claims management software for self insu

AI Workers' Comp Claims Management Software for Self-Insured

Our unique approach to ‘end-to-end’ claims management and administration is designed with self-insured organizations ( public and private ) in mind. Native AI capabilities, audit & automation management and flexible data intake. 

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LOWER COSTS  IMPROVED SERVICE

Managing  the cost of claims 'out of pocket'  as they are incurred sharpens the focus of risk and claims professionals to reduce financial risk while providing enhanced  Workers' Compensation benefits to employees

UNDERSTAND RISK BETTER

We help Self-Insureds in the public and private sectors, proactively face higher levels of risk with tailored AI models supporting robust predictive analytics. Klear.ai automation drives faster savings and more efficient workloads for “smart” full lifecycle claims management.

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More than just claims software

it’s peace of mind.

Automation

Incorporates Automated Business Rules into Case Management and Claim Activity

Compliance

Real-time pre-validated State and Federal Compliancy Submissions

Performance

A single system that does Claims Handling and Auditing, all infused with AI

Artificial Intelligence

Auto assign examiner to a claim based on AI Predicted Severity

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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 its 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.