workers comp claims management software

Workers Comp Claims Management Software

With Native AI

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Why KlearClaims as your Workers Comp Claims Management Software?

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

KlearClaims: workers comp claims management software (watch video)

Watch KlearClaims: Native AI Workers Comp Claims management software in action 

workers comp claims management software for automating claims

Automation

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

workers comp claims management software using NATIVE AI

Artificial Intelligence

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

workers comp claims management software for collaboration

Collaboration

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

workers comp claims management software for performance management

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 Workers Comp Claims Management Software—

it’s peace of mind

KlearClaims Ecosystem

KlearClaims: A SaaS workers comp 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 workers comp 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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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 Workers' Comp and Liability 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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Frequently asked questions

As a KlearClaims™ prospect, what does native AI mean for me?


You can buy a car or you can buy a Tesla, that's the difference. The KlearClaims Ecosystem (Administration, Analytics, Audit, & Intake ) is a modern, unified SaaS workers comp claims management software supporting full lifecycle claims administration with native Artificial Intelligence modeling powering robust Predictive Analytics, Smart Auditing, and flexible Intake functionality.




What type of business entities should use your products?


KlearClaims: Workers comp claims management software built with Native AI works best with TPA’s, Risk Pools, Public entities, Insurance Companies, Self-Insured, Self-Administrated firms, and other Professional Insurance Organizations.




Why is this a differentiator?


No other workers comp claims management software has this solution (or anything close to it) and no other claims administrator can seamlessly advantage AI and automation throughout all critical categories of claims administration. You buy a car or you buy a Tesla, that's the difference.




Who would be a good candidate for this type of AI integration?


Virtually all claims administration organizations will likely be good candidates and will certainly experience the power of “native AI” of this workers comp claims management software. KlearClaims enhances their workflow.




What is a KPI?


A KPI stands for Key Performance Indicator and KlearClaims, a native AI Workers comp claims management software provides any KPI’s that your organization might need in order to visualize data effectively with customization capabilities.




How do we create new KPI’s?


KPIs can be created by clicking the “+” sign on the top right corner. This will load a new window where you will be able to create any KPI your organization may need





13 reasons why KlearClaims will Future-Proof your workers comp 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 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"