The latest feature release responds to a significant financial blind spot in the insurance industry: subrogation recovery.
According to the National Association of Insurance Commissioners (NAIC), approximately $15bn is lost each year due to missed subrogation opportunities stemming from manual processes and documentation gaps. CLARA’s new tools aim to recover a portion of this figure by automating and enhancing detection methods.
The newly introduced subrogation detection capabilities in CLARA Triage use advanced GenAI and machine learning to automatically identify and prioritise subrogation and risk transfer opportunities.
By providing a combination of numeric scoring and AI-generated narratives, the system enables claims managers to focus on high-potential recovery cases more effectively. Real-time data ingestion ensures that claim evaluations are constantly updated as new information becomes available.
The feature also includes built-in alert mechanisms to notify users when opportunities surpass key thresholds. These enhancements are designed to improve financial outcomes by allowing insurers to act swiftly and strategically, potentially recovering millions in lost revenue.
CLARA reports that clients with high platform adoption have seen a return on investment exceeding 500%, with some experiencing even greater gains. The company issues periodic ROI reports to demonstrate these impacts and continues to innovate in response to client needs.
CLARA Analytics CEO Heather H. Wilson said, “CLARA’s core values include constant innovation and an obsessive focus on our customers’ needs. The market has a significant gap in regard to subrogation opportunity identification. Our mission is to transform the way claims management teams work with their subrogation partners to deliver transformative financial results. Our new subrogation detection capabilities are a major step forward in that journey.”
Wilson continued, “CLARA’s company culture is all about reaching higher, always looking for ways to add more value for our customers. With these new subrogation and risk transfer detection capabilities, we can help insurers achieve even higher ROI.”
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