The CLARAty.ai platform integrates CLARA’s proven predictive analytics with advanced generative AI (GenAI) capabilities, offering a comprehensive claims management solution. The AI models analyse diverse data sources, including claims data, medical records, and legal documents, providing claims professionals with actionable recommendations for optimal next steps and cost containment strategies to prevent claim escalation.
Eastern Alliance intends to use CLARA’s solutions to address the rising medical costs associated with claims. These include: CLARA Optics for medical document intelligence, CLARA Treatment to direct care to the best-performing medical providers, and CLARA Triage to focus on high-severity claims early in the claims life cycle.
Kevin Shook, President of Eastern Alliance, commented: “CLARA’s ability to deliver ROI through their AI platform truly set them apart; We anticipate significant operational efficiencies and loss reductions, which will add substantial value and reduce the manual workload for our claims professionals. Ultimately, this can lead to savings for us and our insureds and help injured workers return to wellness and productivity faster. This potential makes the partnership a win-win for everyone involved.”
CLARA’s AI platform is able to analyse both structured and unstructured data, performing contextual analysis using natural language processing (NLP) and large language models (LLMs) specifically tuned for insurance claims. The generated insights tend to deliver excellent ROI, often exceeding 500%.
Heather H. Wilson, CEO of CLARA Analytics, said: “We are honoured that Eastern Alliance has chosen CLARA as their preferred claims intelligence platform. This partnership aligns perfectly with our mission to revolutionise claims management. We look forward to supporting Eastern Alliance in their commitment to excellence, helping them deliver superior care to injured workers, streamline operations for their claims team, and ultimately achieve better outcomes for all stakeholders involved in the claims process.”
