Revolutionizing Claims Management with Proven AI Solutions

The amaise agenticAI Platform transforms the complexities of managing bodily injury claims in general liability. Designed for the insurance industry, our platform delivers measurable improvements in accuracy, efficiency, and cost savings:

84%

Increase in Efficiency

Streamline workflows with AI-powered insights and automation.

Enhanced Understanding

Equip claims adjusters and claim managers with precise insights into medical and legal claim aspects.

10%

Reduction in Claim Payouts

Optimize settlements, saving substantial costs while maintaining fairness.

The Challenges of General Liability Claims

Managing bodily injury claims in general liability is a resource-intensive, complex process. Key hurdles include:

Diverse Claim Types

General liability claims cover a broad range of incidents, including slips and falls, product liability, and workplace injuries, requiring varied expertise.

Vast Document Volumes

Handling extensive documentation, including medical records, legal documents, witness statements, and incident reports.

Unstructured Data

Processing data from inconsistent formats, such as handwritten notes, scanned files, and varying terminologies.

Complex Liability Determinations

Assessing negligence, contributory factors, and the extent of injuries involves deep analysis.

Fraudulent Claims

Detecting exaggerated or false claims adds another layer of complexity.

Multidisciplinary Collaboration

Claims often require input from adjusters, legal teams, medical professionals, and liability experts.

Litigation Risk

The potential for disputes and lawsuits drives the need for comprehensive and defensible claim evaluations.

General Liability Personal Injury – Where Complexity Demands Clarity

Personal injury cases are the most common form of civil litigation in the U.S. These claims often involve extensive medical and other unstructured records to assess the nature and extent of alleged injuries, pain, and suffering. Claims professionals and legal teams depend on well-organized documentation to evaluate liability and determine fair outcomes.

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High-severity and complex cases where structured medical insights are essential include:

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Assault and battery claims
Injuries resulting from physical altercations
Domestic violence-related legal claims
Allegations of child abuse and neglect
Elder abuse in nursing home settings
Injuries occurring in schools or daycare (e.g. playgrounds, gym class, lack of supervision)
Sports injury claims
Alcohol-related injuries (e.g. bar fights, drunk driving incidents)
Gun-related injury liability
Dog bite claims – a leading cause of homeowner insurance payouts

our solution

The amaise agenticAI Platform and Product Suite

The amaise agenticAI Platform simplifies and enhances bodily injury claims management for general liability with cutting-edge AI technology:

Automatic Document Organization

Effortlessly organizes all claim-related documents—incident reports, medical records, legal documents—while eliminating duplicates to streamline workflows.

Key Fact Extraction

Highlights critical information such as injury details, negligence indicators, compliance issues, and legal exposures.

AI-Powered Insights and Recommendations

Provides actionable insights for decision-making, including liability evaluations and settlement recommendations. Offers multiple perspectives—pro-insurance, pro-claimant, and neutral—for balanced assessments.

Preconfigured Question Sets

1.Customizable templates ensure that each claim is evaluated thoroughly and consistently across all relevant criteria.

Key Benefits

Optimized Claim Settlements

Validated by leading European insurers and currently being tested by major U.S. insurance companies, amaise delivers consistent, measurable results. Ensures accurate and fair compensation while reducing the risk of overpayments. Proven to achieve a 10% reduction in claim payouts for European insurers, with similar outcomes expected for U.S. insurers.

Accelerated Claims Processing

Enhanced Fraud Detection

Improved Risk Management

Litigation Risk Reduction

Why Choose amaise?

Proven Performance

Trusted by leading European insurers and currently being piloted by major U.S. insurance companies, the platform consistently delivers measurable results.

Modern Tools

Secure Collaboration

Effortless Implementation

Regulatory Compliance