4SeeCharlee

Claims Severity and Litigation Prediction Software

4SeeCharlee aids claims handlers by providing advanced insights through itsseverity management, litigation prediction, and **attorney involvement tracking,streamlining decision-making and improving outcomes.

“We were in production within 30 days. Charlee is helping make a difference andthe staff at Charlee are responsive and knowledgeable.”

Brian Maries, AVP Claims at Olympus InsuranceBrian Maries AVP, Claims Olympus Insurance
4SeeCharlee predictive analytics dashboard with severity and litigation insights

4SeeCharlee Features

Severity Management — 4SeeCharlee feature icon
Severity Management

Starting at FNOL, 4SeeCharlee provides reserving recommendations based on available data within the claim file, including documents and correspondence. Throughout the life of the claim, 4SeeCharlee reviews and analyzes every new note and document and will alert the claims professional if Charlee’s reserving recommendation has changed.

Litigation Prediction — 4SeeCharlee feature icon
Litigation Prediction

4SeeCharlee predicts the likelihood of claims leading to litigation. This early detection helps claims handlers to intervene proactively, assess the situation, and develop strategies to mitigate the risk of litigation. The platform also detects hidden patterns by analyzing historical claims data, helping claims handlers avoid surprises and manage reserves efficiently.

Attorney Involvement — 4SeeCharlee feature icon
Attorney Involvement

4SeeCharlee monitors attorney involvement by identifying patterns in claims with legal representation. 4SeeCharlee can predict attorney engagement up to six weeks before the official notice of representation, giving insurance carriers critical lead time to develop their strategy and prepare for potential legal actions.

All-in-one platform

4SeeCharlee enables insurers to enhance decision-making, improve operational
efficiency, and reduce losses.

  • Proactive Litigation Management

    By predicting litigation 90-120 days in advance, Charlee.ai helps claims handlers intervene early to reduce the risk of costly legal disputes. This allows for better preparation and resource allocation.

  • Enhanced Severity Management

    Charlee.ai helps claims handlers identify and prioritize high-severity claims early on, ensuring timely resolution of the most complex cases while optimizing the workflow for lower-severity ones.

  • Improved Claims Efficiency

    It prioritizes claims based on predicted severity and litigation likelihood, speeding up the handling of simpler cases and helping insurers reduce claims cycle times.

Workflow Summary with AI Insights

The Charlee® Insurance Insights Engine (patent pending) utilizes Artificial Intelligence and Machine Learning with Natural Language Processing (NLP) to help monitor the Claim Examiner’s performance, including the progress towards resolving a claim. In addition, the increased severity of claims with specific Topics and Entities can be closely measured and evaluated. The Claims Manager can quickly identify and take appropriate action to improve the job performance of the claims team.