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CLARA Triage

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Overview

With CLARA Triage, spot potentially costly claims early and take action. Fast-track simple claims with 95% accuracy based on Day 1 data, isolate and track complex claims to understand the factors driving cost and prevent Claim Escalations

Key Features

  • Control tower: Optimize high volumes of claims across teams through predictive complexity-based case management
  • Claims dashboard: Prioritize actions for highest-risk claims with severity predictions and litigation indicators
  • Alerts that drive action: Receive claim complexity escalation notifications and lost time indicators through a portfolio of AI/ML sensors
  • Claim note analyzer: Uncovering complexities and details that indicate propensity of attorney representation and other claim inflection points

製品/サービス名 details

SOLUTION OR SERVICE TYPE
Health Claims and Case Management Systems (Medical, LTC, Disability), Litigation Management Systems
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