General Liability
Claims Solutions

   

Group Health Solutions

General Liability
Claims Solutions

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Want to learn more?

Why Gradient AI for Claims Management?


Gradient AI offers AI claims products powered by one of the industry’s largest data lakes of claims data with tens of millions of claim records and their outcomes, enhanced with third party data and our own proprietary features. You get high performing models that improve claim predictions, enabling you to pursue better claim outcomes proactively.

Gradient AI can be easily integrated with existing platform solutions and processes, delivering AI at the point of decision to achieve the maximum business impact.



Gradient AI enables you to increase the effectiveness and efficiency of your claims operations.


Effectiveness benefits:

  • Deeper understanding of claim cost, direction, and duration
  • Constant monitoring of claim files provides “early warning” of those with the highest risk of certain cost drivers, enabling faster adjuster intervention
  • Reduced claim duration and costs


Efficiency benefits:

  • Better adjuster alignment based on projected case type and trajectory
  • Time management savings and efficiency for supervisor oversight tasks
  • Automated identification of claims that would benefit from reserve review

General Liability Claims Solutions include:

Risk Ranking


Gradient AI’s Risk Ranking solution predicts which bodily injury claims are most likely to exceed a pre-determined cost threshold. This prediction can be delivered within a few days after a claim file is created and is automatically updated every time new data is added to the claim file. With this early warning, adjusters have the greatest opportunity to aggressively manage complex claims to reduce their severity.

Total Incurred Prediction


Gradient AI’s Total Incurred Prediction (TIP) solution predicts an expected total incurred of each bodily injury claim. This prediction can be delivered within a few weeks after the claim file is created and is automatically updated every time new data is added to the claim file. This prediction can be used for supervisor oversight, reserve audits, and settlement discussions. 


Legal Engagement


Gradient AI’s Legal Engagement solution predicts the likelihood that a claimant will retain a lawyer, thereby dramatically increasing cost, duration, and complexity. With this early warning, adjusters have a window of opportunity to adjust course, address claimant concerns, or settle a claim before the claimant engages a lawyer.

Litigation Probability


Gradient AI’s Litigation Probability solution predicts the likelihood that a claimant’s lawyer will commence formal litigation, one of the principal cost drivers in claims management. With this early warning, your adjusters will have a window of opportunity to settle with a claimant’s lawyer before incurring the costs of defending a formal lawsuit.

Learn how Gradient AI's solutions can benefit your organization. 


Contact us below to schedule a meeting.

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