(Image source: Foresight homepage.)
Foresight Commercial Insurance, a San Francisco-based managing general underwriter of workers’ compensation insurance, has selected CLARA Analytics (Santa Clara, Calif.), a provider of artificial intelligence (AI) technology for insurance claims optimization, as the MGU’s partner in a new initiative that will use advanced technology to proactively collaborate with their third-party administrators (TPAs) and stay ahead of claim escalation with real-time monitoring of claims data, according to a statement from the vendor.
As a technology-focused MGU, Foresight already has made significant progress in preventing workplace accidents through the company’s proprietary Safesite platform, which virtually provides safety coaching and state-of-the-art risk management technology. The company will implement CLARA’s Triage module to help proactively manage claims and accelerate claim cycles in the event of workplace injuries. CLARA’s AI platform will complement Foresight’s strategy of predicting and preventing injuries.
CLARA Triage helps adjusters to promptly identify high-risk casualty claims and flag them for proactive resolution. The AI platform is trained on a contributory database of millions of closed claims to provide a high level of predictive accuracy and broad benchmarking capabilities. The generated insights enable the assignment of the right claim to the right adjuster at first notice of loss. Claimants get the level of service they need for the severity of the injury, and Foresight’s claim professionals can focus on the claims that matter most. Overall, this approach leads to optimal medical outcomes for injured parties, gets workers back on the job quickly, and reduces overall claim costs.
“At Foresight, we’re always looking for ways to adopt innovative technology to better serve our customers and their injured workers,” said Kelly McLaughlin, Chief Insurance Officer, Foresight. “CLARA’s AI platform to predict and prevent claim escalation delivers impressive ROI for workers’ compensation MGUs, and we see it as a great fit for Foresight. CLARA’s products will help us understand workers’ compensation claim trends, get injured workers the best possible care, close claims faster, and ultimately reduce claims costs for our customers.”
Using AI to Optimize Claim Outcomes
Foresight’s technology-centric vision is aligned with CLARA’s mission of unleashing the power of AI to optimize claim outcomes, according to the vendor. CLARA builds augmented intelligence solutions that reduce the manual and low-value claim processes to empower claims professionals to focus on getting the injured worker back to health.
“Foresight is recognized as a technology leader in workers’ compensation,” comments Heather H. Wilson, CEO, CLARA Analytics. “That’s due in large part to their early adoption of AI to predict and prevent workplace injuries. In that respect, they’re a perfect fit with CLARA, which provides AI tools that not only drive productivity but also better outcomes for all parties. CLARA Triage provides a depth of predictive models and industry benchmarking that gives MGAs/MGUs the ability to focus on the claims that matter. The improved collaboration with their TPAs leads to lower claim expenses while helping an injured worker return to health faster. We are proud to be selected by Foresight.”