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AI Workers' Comp Claims Management Software for Risk Pools

Klear.ai provides innovative, insurance data solutions bringing a SaaS-based full lifecycle approach to claims management with robust Business Intelligence and AI-based predictive analytics all supported with integrated automation and auditing solutions.

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DESIGNED WITH COLLABORATION IN MIND

Klear.ai’s targeted Risk Pools solution embeds cost-effective automation across your workflow and is easily configured to support members with complex transactions and critical compliance requirements - all with the benefit of integrated artificial intelligence. "CRM Support”

AFFORDABLE, SERVICE FIRST SOLUTIONS

Our scalable, cloud-based claims administration solutions leverage data to implement best practices, automate & ensure compliance, and seamlessly encourage collaboration with all members & stakeholders.

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More than just claims software

it’s peace of mind.

Performance

Full Claims System - Risk, Policy, Coverage, Provider

Collaboration

Smart CRM capabilities with intuitive AI POWER built in

Analytics

Predict Severity to get in front of the claim before escalation

Automation

Fully Mobile solution for members and claimants, can be updated from claims system

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Frequently asked questions

Why is AI adoption essential?


AI brings new possibilities and important capabilities to one of the major cost impacts to claims management.The technological evolution of AI in Insurance is undeniable in large part due to it’s ability to deliver new and improved solutions that meet clients’ needs today and lay a strong foundation for tomorrow.




How can Klear.ai help avoid spiraling claims cost?


Claims that hang around get more expensive. Even seasoned adjusters face many challenges including lack of information, heavy caseloads, transfers, and other severity “blind-spots” and hidden indicators of a particular claim. Our unified and Native AI-based approach can score and audit all claims continuously for compliancy and best practices - getting the right claim to the right adjuster at the right time.




How can Klear.ai help us improve our predictive capabilities?


The key to successfully incorporating a predictive model is to target opportunities where data can give a claims organization the biggest lift, with the lowest-hanging fruit clearly being claim severity.




How accurate are you at “predicting” Reserves ?


All of our Predictive Insights are “scored” initially upon FROI and subsequently “re-scored” throughout the claims lifecycle and as appropriate to the particular situation. Our predictive platforms routinely score in the high 70% - low 80% range.




What is a KPI?


A KPI stands for Key Performance Indicator and Klear.ai provides any KPI’s that your organization might need in order to visualize data effectively with customization capabilities.




What type of business entities can this product be used for?


This platform works best with TPA’s, risk pools, government entities, insurance companies, self-insured firms, and Professional Employment Organizations.




How can Klear.ai help in litigation?


Our solution helps risk managers understand their underlying legal costs and – by placing the focus on performance rather than hourly rates or billing practices – determine the relative efficiency of the defense firms they engage