Take advantage of groundbreaking AI to assist and predict casualty insurance claims outcomes in order to power timely, consistent, and accurate resolutions.

AI Claims Prediction
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Solutions

AI Claims Predictive Analytics

Our award-winning, end-to-end AI claims workflow tools offers property and casualty insurance companies and attorneys the means to reduce uncertainty over the claims lifecycle and optimize outcomes in a variety of claim types: Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation.

AGATHA, our flagship tool, provides an interactive dashboard of estimated claim outcomes.

Users can update parameters to create multiple win and recovery rate estimates for the same case.

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AI Claims Workflow Assistance

Claims adjusters usually spend up to 60% of their time in data collection, structuring, reporting, and communication. Our cutting-edge technology (NLP, OCR, RPA) saves them half this time to focus on more certain claims resolutions.

Workflow automation focuses attention on the right claims and saves time throughout the claims lifecycle.

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Trusted

"I cannot speak highly enough of Optimalex's commitment to innovation and practicality. They have consistently demonstrated a keen ability to create intuitive, user-friendly solutions that align with our client's needs."

— Richard Caruso, Vice President & General Manager, ALM

"We were looking for a tool to help us with our claims assessment. We found it: Optimalex's AGATHA is an injury worksheet on steroids."

— Nigel Shepherd, J.D., CPCU, ARe, Chief Claims Officer

About Us

Our Story

Optimalex was founded in 2020 after nearly a decade of intensive legal analytics, data science research, and software engineering between New York (Columbia University) and Paris (La Sorbonne).

Our Vision

Optimalex is an insurtech whose ambition is to increase fairness, reduce risk, and improve efficiency of damages claims and recoveries, thereby benefiting all parties involved in disputes.

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FAQ

Our Mission

Optimalex provides AI predictive analytics decision support tools to improve consistency, fairness, and efficiency in insurance claims management and dispute resolution.

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Optimalex can be fully piloted quickly — no significant IT lift required.

Easy to Use and Time Efficient

Optimalex’s tools are designed for easy integration and operation, significantly reducing data input time.

Seamless Integration

Our platform seamlessly integrates with your existing claims system and ingests and structures your data. No more double documentation and navigating between different platforms.

Accelerated Processes and Maximum ROI

With our optimized workflows and shortened processes, you can handle claims with unprecedented speed and precision. Our smart report generation features automatically compile relevant claim information from notes. Contact us to estimate your ROI.

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How We Help

Insurance Claims Management

Workflow Automation

Optimalex assists adjusters in organizing their workflow through intuitive dashboards and alerts. Track progress on claims and complete milestones until the resolution of the claims.

Optimalex’s AGATHA further assists adjusters in setting reserves through FNOL assessment. Investigation of loss is facilitated by insights and statistics. Finally, AGATHA's predictive capabilities help reach a fair settlement value while ensuring smooth communication between all parties.

Claims Triage

As an insurtech, Optimalex helps claims adjusters identify early-on potentially outlying cases to protect insurance companies from devastating verdicts.

Our solutions also help you optimize retention of legal representation and experts.

Claims Management

Our software allows you to benefit from integration with claims management solutions to access predictions and leverage the value of time. Using AGATHA, claims can be settled quickly and at a fair value.

Gain instant insights into several key indicators such as claim value, escalation, likelihood, and length of litigation.

Claims Settlement and Litigation

Optimalex helps you manage the risks associated with each claim by recommending prompt settlement at a fair value and predicting the outcome of mediation or undesirable litigation.

Optimalex solutions are benchmarked with millions of datapoints from Federal and State courts. Our software estimates claims outcomes based on jurisdictions, law firms, and experts involved, as well as the severity and circumstances of the loss.