Business Fortune
In the dynamic landscape of commercial insurance, where claims outcomes significantly impact operational efficiency and financial outcomes, CLARA Analytics emerges as a trailblazer. Since its inception in 2016, the California-based company has been dedicated to improving claims efficiency through innovative, machine learning-based solutions. CLARA Analytics strategically utilizes technologies like image recognition and natural language processing to extract valuable insights from diverse claim-related documents, including medical notes and bills.
CLARA Triage: Enhancing Adjuster Effectiveness
Streamlining Claim Processes: CLARA Triage, a pivotal component in CLARA's suite, harnesses the power of artificial intelligence to assist adjusters in detecting and managing casualty claims more effectively. By focusing on high-priority claims, the platform streamlines the entire claims process, providing adjusters with valuable alerts, including claims severity and other customizable criteria.
Real-time Risk Mitigation: The platform's real-time alerts are a game-changer, flagging high-risk claims before they escalate. This proactive approach empowers adjusters with augmented intelligence, allowing them to take prompt actions and optimize outcomes. The cloud-based architecture ensures accessibility from any location, promoting seamless collaboration.
CLARA Treatment: Optimizing Medical Outcomes
Scoring Doctors with AI: CLARA Treatment leverages artificial intelligence to evaluate and score doctors based on actual outcomes, incorporating machine learning to identify physicians associated with positive results in previous claims. This tool is invaluable for adjusters, nurse case managers, and network optimization teams, enabling them to recommend the most suitable doctors for specific injuries.
Enhanced User Interface: The intuitive user interface ensures easy access to provider information at any time, from any location. Adjusters can share insights within the application, fostering collaboration and obtaining second opinions. Additionally, the platform allows downloading score reports, enhancing communication with injured workers and providing a comprehensive understanding of available options.
Leveraging AI for Risk Prediction: CLARA Litigation employs artificial intelligence to predict litigation risk by analyzing years of prior claims, identifying patterns, and offering actionable recommendations. By scoring attorneys based on performance and cost, adjusters can make informed decisions about legal representation, optimizing outcomes and reducing litigation rates.
AI-driven Document Analysis: CLARA Optics serves as an advanced solution for automating the transcription, extraction, and organization of medical records and legal demands. By employing the latest AI technology, the platform scans and analyzes claim documents, ensuring that crucial details are not overlooked. Pre-configured alerts add an extra layer of vigilance, notifying claim managers of potential risks.
CLARA’s MSP Compliance: Streamlining Reporting Processes
Efficient Medical Cost Projection Reporting: This module leverages industry-leading AI technology to streamline the production of future medical cost projection reports. By scanning medical records and automatically compiling reports meeting regulatory guidelines, CLARA’s MSP Compliance significantly reduces the time and cost associated with traditional reporting processes.
CLARA Analytics has garnered recognition as a trusted partner for top global insurance carriers, third-party administrators, and self-insured organizations. With a global presence encompassing Silicon Valley, a nearshore center in Mexico, and an offshore center in India, the company continues to lead the charge in transforming commercial insurance claims management. The company's visionary approach revolves around the strategic integration of augmented intelligence, revolutionizing the way insurance claims are handled and adjudicated. It has redefined the role of adjusters by providing them with an innovative suite of solutions that go beyond traditional methodologies. By leveraging cutting-edge technologies, including artificial intelligence (AI), the company ensures that adjusters are equipped with the tools needed to make informed decisions promptly.
The innovative suite of solutions offered by CLARA Analytics goes beyond mere empowerment; it actively streamlines complex claims processes. Through the strategic application of AI, the company addresses the intricacies of casualty claims, allowing adjusters to focus on high-priority cases while automating routine aspects. This streamlined approach significantly enhances operational efficiency. As CLARA Analytics continues to evolve, its dedication to leveraging cutting-edge technologies remains unwavering. The company's proactive stance in adopting and integrating the latest advancements in AI, image recognition, and natural language processing positions it at the forefront of innovation within the commercial insurance landscape.
Heather Wilson | Chief Executive Officer
Heather H. Wilson has more than a decade of executive experience in data, analytics, and artificial intelligence, including as global head of innovation and advanced technology at Kaiser Permanente, Chief Data Officer at Citigroup and Chief Data Officer of AIG. She currently sits on Equifax’s board of directors. At Kaiser Permanente she established the Women in Technology group, focused on mentorship and retention for women in math, technology, and science, and at AIG, she launched Global Women in Technology and served as executive sponsor of Girls Who Code.
