Award-Winning AI Platform Lowers Medical
Costs and Leads to Betters Outcomes
Eastern Alliance Insurance Group (“Eastern Alliance”), a
wholly-owned subsidiary of ProAssurance Corporation, has selected
the CLARAty.ai platform developed by CLARA Analytics (“CLARA”), a
leading provider of artificial intelligence (AI) technology for
insurance claims optimization, to enhance medical outcomes for
injured workers, improve reserve accuracy, and lighten
administrative burdens for claims professionals.
CLARA’s claims intelligence platform integrates the company’s
proven predictive analytics with advanced generative AI (GenAI)
capabilities to offer a comprehensive claims management solution.
The AI models analyze a wide range of data sources, including
claims data, claim notes, medical records, and legal documents.
This analysis enables the system to provide claims professionals
with actionable recommendations for optimal next steps and
proactive cost containment strategies, helping to prevent claim
escalation.
Eastern Alliance is set to leverage CLARA’s comprehensive
platform to address the challenge of escalating medical costs.
Their strategy involves implementing a suite of CLARA’s key
solutions: CLARA Optics for medical document intelligence, CLARA
Treatment to direct care to the best-performing medical providers,
and CLARA Triage to help focus on high-severity claims early in the
claims’ life cycle.
“CLARA's capability to deliver ROI through their AI platform
truly distinguished them from the competition,” stated Kevin Shook,
President at Eastern Alliance. “We foresee considerable operational
efficiencies and loss reductions that will create substantial value
and reduce the manual workload for our claims professionals.
Ultimately, this can result in savings for us and our insureds and
help injured workers return to wellness and productivity faster.
That potential makes this partnership a win-win for everyone
involved.”
CLARA’s award-winning AI platform can analyze both structured
and unstructured data, performing contextual analysis using natural
language processing (NLP) and large language models (LLMs) tuned
specifically for insurance claims. The generated insights help
claims professionals make sound data-driven decisions. CLARA’s
customers consistently achieve remarkable ROI, with most exceeding
500%.
“We are honored that Eastern Alliance has chosen CLARA as their
preferred claims intelligence platform,” said Heather H. Wilson,
CEO of CLARA Analytics. “This partnership aligns perfectly with our
mission to revolutionize 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.”
Workers’ compensation claims often involve extensive
documentation, including hundreds of pages of medical records and
other legal documents, sometimes spanning months or even years.
CLARA Optics uses predictive AI, GenAI and LLMs to automate medical
records transcription, extract meaningful details, and deliver
actionable insights to claims management personnel. Optics
eliminates time-consuming document review, and the AI-generated
case summaries lead to faster case resolution, lower workloads, and
better outcomes for injured workers and their employers.
CLARA Treatment leverages a vast, nationwide contributory
database comprising millions of workers’ compensation claims to
deliver data-driven insights on medical provider performance. CLARA
Triage, using the same proprietary database, helps claims
professionals to promptly identify high-risk casualty claims and
flag them for proactive resolution. They are given decision support
and guidance when setting reserves, leading to more accurate
reserving. Injured workers get the level of service they need for
the severity of the injury, and Eastern Alliance’s claims
professionals can focus on the claims that matter most.
About Eastern Alliance Insurance Group
Eastern, a wholly-owned subsidiary of ProAssurance Corporation,
is a domestic casualty insurance group specializing in workers’
compensation insurance products and services for businesses and
organizations in the East, South and Midwest regions of the United
States. Eastern has service offices in Pennsylvania, North
Carolina, Indiana, Tennessee, Virginia, Mississippi and Maine. For
more information, visit www.easternalliance.com.
About CLARA Analytics
CLARA Analytics is the leading AI as a service (AIaaS) provider
that improves casualty claims outcomes for insurance carriers,
MGAs, reinsurers, and self-insured organizations. The company’s
platform applies image recognition, natural language processing,
and other AI-based techniques to unlock insights from medical
notes, legal demand packages, bills and other documents surrounding
a claim. CLARA’s predictive insight gives claims professionals
augmented intelligence that helps them reduce claim costs and
optimize outcomes for the carrier, customer and claimant. CLARA’s
customers include companies from the top 25 global insurance
carriers to large third-party administrators and self-insured
organizations. Founded in 2017, CLARA Analytics is headquartered in
California’s Silicon Valley. For more information, visit
www.claraanalytics.com, and follow the company on LinkedIn and
@CLARAAnalytics.
All brand names and solution names are trademarks or registered
trademarks of their respective companies.
Tags: CLARA Analytics, CLARAty.ai, CLARA Triage, CLARA Optics,
CLARA Treatment, ProAssurance, Eastern Alliance, workers
compensation, workers comp, insurtech, claims optimization, claims
adjusters, claims managers, artificial intelligence, AI, generative
AI, GenAI, machine learning, LLM, NLP, claims, claims management,
predictive analytics
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version on businesswire.com: https://www.businesswire.com/news/home/20240709108807/en/
Media Contact: Dottie O’Rourke TECHMarket Communications
for CLARA Analytics 650-344-1260 CLARAanalytics@techmarket.com