Built for Complex Casualty and Workers’ Comp Claims, the New AI Workforce Handles Every Case Around the Clock, From First Notice to Resolution, With Adjusters Always in Control

SUNNYVALE, Calif.: #AI--CLARA Analytics (“CLARA”), the leading provider of artificial intelligence (AI) technology for insurance claims optimization, today launched Agentic Intelligence, the industry’s first end-to-end AI workforce built for complex casualty and workers’ comp claims. Built into the CLARAty.ai platform, it puts a team of AI agents on every claim, from first notice of loss through resolution, while adjusters stay in control of every decision.

This launch moves CLARA from a system that surfaces insights to one that recommends next steps and helps carry them out. Embedded directly within the claim file, the critical juncture where workers’ comp and casualty losses are decided, CLARA’s agents leverage a 10-year proprietary data moat of historical outcomes that competitors simply cannot replicate or license.

CLARA’s Agentic Intelligence turns insights into solutions. “Our agents continuously evaluate how a claim is developing, catching exposure issues before they become a problem,” said CEO Heather H. Wilson. “We built Agentic Intelligence to give adjusters a partner that reviews claims data and documents to surface real-time changes in severity, litigation potential, fraud risk and closure opportunities.

“We have gone from a system of intelligence to a system of action by becoming a full claims agentic platform,” Wilson added. “Working in concert, the agents synthesize all relevant information, provide transparent reasoning and adaptive intelligence, surface opportunities and build the needed bridge from intelligence to action.”

Inside Agentic Intelligence

The new workforce gives adjusters instant access to where a score came from and how current the underlying data is, so they are not chasing down source documents to trust a number. Agents add vital context and reasoning to the intelligence delivered to claims and actuarial professionals.

Transforming Claims Intelligence Through Agentic Reasoning: Force Multiplying the Claims Team

• Complete Lineage and Outcome “Ground Truth”: Instant access to glossary definitions, metric ownership and versioning.
• Data Freshness and Quality: Real-time visibility into underlying data health and source validation.
• Cohort Contextualization: Instant drill-down into specific coverage groups, exclusions and contributing claim cohorts.
• Transparent Rationale: Clear explanations of scoring logic tied directly back to underlying claim documents and fields.
• Interactive Deep Dives Across Structured and Unstructured Data: Access to a conversational agent for greater contextualization on risk and recommended action.

Powered by self-learning data pipelines and a 10-year data moat of over 7 million claims, CLARA resolves missing data in real time, replacing rigid rules with dynamic querying to deliver highly accurate, tailored intelligence. The platform eliminates manual coding to drastically accelerate deployment, allowing claims teams to immediately slice, dice and stress-test data. This removes friction, upskills adjusters and elevates judgment so teams can focus on complex, high-value decisions. Adjusters keep the decision; CLARA owns the evidence trail behind it.

At ITC Vegas, CLARA Analytics, a Gold Sponsor, will demonstrate its end-to-end agentic claims intelligence platform from Sept. 29 to Oct. 1 in Booth 2825, Bayside Halls D-F. Additionally on Sept. 30 at 2:05-2:35 p.m., CLARA and Nationwide will take the stage for a session titled, “Stop Leaving Claims Risk on the Table.”

“We aren’t just delivering faster technology; we are delivering measurable, quantitative financial and business outcomes,” said Mubbin Rabbani, Chief Product Officer at CLARA Analytics. “Insurers get turn-key access to an advanced AI workforce backed by robust guardrails and human validation.”

About CLARA Analytics

CLARA Analytics is the leading AI as a service (AIaaS) provider that improves casualty claims outcomes for insurance carriers, MGAs, reinsurers and self-insured organizations. The company’s platform applies image recognition, natural language processing and other AI-based techniques to unlock insights from medical notes, legal demand packages, bills and other documents surrounding a claim. CLARA’s predictive insights give claim professionals augmented intelligence that helps them reduce claim costs and optimize outcomes for the carrier, customer and claimant. CLARA’s customers include companies from the top 25 global insurance carriers to large third-party administrators and self-insured organizations. Founded in 2017, CLARA Analytics is headquartered in California’s Silicon Valley. For more information, visit www.claraanalytics.com, and follow the company on LinkedIn and @CLARAAnalytics.

All brand names and solution names are trademarks or registered trademarks of their respective companies.

Tags: CLARA Analytics, Agentic Intelligence, insurtech, claims, claims optimization, workers compensation, casualty claims, claims adjusters, agentic claims intelligence, artificial intelligence, AI, AI agents, claims management, claims processing, predictive analytics, litigation, fraud, ITC Vegas, InsureTech Connect, Nationwide, Heather H. Wilson, Mubbin Rabbani

Fonte: Business Wire