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