LiLa reviews claim notes, medical records and case history to flag litigation risk early. Adjusters and counsel review every flag and make the final call.
The Problem
Litigation Risk Is Easy to Miss Until Settlement Is Off the Table
Claim files hold early signals of litigation, but they are spread across notes, medical records and history that adjusters rarely have time to read in full.
Warning Signs Sit in Unstructured Notes
Signs of a serious claim sit in adjuster notes and medical records that no one reads end to end, so scoring systems miss them.
Similar Claims Get Different Handling
Without one standard, similar claims are handled differently, and high-risk files can reach senior adjusters and counsel late.
Costs Grow Before Counsel Is Involved
Coverage questions and high-risk claims that surface late lead to higher legal spend and fewer chances to settle early.
The Solution
How does InsOps Help?
LiLa Helps Insurers Manage Litigation Risk Earlier
Litigation Risk Flagging
Scans adjuster notes and documents for pre-litigation signals and flags claims for review.
Pattern Recognition
Identifies patterns in medical records, such as repeat surgeries, chronic pain and lost work capacity, that suggest serious injury.
Claims Triage and Risk Ranking
Scores claims at intake based on injury indicators, jurisdiction and coverage complexity, ranking them by litigation risk rather than reserve size alone.
Similar Case Comparison
Matches open claims with past claims and shows how they were resolved and what they cost.
Reserve and Settlement Support
Suggests reserve and settlement ranges based on comparable outcomes, for adjusters to review and decide.
Coverage Counsel Timing
Flags coverage questions early and indicates when counsel should get involved, before costs grow.
FAQ
What does LiLa review?
Who makes the final call?