What Clara is
Clara is a productised orchestration agent for Claims Risk Management.
She manages claim intake, triage, risk assessment and escalation from FNOL to settlement, applying your rules and authority thresholds consistently.
Active use cases
Personal injury triage
Coverage and completeness checks
STP vs expert review routing
Every recommendation is evidence-backed, every handoff is logged, and human experts stay focused on the claims that need judgement.
What Clara does
Clara turns claims handling into an executable workflow. She reads the claim, assembles the right capability agents, checks coverage and risk, and routes the case to straight-through processing or human review.
Core capabilities:
FNOL triage and registration.
Captures, validates, classifies and routes every claim across any channel — voice, web, app, document, email — in sub-minute time.
Risk-based decisioning.
Real-time assessment of complexity, fraud signal, severity, jurisdiction and policy fit. Confidence-scored every step.
Settlement orchestration.
Calculates, recommends and (where authorised) executes settlements with full reasoning trace and audit-defensible logic.
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Personal-injury triage.
Real-time treatment recommendations balancing total cost, queue time, clinical appropriateness and proximity.
Counter-fraud signal.
Continuous fraud screening at the case level, integrated into your existing investigation workflow.