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AF Group (Lansing, Mich.), a holding company whose affiliated brands provide specialty and workers’ compensation insurance solutions across the U.S., and and CLARA Analytics (Santa Clara, Calif.) a provider of artificial intelligence (AI) technology for commercial insurance claims optimization, have announced a new initiative to deploy AI technology with the goal of improving medical outcomes for injured workers, while also reducing claims losses for the company’s workers’ compensation policyholders and streamlining claims management. AF Group companies will use CLARA’s technology platform to identify the health care providers best suited to help injured employees recover successfully and return to work quickly, according to a joint statement from the companies.
AF Group comprises seven affiliated insurance brands that provide specialty insurance solutions. The company says it will initially deploy CLARA Treatment at Accident Fund, an AF Group brand specializing in workers’ compensation insurance for small- to mid-sized businesses.
“Innovation in data analytics is a key pillar in our strategy to be the best at what we do, maintaining a culture of claims excellence and compassionate care for our customers,” comments Paul Kearney, Chief Claims Officer, AF Group. “Returning to work after an injury helps employees rebuild their livelihoods and restore their quality of life. AF Group companies help those workers using a multifaceted approach that incorporates data analytics, evidence-based medicine, and smart technology. CLARA Analytics aligns nicely with that strategy — helping injured employees recover quickly while also minimizing losses for policyholders and improving our claims management processes.”
CLARA Treatment offers guidance to claims managers by identifying the best health care providers for each claim based on the specific nature of the injury, according to the vendor’s description. The application scores health care providers within various specialties and geographical territories, identifying those who have a proven record of success with similar cases. This helps claims managers to steer each case toward a rapid resolution, helping injured workers recover more quickly while lessening policyholder losses, the vendor says.
“AF Group has been remarkably innovative in their use of data analytics to foster a culture of underwriting and claims excellence,” comments Heather H. Wilson, CEO, CLARA Analytics. “CLARA’s technology fits perfectly with that ethos, delivering concrete results that will improve outcomes for injured employees, minimize losses for policyholders, and streamline claims management. Our track record proves that, and we’re very excited to bring those same benefits to AF Group and their stakeholders.”