ROI STUDY - National Tier 1 Carrier
Charlee.Ai
Qylis can be a valuable partner in your IT Journey !
How would it be if you have a pre-trained claim language model, which adds the context to the predictions, provides deep insights based alerts, reserving patterns, prior trends based prioritized claim lists for enhanced claim workflows.
Qylis is the authorised partner for Charlee.AI, and, we are here to help you in leveraging data to drive financial outcomes and innovation. Qylis will understand your use case, recommend the right solution and also help in implementing, configuring and Managing your Charlee.AI solution seamlessly !
Insurance Claims and underwriting is a very complex business, which has many dimensions like : timely processing, accuracy, fraud detection, possible litigations etc.
What is Charlee.AI
Charlee.ai’s AI, NLP, and ML-based technology that can extract and analyze all sources of data, including documents, files, third-party, and social.
Charlee.ai helps insurers lower claim costs, manage reserves efficiently, and improve risk selection, through individual claim insights and aggregate claims analytics dashboard.
At its core, Charlee aims to be a 24/7 virtual claims assistant, leveraging AI to enhance various aspects of the claims process. It’s designed to work across different insurance domains like Property & Casualty (personal, commercial, specialty), Workers’ Compensation, and Cyber insurance. The platform boasts a vast knowledge base, having been trained on over 55 million claims and equipped with more than 50,000 pre-trained insights.
The Charlee platform comes with an exposure intelligence database leveraging a patented claims language model, domain ontologies and taxonomy. There are four (4) pre-built solutions on the Charlee platform:
Meet Charlee
- 24/7/365 Virtual Claims Assistant P&C (PL&CL), WC, & Cyber
- P&C (PL&CL), WC, & Cyber
- Trained on over 55M claims
- 50K+ pre-trained insights
- Uses patented NLP technology and ML
- Constantly analyzing all claims files and docs
- Identifies key insights and patterns
- Extracts, summarizes and predicts
Key Functionalities and Modules
01
FindCharlee
Suspicious Claims solution which uses pre-trained patterns and link analysis providing
Qylis Offerings: Data Symphony
- Suspected Fraud Red flags and Alerts (scored).
- Prioritized suspicious claims list along with proprietary KPIs which can be offered via API / configurable dashboards / workbenches / reports / email notifications
- Link Analysis
02
4SeeCharlee
4SeeCharlee is a predictive analytics solution that leverages the Charlee platform’s exposure intelligence data to predict attorney involvement, litigation and severity.
Results are available via:
- Prioritized predicted claims lists that are scored based on exposures along with 80+ proprietary KPIs can be offered via API / configurable dashboards / workbenches / reports / email notifications
- Claims summarization that includes a chronological list of all the proprietary topics with context that also explains the predictions
- Reserves pattern analysis (learnings based on 55M+ claims) of under and over reserved claims applied on open claims
- Link Analysis
03
AskCharlee
Intelligent conversational solution for Claims. Search and discover enables users to interact with the system using simple English-like queries, and getting back quick insights.
04
DocuCharlee
DocuCharlee is a document intelligence solution leveraging the Charlee claims language model and LLM to extract, summarize and analyze documents and forms data
Results are available via:
- Validate - Automates the validation and quality assessment of claim documents.
- Classify and Extract – Ability to classify documents and extract all fields from documents / forms.
- Summarize and Enrich – Summarizes documents into various types of summaries, along with a claims summarization
Charlee's Value Proposition
Reduces
Expenses
Litigation
Cycle Time
Fraud
Improves
Customer
Reserving
Risk Selection Products
Satisfaction
Key Functionalities and Modules
Meet Charlee
All-inclusive engagement model
Unlimited users
Unlimited claims (no CAT increases)
Fixed annual license agreement includes
Implementation
Maintenance
Ongoing enhancements to Charlee
AI SME for Insurance Industry (NAIC/Others)
Whats in it for you !
In essence, Charlee offers a comprehensive suite of AI-powered platform and pre-built solutions to transform claims management for insurance companies. By automating tasks, providing predictive insights and workflow alerts, automating document intelligence, preventing attorney and litigation, and enhancing fraud detection, Charlee empowers insurers to achieve greater efficiency, accuracy, and profitability in their claims operations.
Overall Benefits and Value Proposition
Improved Efficiency
Automates various tasks, reducing manual effort and processing time.
Enhanced Accuracy
Leverages the Charlee proprietary and pre-trained exposure intelligence database to minimize errors and improve the accuracy of claims predictions and insights.
Proactive Risk Management
Predicts potential risks and issues, enabling proactive mitigation strategies.
Fraud Detection and Prevention
Identifies suspicious claims and patterns, reducing fraud losses.
Data-Driven Decision Making
Provides comprehensive analytics and insights for informed decision-making.
Cost Savings
Streamlines operations and reduces expenses associated with claims handling.
Lets connect and discuss more on this ! Please call us or mail us at : connect@qylis.com