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Claims Monitoring

Over 90% accuracy identifying litigation risk 3+ weeks in advance with intelligent claims monitoring

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Claims Monitoring

Over 90% accuracy identifying litigation risk 3+ weeks in advance with intelligent claims monitoring

Hero Image

Claims Monitoring

Over 90% accuracy identifying litigation risk 3+ weeks in advance with intelligent claims monitoring

Unseen communication risks drive disputes and costs. Our platform analyzes calls, texts, emails, questionnaires, and documents in real time to spot early signs of escalation. Instead of manual review, or waiting until issues surface, claims teams get proactive alerts and automated workflows that keep cases on track.

Predict 90% of litigation three weeks early across all communication channels.

The Gain Life Platform Advantage

Current Workflow

Current Workflow

With Gain Life

With Gain Life

What This Means for Your Team

What This Means for Your Team

Manual review requiring file-by-file analysis
Automated monitoring with real-time alert workflows

Adjusters focus on high-risk claims. Supervisors get instant visibility into which claims need intervention and why, enabling proactive intervention

Manual review requiring file-by-file analysis
Automated monitoring with real-time alert workflows

Adjusters focus on high-risk claims. Supervisors get instant visibility into which claims need intervention and why, enabling proactive intervention

Manual review requiring file-by-file analysis
Automated monitoring with real-time alert workflows

Adjusters focus on high-risk claims. Supervisors get instant visibility into which claims need intervention and why, enabling proactive intervention

Problems only identified after escalation
Early detection of sentiment shifts, delays, and contentious language

Prevention-focused claim management that avoids costly disputes

Problems only identified after escalation
Early detection of sentiment shifts, delays, and contentious language

Prevention-focused claim management that avoids costly disputes

Problems only identified after escalation
Early detection of sentiment shifts, delays, and contentious language

Prevention-focused claim management that avoids costly disputes

Fragmented data sources across calls, texts, and documents
Unified monitoring across all communication channels

Complete visibility with intervention workflows automatically triggered

Fragmented data sources across calls, texts, and documents
Unified monitoring across all communication channels

Complete visibility with intervention workflows automatically triggered

Fragmented data sources across calls, texts, and documents
Unified monitoring across all communication channels

Complete visibility with intervention workflows automatically triggered

Why Our Approach Works

Early Risk Detection & Litigation Prevention

Our platform continuously monitors calls, texts, emails, questionnaires, and documents for flagged words, low sentiment, delays, and contentious language, then triggers fully configurable, automated workflows.

Insurance-Trained Communication Intelligence

Our models are built specifically for insurance communication patterns, from workers' comp to liability. We recognize the terminology and dynamics that matter in claims, so alerts are relevant and actionable rather than generic.

Automated Resolution, Not Just Alerts

When risks are flagged, pre-configured workflows automatically trigger outreach or intervention steps according to your rules. Plus, on-demand claim summaries accelerate handoffs and workload transfers.

Business teams configure, IT stays in control

Set custom flagged word lists, sentiment and contentiousness thresholds, and response time parameters specific to your risk tolerance. Automated intervention workflows deploy as your protocols evolve.

One Comprehensive Platform

Monitoring integrates with AI document processing, messaging, and workflow orchestration. One platform gives you cross-channel visibility and intervention.

Rapid Deployment & Integration Support

Connects to your systems via secure APIs and managed file exchange. Typical go-live is 4-6 weeks, with Gain Life handling configuration. No IT required once dataflows are established.

Why Our Approach Works

Early Risk Detection & Litigation Prevention

Our platform continuously monitors calls, texts, emails, questionnaires, and documents for flagged words, low sentiment, delays, and contentious language, then triggers fully configurable, automated workflows.

Insurance-Trained Communication Intelligence

Our models are built specifically for insurance communication patterns, from workers' comp to liability. We recognize the terminology and dynamics that matter in claims, so alerts are relevant and actionable rather than generic.

Automated Resolution, Not Just Alerts

When risks are flagged, pre-configured workflows automatically trigger outreach or intervention steps according to your rules. Plus, on-demand claim summaries accelerate handoffs and workload transfers.

Business teams configure, IT stays in control

Set custom flagged word lists, sentiment and contentiousness thresholds, and response time parameters specific to your risk tolerance. Automated intervention workflows deploy as your protocols evolve.

One Comprehensive Platform

Monitoring integrates with AI document processing, messaging, and workflow orchestration. One platform gives you cross-channel visibility and intervention.

Rapid Deployment & Integration Support

Connects to your systems via secure APIs and managed file exchange. Typical go-live is 4-6 weeks, with Gain Life handling configuration. No IT required once dataflows are established.

