Real-time Behavioral Risk Monitoring
Mitigate poor claim outcomes and potential litigation
Leveraging Gain Life’s proprietary datasets, machine learning models, and behavioral science expertise, we monitor all messages exchanged, and responses to check-in questions, to identify risk, serve up the appropriate intervention(s), and provide actionable alerts/notifications where helpful. Our risk models are informed by the real time actions of claimants and policyholders–as opposed to risk models that look at historical claims data and incoming medical information–which means you’ll have the most real-time view of risk possible.
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Real-time behavioral risk monitoring features:
Issue Identification
Automatically monitor 24/7 all messages exchanged–over text, email, and in-app–for 1500+ flagged words, negative sentiment, and other risk-sensitive characteristics, along with questionable responses to check-in questions, and behaviors indicative of adverse claim outcomes.
Interventions
Deliver targeted, evidence-based, interventions driven by the automated monitoring of an individual’s claim.
Claimants and policyholders benefit from dozens of different interventions, built by our team of PhDs, and tailored to their specific needs based on what’s happening with their claim.
You get to add, subtract, or modify interventions to meet the needs of your organization.
Alerts / Notifications
Our actionable insights and interventions are informed by the real time actions of claimants and policyholders–as opposed to the vast majority of risk models that only look at historical claims and incoming medical information–which means you’ll have the most accurate and comprehensive view of risk possible.
Ready to improve your claim outcomes?
Join the growing number of carriers, employers, and TPAs using Gain Life's AI-enabled claims communication platform to save claim costs, improve efficiency, and provide a better claims experience for all parties.
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