CLARA Analytics Streamlines Workers’ Compensation Case Management With Treatment Summary

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CLARAs Treatment Summary streamlines case management, enabling adjusters and NCMs to proactively manage claims by identifying pertinent details as soon as they become available.

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Wednesday, January 5, 2022
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Legal, Technology, Insurance, Finance, Consulting, Professional Services, Software, General Health, Health, Data Management, AI, Case management (US healthcare system), NCM, Artificial intelligence, ROI, Name, Silicon, Roger Hawkins (drummer), Twitter, Treatment, CLARA, LinkedIn, Technology, Machine learning, Industry, Natural language processing, Medical device, Risk management
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CLARA ANALYTICS
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Key Points: 
  • CLARAs Treatment Summary streamlines case management, enabling adjusters and NCMs to proactively manage claims by identifying pertinent details as soon as they become available.
  • Treatment Summary enables reviewers, supervisors or case managers who are assuming responsibility for a claim to come up to speed rapidly.
  • Most case managers are struggling with heavy workloads, said Tom Warden, Chief Insurance and Science Officer at CLARA Analytics.
  • Treatment Summary puts all the necessary information at the case managers fingertips, where its easy to navigate and constantly updated.


CLARA Analytics (“CLARA”), the leading provider of artificial intelligence (AI) technology in the commercial insurance industry, today released Treatment Summary, which applies industry-leading AI technology to automate medical records transcription, extract and organize important case details, and make that information available to adjusters and nurse case managers (NCMs) on demand.

CLARA’s Treatment Summary streamlines case management, enabling adjusters and NCMs to proactively manage claims by identifying pertinent details as soon as they become available. Automated alerts notify adjusters and NCMs when important changes occur in one of their active cases. With that proactive notification and the increased visibility provided by Treatment Summary, case managers can quickly respond to key developments, reducing the time spent poring over detailed medical records and eliminating the costs associated with generating multiple medical record summaries for individual cases.

Treatment Summary enables reviewers, supervisors or case managers who are assuming responsibility for a claim to come up to speed rapidly. It provides immediate insights into the salient details of each case, eliminating the need to sift through detailed medical records to gain an understanding of a claim.

“Most case managers are struggling with heavy workloads,” said Tom Warden, Chief Insurance and Science Officer at CLARA Analytics. “Monitoring each claim is generally costly and very labor-intensive. Treatment Summary puts all the necessary information at the case manager’s fingertips, where it’s easy to navigate and constantly updated. For overburdened adjusters and NCMs, this is a game-changer.”

Treatment Summary is built on CLARA’s award-winning AI platform, which offers a comprehensive set of tools to help workers’ compensation insurers reduce medical costs and improve outcomes for injured employees. CLARA applies AI and machine learning to analyze both structured and unstructured data, perform contextual analysis with natural language processing, and develop forecasts and recommendations for claims managers. CLARA has a strong record of proven ROI, aiming to achieve positive returns for their customers within just six months of go-live.

“CLARA Analytics is a mission-driven company. Everything we do is aligned around our intensive focus on customer value, continuous innovation, and a commitment to going the extra mile,” said CLARA CEO Heather H. Wilson. “Treatment Summary gives our customers much stronger visibility into each claim than they have ever had in the past. This is a great example of how leading-edge AI technology combined with CLARA’s deep domain expertise in commercial insurance can empower frontline professionals and drive powerful ROI for our customers.”

CLARA’s Treatment Summary is priced per claim, enabling adjusters and NCMs to revisit case details as often as they like without incurring additional costs for each report. As new information becomes available, pertinent case details are automatically updated, offering claims management professionals vastly improved visibility to important changes as soon as they happen.

About CLARA Analytics

CLARA Analytics improves claims outcomes in commercial insurance with easy-to-use AI-based products. The company’s product suite applies image recognition, natural language processing, and other AI-based techniques to unlock insights from medical notes, bills and other documents surrounding a claim. CLARA’s predictive insight gives adjusters “AI superpowers” that help 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 2016, CLARA Analytics is headquartered in California’s Silicon Valley. For more information, visit www.claraanalytics.com, and follow the company on LinkedIn and Twitter.

All brand names and solution names are trademarks or registered trademarks of their respective companies.

Tags: CLARA Analytics, Treatment Summary, workers comp, workers compensation, insurance, commercial insurance, artificial intelligence, AI, data science, predictive analytics, machine learning, insurtech, insuretech, claims, medical records, nurse case managers, claims adjusters, health care

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