Why Our Approach Works

Early Risk Detection & Litigation Prevention

Our platform continuously monitors calls, texts, emails, questionnaires, and documents for flagged words, low sentiment, delays, and contentious language, then triggers fully configurable, automated workflows.

Insurance-Trained Communication Intelligence

Our models are built specifically for insurance communication patterns, from workers' comp to liability. We recognize the terminology and dynamics that matter in claims, so alerts are relevant and actionable rather than generic.

Automated Resolution, Not Just Alerts

When risks are flagged, pre-configured workflows automatically trigger outreach or intervention steps according to your rules. Plus, on-demand claim summaries accelerate handoffs and workload transfers.

Business teams configure, IT stays in control

Set custom flagged word lists, sentiment and contentiousness thresholds, and response time parameters specific to your risk tolerance. Automated intervention workflows deploy as your protocols evolve.

One Comprehensive Platform

Monitoring integrates with AI document processing, messaging, and workflow orchestration. One platform gives you cross-channel visibility and intervention.

Rapid Deployment & Integration Support

Connects to your systems via secure APIs and managed file exchange. Typical go-live is 4-6 weeks, with Gain Life handling configuration. No IT required once dataflows are established.

Real-World Applications

Multi-Channel Risk Detection

A workers' comp claim shows delayed email responses, urgent texts, and contentious questionnaire responses. The platform correlates these signals and automatically triggers intervention workflows to help prevent litigation.

Multi-Channel Risk Detection

A workers' comp claim shows delayed email responses, urgent texts, and contentious questionnaire responses. The platform correlates these signals and automatically triggers intervention workflows to help prevent litigation.

Multi-Channel Risk Detection

A workers' comp claim shows delayed email responses, urgent texts, and contentious questionnaire responses. The platform correlates these signals and automatically triggers intervention workflows to help prevent litigation.

Response Pattern Analysis

A sudden change in claimant response times combined with flagged language indicates risk. The platform alerts supervisors and coordinates resources per your established protocols.

Response Pattern Analysis

A sudden change in claimant response times combined with flagged language indicates risk. The platform alerts supervisors and coordinates resources per your established protocols.

Response Pattern Analysis

A sudden change in claimant response times combined with flagged language indicates risk. The platform alerts supervisors and coordinates resources per your established protocols.

Sentiment & Urgency Monitoring

A claimant's communications shift from cooperative calls to frustrated emails and hostile texts. Our platform flags the trend and initiates graduated response protocols.

Sentiment & Urgency Monitoring

A claimant's communications shift from cooperative calls to frustrated emails and hostile texts. Our platform flags the trend and initiates graduated response protocols.

Sentiment & Urgency Monitoring

A claimant's communications shift from cooperative calls to frustrated emails and hostile texts. Our platform flags the trend and initiates graduated response protocols.

On-Demand Summaries

Multi-document claim packages summarized with key dates extracted for rapid handoffs, workload transfers, and liability review.

On-Demand Summaries

Multi-document claim packages summarized with key dates extracted for rapid handoffs, workload transfers, and liability review.

On-Demand Summaries

Multi-document claim packages summarized with key dates extracted for rapid handoffs, workload transfers, and liability review.

Proven Results You Can Measure

Over 90% accuracy identifying litigation risk 3+ weeks in advance, enabling earlier interventions to avoid legal costs and preserve outcomes

Over 90% accuracy identifying litigation risk 3+ weeks in advance, enabling earlier interventions to avoid legal costs and preserve outcomes

Over 90% accuracy identifying litigation risk 3+ weeks in advance, enabling earlier interventions to avoid legal costs and preserve outcomes

Comprehensive monitoring of calls, texts, emails, questionnaires, and documents

Comprehensive monitoring of calls, texts, emails, questionnaires, and documents

Comprehensive monitoring of calls, texts, emails, questionnaires, and documents

Configurable sentiment, urgency, and language analysis with configurable risk terms

Configurable sentiment, urgency, and language analysis with configurable risk terms

Configurable sentiment, urgency, and language analysis with configurable risk terms

5+ years of insurance-specific communication intelligence powering claim monitoring

5+ years of insurance-specific communication intelligence powering claim monitoring

5+ years of insurance-specific communication intelligence powering claim monitoring

Intervene before litigation with Gain Life's proactive monitoring and automated workflows.

Intervene before litigation with Gain Life's proactive monitoring and automated workflows.

Intervene before litigation with Gain Life's proactive monitoring and automated workflows.

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