Automation of Audit Programs for Workers Comp Claims Management 

 

  • Random and Business-Rule driven sampling of claims for audit

  • Flexible and configurable audit workflow as per underlying objectives – Quality Audit, Operational Audit, Fraud Audit or Statutory Audits

  • Queue Management – For each of the actors within the program. Widgets display the status of audits along with numbers and tags.

  • Configurable audit scorecards, letting you define your own checkpoints, weightages (High, Medium, Low), Scores and Monetary Impact of non-compliance.

  • Ability to reassign audits to other auditors at a click 

Enable Collaboration of Multi-Skilled Teams

Extend the audit program by seamlessly integrating multiple teams into the workflow 

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  • Let’s you create queues for Auditors, Examiners and Managers. Additionally, you may create queues for SIU Teams, Legal Team and even the External Auditors – seamlessly integrating each of the disciplines for enhancing the effectiveness of your audit program

  • Ability to reassign an audit or just refer an audit to other personnel to keep them in the loop for important and sensitive audit observations

Frequently asked questions

Who can use the KlearAudit?

KlearAudit is designed for Self-Insureds, Insurance Carriers and Third-Party Administrators (TPA) engaged in managing Workers’ Compensation claims.



Who is using KlearAudit currently?

KlearAudit is currently deployed at a large Self-Insured organisation in addition to few leading TPAs – each of them deriving significant benefits from the application. We shall be glad to share references and additional details to help you make your buying decision.



How is KlearAudit priced?

KlearAudit is a ‘Subscription based’ – either monthly or annually as per your budget. A nominal set-up cost may be charged for connecting with your claims management system. Exact pricing varies as per your feature set, environment, and number of users. Our specialists would work out a compelling commercial proposal based on your specific requirements. Get in touch with our specialists now!



What are the next steps if I want to evaluate KlearAudit?

Send us a Hi on the live chat widget you see here or write to us a mail at info@klearai.com. Our specialists would connect to understand your current audit process and advise on the most appropriate configuration of the application for trial period. Certain features may be limited during the trial period, but you would be able to judge the value, that the application can add to your current audit program. Post your confirmation, our teams shall deploy the APIs to connect with your claims management system to start the actual audit process in production. The entire process may take around 3 to 4 weeks.