SUNNYVALE, CA, and LANCASTER, PA — Eastern Alliance Insurance Group, a subsidiary of ProAssurance Corporation, has chosen the CLARAty.ai platform from CLARA Analytics to enhance medical outcomes for injured workers and improve reserve accuracy. The platform is expected to lighten administrative burdens for claims professionals.
CLARA’s claims intelligence platform combines predictive analytics with advanced generative AI capabilities. It analyzes various data sources, including claims data, medical records, and legal documents. This analysis helps claims professionals receive actionable recommendations for optimal next steps and cost containment strategies, aiming to prevent claim escalation.
Eastern Alliance plans to use CLARA’s comprehensive platform to tackle the issue of rising medical costs. Their strategy includes implementing CLARA Optics for medical document intelligence, CLARA Treatment to direct care to top-performing medical providers, and CLARA Triage to focus on high-severity claims early in the claims lifecycle.
“CLARA’s capability to deliver ROI through their AI platform distinguished them from the competition,” said Kevin Shook, President of Eastern Alliance. He noted that the partnership could lead to significant operational efficiencies and loss reductions. This would reduce the manual workload for claims professionals, potentially resulting in savings for both the company and its insureds, while helping injured workers return to health and productivity faster.
CLARA’s AI platform can analyze both structured and unstructured data using natural language processing and large language models specifically tuned for insurance claims. The insights generated help claims professionals make sound, data-driven decisions. CLARA’s customers consistently see substantial returns on investment, often 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. She expressed enthusiasm about the partnership, emphasizing that it aligns with CLARA’s mission to revolutionize claims management. Wilson looks forward to supporting Eastern Alliance in delivering superior care to injured workers and achieving better outcomes for all stakeholders involved in the claims process.
The adoption of CLARAty.ai marks a significant step for Eastern Alliance in leveraging AI technology to streamline operations and improve effectiveness in managing insurance claims.
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