Insights Management

The Deepest Healthcare Insights. The Strongest Results.

Most AI initiatives fail because they start with technology and hope to find a problem worth solving. We do the opposite. We start with three decades of proven domain expertise, the industry’s most comprehensive dataset, and a clear focus on what actually matters: faster recovery, smarter spending, and elevated experiences. Technology becomes transformative only when it’s rooted in deep understanding, built on quality data, and designed to solve real problems and that’s how we’ve thrived for over 30 years.

Experience Is Everything

Domain expertise can’t be shortcut or fast-tracked. Success in casualty claims requires understanding the nuances of jurisdictional rules, clinical appropriateness, provider behavior, and patient engagement patterns across thousands of injury types and scenarios. We’ve spent three decades building this expertise. Now we encode it into every algorithm and validate it with the people who live in these complexities every day. Generic AI models don’t work in our world. Purpose-built intelligence, guided by people who deeply understand claims, does. That foundation of experience is what turns data into decisions that actually move outcomes.

Data Volume and Quality Create Precision

We’ve built something that can’t be built overnight or replicated: an unmatched dataset spanning over 30 years of casualty claims, treatment pathways, provider performance, and patient outcomes. This isn’t just volume for volume’s sake. It’s comprehensive, longitudinal data that captures the full story of millions of cases from first notice of loss through final resolution. When you’re predicting optimal treatment pathways or identifying cost anomalies before they escalate, data quality and breadth determine everything. This depth enables pattern recognition and predictive accuracy that smaller datasets simply cannot achieve. Our dataset is the foundation that makes sophisticated AI actually work.

Technology That Brings It All Together

With the right foundation in place, technology becomes genuinely transformative. Our platform combines three types of AI working in concert: Generative AI extracts structured intelligence from messy clinical narratives, turning chaos into clarity. Predictive AI anticipates case trajectories and identifies risks before they become problems, using continuously trained models built on decades of proprietary data. Agentic AI orchestrates intelligent workflows that make dynamic, context-aware decisions within defined guardrails, moving beyond rigid automation into true intelligence. Together, they create a system that doesn’t just process information but understands it, learns from it, and turns it into next-best actions that improve outcomes across the entire care ecosystem.

Changing the Game by Putting Insights Into Action

Unparalleled Provider Intelligence

Getting injured people to the right provider at the right time changes everything about recovery speed and cost. Our provider intelligence analyzes performance data across millions of cases to identify clinicians with proven track records for specific injury types, geographic areas, and treatment scenarios. We understand not just clinical outcomes but also cost efficiency, scheduling reliability, and patient satisfaction patterns. This intelligence guides optimal provider matching from day one, integrates seamlessly with rate negotiations and payment workflows, and continuously evolves as new performance data flows through the system. So you get precision matching that reduces unnecessary time and cost for patients while strengthening provider partnerships.

Predictive Claim and Claimant Intelligence

The trajectory of a claim reveals itself in patterns many systems can miss. Our predictive intelligence analyzes thousands of data points from clinical documents, case history, provider interactions, and billing records to identify risks and opportunities long before they fully emerge. Advanced AI reads and interprets complex medical narratives, extracts meaningful patterns, and puts that information to work in ways never before possible. We can anticipate which cases need proactive treatment protocols, flag anomalies with precision scoring before they become issues, predict cost trajectories with remarkable accuracy, and surface early warning signs that recovery isn’t progressing as expected. This intelligence helps you see what’s coming and shape better outcomes before problems compound.

AI-Driven Experience

AI should make work easier, not more complicated. We use intelligent automation to create smoother experiences for adjusters, examiners, and everyone involved in managing claims. Our AI-powered tools deliver intuitive claims intelligence with clear, actionable recommendations that help close knowledge and experience gaps, even for newer team members. Complex processes like bill review, compliance checks, and payment workflows become simpler and faster, freeing your team to focus on high-value, empathy-driven work that requires human judgment and connection. From natural language interfaces that let adjusters interact with claims data conversationally to automated payment processes that just work, we’re using AI to eliminate friction and give people more time for what truly matters: helping injured workers recover and supporting the people who serve them.

We Want to Hear From You

If you need to get in touch with a member of our care team, contact us at
1 (800) 225-9675 or click Contact Us.