workers comp claims management software

Property & Casualty Claims Management Software

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Why KlearClaims as your Claims Management Software?

THE FUTURE OF CLAIMS ADMINISTRATION IS HERE  - KlearClaims™ - Our SaaS-based claims management software with intuitive Native AI POWER! 

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Automation

Enhance Efficiency through Automation of Claims Handling with AI-powered Claims Management Software: KlearClaims

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Artificial Intelligence

Leverage cutting edge AI to identify claims which need immediate attention; Enable the system to recommend claims administration

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Collaboration

Extend the claims handling program by seamlessly integrating multiple teams into the workflow

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Performance Management

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

It’s more than just a P&C Claims Management Software — it’s peace of mind

We can help you on your journey to a new, modern claims system. 

 

KlearClaims is a modern integrated claims and risk management solution that addresses the problems and inadequacies of  legacy systems and provides longevity for your investment.

KlearClaims Ecosystem

KlearClaims: A SaaS claims management software with native AI. #1 rated workers comp claims management software with AI modeling powering robust Predictive Analytics, Intake, and Automated Auditing functionality.  

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AI integration with claims management software supports Your Claims Handling! 

- Adjuster -

Native AI analytics help adjuster predict claim's severity, litigation & subrogation propensity and reserves, all within the claim system

 

- Supervisor -

AI integrated dashboard unique to each claim summarizes claim's critical activities for quick claim assessments 

 

- Executive -    

Automate claim workload distribution by having multiple employees work on a single claim based on their role ( Role Based Automation )

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workers comp claims management software

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Configurable Client Handling Instructions

- Adjuster - 

Automated client handling instructions ( CHI ) for each claim saves adjuster's time handling multiple clients

 

- Supervisor - 

Focus on task’s based on priority for real-time transparency

 

- Executive - 

Highly configurable and customizable unique UI for Clients, Carriers, Line of Business, Claim Type, Jurisdiction and Organization

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Smart, Situational Compliance Automation


- Adjuster -

Distinguished, unique interfaces for P&C optimize claims management workflow

 

- Supervisor -

Automate audit plans “powered with AI” customizable based on client, carrier and state regulations to highlight claims handling performance

 

- Executive -

Real-time pre-validated compliance submissions and carrier reporting to avoid late fees and penalties

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13 reasons why KlearClaims will Future-Proof your P&C claims management software

 

 

1 - Fully integrated system where users can view the AI and ML predictions within the claim screens.

2 - Completely automated rules - auto-generation of correspondence, texting, carrier reporting, based on clients and jurisdiction all the way down to the organization level

3 - One system that can audit all claims continuously for compliance and best practices. Workers comp & GL claims management software KlearClaims is built with Native AI. # 1 rated AI-powered workers comp claims management software with end-to-end solutions. 

4 - Real-time pre-validated State and Federal Compliance Submissions

5 -Role-based system to assign multiple privileges on a claim e.g., having a junior examiner and an overseeing trainer examiner on a single claim

6 - (AI) integrated Dynamic Dashboard for Claim status  

7- Priority and Event-based Task monitoring for efficient execution and workflow

8 - Incorporates Automated Business Rules into Case Management and Claim Activity

9 - Decreasing Adjusters’ efforts in handling Complex Multiple Client Handling Instructions

10 - Avoiding Late submissions to Carriers for non-acceptance of Claims

11 - Avoiding penalties regarding late/non-submission of statutory information ( CMS, FROI/SROI, etc.)

12 - Automation and Redirection to UR for Treatment Request. Providing suggestions for non-medical requests based on individual Client specifications

13 - SMART KPIs  – for example, "Providing Provider recommendations based on injury details and Claimant location"