Columbus, Ohio-based Nationwide will implement Clara’s Triage and Treatment programs, which use AI and advanced machine learning to provide claims management professionals with insights that help them resolve claims more effectively and efficiently.
Santa Clara, California-based Clara helps claims managers keep workers comp cases on a path toward resolution by validating low-risk claims early in the process and by distinguishing the higher-risk cases that may be causes for concern. Its Triage program helps experienced claims managers monitor complex claims throughout their life cycle by ingesting new information as soon as it becomes available, then presenting key insights that allow adjusters to better understand the unique risk factors for each claim, according to a statement.
Clara Treatment helps insurers identify the best health care providers for each claim, using advanced AI and machine learning algorithms to score providers in different specialties and across multiple geographies. Clara Treatment determines which providers are most likely to resolve cases quickly and produce optimal outcomes that get injured workers back on the job.
Source: Business Insurance
