Klear.ai and Pacific Claims Management Unite: Redefining the Next Era of Claims Management
CYPRESS, Calif., Sept. 8, 2023 /PRNewswire/ -- Klear.ai, a leader in Claims Administration, Risk Management, and Advanced Analytics...
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Workers' Compensation Subrogation Prediction Software
Never miss a Subrogation Opportunity with Klear.ai -
Accurate Identification Coupled With Automated Workflow
Adopt a culture of 'Proactive Claims Management' using Klear.ai suite of products
Tangible benefits - 10 to 15% in efficiency gains; 15- 20% by preventing fraud, abuse & waste; Increased customer satisfaction
Improve tactical, operational and strategic decision with Klear.ai predictive power
Quick deployment and easy integration with your existing claims management systems through a library of APIsIt's easy.
Subrogation Prediction
Capitalize on every subrogation opportunity to reduce your claims costs
- Without being constrained by Statute of Limitations and other regulations
- Automatically assign subrogation specialists to flagged claims without manual intervention
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Accuracy of Subrogation Predictions
Klear.ai algorithms are designed to analyze every claim detail including adjuster notes, to provide subrogation prediction along with statistical confidence levels.
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Our models give key insights on subrogation opportunities early in the claim lifecycle, triggering the claims manager to recover the losses from 3rd party without procedural delay.
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Architectured as 'Deep Learning Models', the algorithms have a feedback loop, that monitors the accuracy of prediction and improvises over time - increasing the reliability and ROI of the system.
Discover Subrogation Drivers
The models ranks the contribution of every variable in the ultimate prediction. And displays the top 3 variables, that had the maximum predictive value for the underlying claim.
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Adjuster can cross check the top drivers of a claim. And prepare a strategy to best deal with the specifics of the claim.
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Subrogation Insight Dashboard
Dashboard view provides deep insights on subrogation trends, letting you view predicted subrogation as per Incident Type, Injury Causes, Employment / Job classification, Adjuster workload and more.
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Strategizing based on these insights could help you create a effective subrogation recovery program, reducing your net claim costs.
Configure Subrogation Notifications
Klear.ai let's you configure notifications for every identified subrogation opportunity.
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The system let's you designate the subrogation specialists, who shall get the notification with relevant details.
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Time being a crucial ally in pursuing these opportunities, Klear.ai can help you recover 20% to 30% more than your current systems.
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Klear.ai Predictive Suite use highly sophisticated AI and Deep Learning Models to make accurate predictions of critical claims parameters. Models ingest structured as well as unstructured data (like Adjuster's Notes), run them through a proprietary statistical models to give the final inputs.
In line with dynamic nature of insurance business, the solutions are trained to monitor the hit ratio. And use this data to self improvise over a period of time - further entrenching into the core of your claims operation.
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