Gradient AI Solution Launches Workers’ Comp Insurance Triage Solution That Flags Potentially Expensive or Complex Claims Upon First Notice of Loss

With a match rate exceeding 90%, ClaimVoyant™ assesses relative claim complexity given underlying co-morbidities and other health issues, providing opportunities for early staff assignment and optimized care management.

BOSTON--(BUSINESS WIRE)--Gradient AI, a prominent enterprise software provider of artificial intelligence solutions for the insurance industry, has introduced an AI tool allowing Workers’ Comp (WC) carriers, third-party administrators (TPAs) and self-insured employers to flag claims likely to be expensive, complex or involve delayed recovery periods. The company’s ClaimVoyant™ solution provides early indicators that create opportunities for thoughtful intervention, leading to appropriate staff assignment and proper care management planning.

Expenses for claimants with pre-existing physical comorbidities and psychological conditions can be three to four times as high as those without such conditions. Early identification of these claims enables proactive treatment that better manages the recovery trajectory for an injured worker, giving AI tools like ClaimVoyant™ a clear, commonsense path to expedient return on investment.

With a claimant match rate exceeding 90%, Gradient AI’s ClaimVoyant™ solution parlays data captured at First Notice of Loss (FNOL) into actionable insight for program managers. In doing so, the AI-driven triage tool provides a gateway to deeper intervention for injured workers, including recommendations on whether to obtain ClaimVoyant™ detailed reports, available with medical authorization. ClaimVoyant™ is available at an accessible price point and offers a variety of delivery options – including portal, application programming interface (API), computer system validation (CSV), and core system integration.

“Our new ClaimVoyant solution delivers powerful insights at FNOL that enables carriers, TPAs and self-insured employers to take meaningful action before a claim trajectory takes a negative turn,” said Brook Rosenbaum, General Manager, Property & Casualty for Gradient AI. “Notably, ClaimVoyant’s ease of use and flexibility allows for integration in virtually any claims handling workflow.”

Gradient AI’s ClaimVoyant™ triage tool is currently available for Workers’ Comp insurance settings. The company has plans to expand the solution’s purview to additional lines of business in the future.

About Gradient AI
Gradient AI is a leading provider of proven artificial intelligence (AI) solutions for the insurance industry. Its full-cycle platform improves loss ratios and profitability by predicting underwriting and claim risks with greater accuracy, as well as reducing quote turnaround times and claim expenses through intelligent automation.

Unlike other solutions that use a limited claims and underwriting dataset, Gradient AI’s software-as-a-service (SaaS) platform leverages a vast industry data lake comprising tens of millions of policies and claims. It also incorporates numerous other features including economic, health, geographic, and demographic information. Customers include some of the most recognized insurance carriers, MGAs, MGUs, TPAs, risk pools, PEOs, and large self-insured employers across all major lines of insurance. By using Gradient AI's solutions, insurers of all types achieve a better return on risk. To learn more about Gradient AI, visit: www.gradientai.com or follow on LinkedIn.