Better claim outcomes with Gain Life

Reduce claim costs, improve claims team efficiency, and satisfy claimants and policyholders all without replacing your core system.

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Trusted by companies that care deeply about who they serve

Make every claim better with Gain Life's modular approach to modernising claims management

Our platform allows claims teams to select and implement only the solutions that align with their specific goals and priorities.

1

Guide claimants and policyholders every step of the way

Customizable rules in your claims system, or as a standalone product, provide personalized guidance throughout the claims process. This helps individuals make informed decisions, reduces confusion, and keeps them on track.

2

Spot problems before they happen

By continuously monitoring claims with advanced data and AI, Gain Life identifies potential delays or issues 24/7. This proactive approach ensures problems are addressed before they escalate.

3

Suggest smart solutions for faster resolutions

Gain Life automatically delivers helpful suggestions and alerts, based on proven, evidence-backed strategies, to improve the claims process and resolve issues more efficiently.

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Reduce claim costs, improve claims team efficiency, and satisfy claimants and policyholders

Gain Life's modern claims experience platform uses behavioral science and AI to reduce the cost and duration of claims, streamline communication, and help people get back to work and life faster.

  • Claims come with both direct and indirect costs. While direct costs are straightforward, indirect costs—like lost productivity, overtime, and time spent managing the process—are harder to measure but just as significant. Our solutions help reduce both by speeding up the claims process and removing barriers such as language and communication delays.

    Key Benefits

    • Experience Modification Rate (EMR): Lower your EMR by shortening claim duration, enhancing Return to Work (RTW) programs, and addressing secondary cost drivers effectively.

    • Indirect Costs: Save on lost productivity, overtime, potential employee replacement, the time spent on claims management, cost-drivers tied to adversarial perceptions, and reputation management.

  • Gain Life can help employees return to work faster by streamlining the claims process and providing easy, automated communication. Access real-time appointment information, upload RTW slips, communicate through text or multilingual messaging, and receive updates quickly—making the entire process more efficient for everyone.

    Key Benefits

    • Faster Return to Work: Timely updates with appointment reminders and seamless upload and processing of RTW documentation.

    • Streamlined Multilingual Communication: Use text and multilingual messaging to connect with employees in their preferred language, reducing misunderstandings and delays.

    • Real-Time Insights: Access live appointment information, helping employees and managers stay informed and aligned throughout the process.

    • Customizable RTW Protocol Pathways: Align with employer-specific return-to-work cadences and provide clear, step-by-step process guidance for all stakeholders.

  • Gain Life improves key metrics that affect both your bottom line and your operational efficiency. From loss ratios to claims closure ratios and customer satisfaction, we provide actionable insights and tools that help you hit your goals.

    • Claims Closure Ratio: Speed up the process with automated workflows to improve closure rates and resolve claims faster.

    • Average Claim Cost: Lower costs by addressing delays, reducing fraud, integrating transportation solutions (e.g., rideshare platforms), minimizing onsite interpretation expenses, and decreasing litigation needs.

    • Customer Satisfaction: Boost claimant and policyholder satisfaction with faster, clearer communication, on-demand resources (like FAQs and policy or jurisdiction-specific guidance), and more meaningful engagement.

    • Claims Handling Time: Save time by automating repetitive tasks, syncing real-time appointment information, and streamlining documentation and follow-ups.

    • Litigation Rates and Costs: Enhanced communication and claimant engagement reduce the likelihood of attorney representation. When attorneys are involved, your defense firms will spend less time billing for administrative queries like "Where’s my check?" or "When’s my appointment?" or other FAQs thanks to self-service features in the platform.

    • Timely Reporting: Gain Life ensures claims are handled promptly, reducing the risk of delays, missed deadlines, and penalties.

Real results delivered to customers

Up to 25% total direct claim cost savings

Independently analyzed customer data shows, for example, statistically significant total direct cost savings of 25% for medical only claims and $18,997 per complex lost time claim.

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4.3 hours saved per claims team member per week

Get documents signed faster, reduce the need for phone tag, and communicate in any language.

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≥ 10X the engagement of standard carrier or TPA portals

By giving claimants and policyhollders the seamless experience they want, all parties can focus on what matters, which results in optimal claim outcomes.

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What our customers are saying

  • Through direct contact with the injured worker via their smart device in their native language, TRUclaim Solution, powered by Gain Life, shortens the claims lifecycle with fast, accurate communication and speedy delivery of benefits."

    Adrienne Kaltenschnee, Supervisor Claims Adjusters & Software Operations

    FFVA Mutual

  • From a TPA perspective, Gain Life has enhanced the efficiency of communicating with injured workers. Texting and electronic signatures are here to stay and their solution, Jarvis, offers a safe and secure way to do both!"

    Catherine Yancy, Account Executive

    Brentwood Services Administrators

  • Jarvis by Gain Life has been a game-changer for our Claims Administration team and life-changing for our injured employees. Our team has more prescriptive data to be able to help our injured employees recover more quickly and have a better quality of life while doing so. The technology allows our team to focus more on hospitality, getting injured employees what they need before they know they need it. Our injured employee engagement rate with the app is 71.76%, and the satisfaction rate is 9/10, or 88%!"

    Brian Trick, Director of Employee Health and Claims Services

    Wegmans Food Markets

  • Johns Eastern is thrilled to partner with Gain Life in providing a modern means of communication for injured workers and our staff. Injured workers are able to chat with the adjuster or nurse case manager, submit forms, look up indemnity payments and manage medical appointments all from their personal computer, tablet, or phone. We appreciate Gain Life’s continued involvement to improve processes and ensure that our participation rate consistently increases each month."

    Alice Wells, Executive Director of TPA Operations

    Johns Eastern Company, Inc. - A Davies Company

Ready to modernize claims, reduce costs, and increase satisfaction?

Technology is changing fast, but we’re on top of it, doing all the heavy lifting for you, so you can focus on making decisions and restoring lives. Join the growing number of carriers, TPAs, and employers entrusting Gain Life to improve their claims outcomes.

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