FAQ

Think of amaise as an AI-powered assistant for your claims team. It automates the heavy lifting in claims processing – reading through mountains of medical records, adjuster notes, and legal documents – and pulls out the important details for you. This means your experts spend less time sifting paperwork and more time making decisions. In practice, amaise quickly finds relevant information and presents a structured summary of each claim, so adjusters aren’t scrolling through PDFs for hours. By relieving specialists of these laborious tasks and ensuring they never miss critical facts, the platform helps staff work faster and make better-informed decisions. The bottom line: claims get resolved much faster and with fewer errors because your team has the right information at their fingertips, almost instantly.

Companies adopt amaise because of tangible, business-driving benefits:

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• Much faster claim resolution: Your team can handle claims significantly quicker. Some insurers have reported processing claims up to 80% faster with amaise, allowing you to close claims and respond to customers in a fraction of the time.
• Higher accuracy and consistency: The AI doesn’t get tired or overlook details, so it catches key information that might be missed by human eyes. In fact, insurers saw claim analyses become up to four times more accurate, leading to fairer and more consistent outcomes.
• Optimized claim payouts: By thoroughly reviewing the evidence, amaise helps determine the appropriate payout on a claim – not overpaying or underpaying. One insurance user even saw their claim payout outcomes improve by about 11% through smarter analysis, which can translate to significant savings.
• Better use of expert time: Adjusters can offload the tedious grunt work (like skimming hundreds of pages) to the AI, and instead focus on high-value tasks like claim strategy and client communication. This not only saves precious human hours but also means highly trained staff aren’t wasted on boring, error-prone work. In turn, amaise conserves resources and boosts employee satisfaction (after all, no one became an adjuster to read paperwork all day).
• Happier customers: Faster turnaround and more accurate decisions mean claimants get resolutions sooner and with more transparency. When your team makes well-informed decisions quickly, customers enjoy a smoother claims experience – boosting their satisfaction and trust in your company.

amaise shines in real-world situations where organizations deal with complex, document-heavy claims. Some key use claims include:

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• Large bodily injury and medical insurance claims: Insurance carriers (and TPAs) use amaise to handle injury or health claims that come with hundreds or even thousands of pages of doctors’ reports, hospital records, and correspondence. The platform automatically classifies and organizes these documents, extracts critical data like diagnoses and treatment dates, and generates an interactive summary of the patient’s history. This is a huge time-saver for claims adjusters. Instead of drowning in paperwork, your team gets a clear story of the claim in moments.
• Independent Medical Evaluations (IMEs): IMEs can use amaise to quickly analyze medical records and assessments, ensuring an efficient review process. By summarizing complex patient histories and extracting relevant details from past claims, amaise helps IMEs focus on medical decision-making rather than document handling.
• Predictive insights from past claims: amaise isn’t just about one claim at a time – it can also look across your archive of past claims. The system can compare a new claim with thousands of previous claims to find patterns or similar scenarios, helping predict the likely length, complexity, and cost of the claim. This means you can get an early read on how complicated a claim might be or what settlement range to expect based on historical precedents. Additionally, the platform can even suggest which internal expert or adjuster is best suited for a new claim by identifying who handled the most similar claims in the past. These insights help you allocate resources more effectively and set appropriate reserves or strategies from day one.

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In short, any scenario where your team is grappling with high volumes of unstructured documents – be it insurance claims, Independent Medical Evaluations, or medical reviews – is where amaise delivers the most value. It turns a paper-heavy process into a streamlined, intelligent workflow.

We know you don’t want a long, drawn-out proof-of-concept. Getting started with an amaise evaluation is fast and straightforward – it usually takes just a day or so to see it in action on your own claims. Here’s how the process typically works:

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1. 30-minute live demo: We’ll set up a quick call (about half an hour) with Achim Kohli, our co-founder (and a former bodily injury lawyer himself). In this personalized demo, Achim will walk you through the platform’s features using example claims, answer your questions, and discuss how amaise could fit your specific needs. This interactive demo is a great introduction and only takes 30 minutes of your time.
2. 1-day hands-on pilot with your claims: If you like what you see in the demo, the next step is a one-day test drive. You provide a few real claim files or claim documents (we’re happy to sign an NDA and ensure data is handled securely). Our team will configure amaise to process your actual claims – no integration or heavy setup required (we handle everything in our secure environment). Within that same day, you’ll be able to see the results.
3. Results review and business analysis: At the end of the test day, we’ll review the outcomes with you. We don’t just hand over the results; we’ll walk you through the findings and provide a brief business analysis. This means we’ll discuss the potential impact on your KPIs – for instance, how much faster your team could handle those sample claims, or how amaise identified key points that might have been time-consuming to find manually.

No integration is required to get started. Many of our clients begin by using amaise as a standalone tool alongside their current workflow, which keeps the initial setup quick and hassle-free. Later, if needed, amaise can be fully integrated via API into your claims management software, which typically takes about 20 internal man-days to complete.

Absolutely – data security and privacy are top priorities for us. amaise runs on Microsoft Azure’s cloud, leveraging enterprise-grade security infrastructure. All data is encrypted end-to-end, and we comply with strict data protection standards, including GDPR. Our system ensures your claim data is locked down with hospital-grade security, so you can trust that sensitive information is always protected.