Model the paths, settle now, IME, nurse case manager, litigate, side by side.BETA
Claim strategy scenario modeling software, in beta, models the likely cost, time, and evidence implications of different claim-handling paths, settle now, IME, nurse case manager, litigate, side by side. Every assumption stays visible and editable, and the adjuster picks the path; the model never recommends or executes one for you.
Every path modeled side by side, assumptions visible.
Settle-now, IME, nurse case manager, and litigation paths are each modeled for their likely cost, time, and evidence implications. The assumptions behind every scenario are shown and editable, never hidden inside a black box.
The adjuster decides, the model doesn't.
No single path is recommended or ranked ahead of the others, and nothing in the model executes an action on the claim. The adjuster reviews the comparison, backed by cited evidence, and chooses the strategy.
A modeling tool, not a decision-maker.
Every scenario shows its assumptions in the open. The inputs behind the settle-now, IME, nurse case manager, and litigation paths are visible and editable, not hidden inside a black box.
The modeler lays paths side by side; it never recommends a single one or ranks them for you, and nothing it produces executes an action on the claim. The adjuster reviews the paths and decides which one to take.
From paths to a decision, in three steps.
Compare openly, then the adjuster chooses; the model never picks for you.
Choose from settle-now, IME, nurse case manager, litigation, or a custom path for the claim at hand.
See the likely cost, time, and evidence implications of each path side by side, with every assumption visible.
The adjuster reviews the comparison and picks the path; the model never recommends one over another.
Built for the teams that choose a claim's path.
A comparison tool for the people who make the strategy call on each file.
Claim Strategy Scenario Modeler, answered.
It models the likely cost, time, and evidence implications of different claim-handling paths, settle now, IME, nurse case manager, litigate, side by side, so the adjuster can compare before choosing.
No. It never recommends or auto-selects a single path. All paths are shown side by side with their assumptions visible, and the adjuster picks.
Yes. Every scenario's assumptions are visible and editable; nothing is hidden inside a black-box calculation.
No. It's a modeling tool only; nothing it produces automatically executes an action or changes the claim's status.
Yes, in beta. The Claim Strategy Scenario Modeler is live and testable now; we're refining it hands-on with early customers, and if your use case is a good fit we'll work with you directly.
Related capabilities.
Model your own claim's paths side by side.
Join the beta and compare paths on a real claim, or book a demo first.