LiLa reads claim notes, medical records, and case history to flag litigation risk early. Adjusters and counsel review every flag and make the call.
The Solution
How does InsOps Help?
LiLa Helps Insurers Manage Litigation Risk Earlier
Litigation Risk Flagging
LiLa reads adjuster notes and claim documents for the signals that come before litigation, then flags the claim for review.
Pattern Recognition
LiLa reads medical records for patterns such as repeat surgeries, chronic pain, and lost work capacity that point to a serious injury claim.
Claims Triage and Risk Ranking
LiLa scores each claim at intake on injury indicators, jurisdiction, and coverage complexity. It ranks claims by litigation risk, not by reserve size alone.
Similar Case Comparison
LiLa compares an open claim with similar past claims and shows how they were resolved and what they cost
Reserve and Settlement Support
LiLa suggests a reserve and settlement range, based on comparable outcomes, for the adjuster to review and decide.
Coverage Counsel Timing
LiLa flags coverage questions early and signals when counsel should step in, so engagement happens before costs compound.
The successful migration to the Guidewire ClaimCenter Cloud is a testament to our commitment to leveraging modern technology for enhanced operational efficiency and customer satisfaction. Golden Bear is proud of our collaboration with InsOps, whose expertise and strategic approach were instrumental in achieving this transformation.
Michael Hall
Vice President
Golden Bear Insurance Company
FAQ