Transforming Medical Malpractice Claims Analysis with AI-Powered Solutions

The amaise agenticAI Platform transforms the handling of large, complex medmal files—traditionally processed manually—by dramatically reducing review time and unlocking actionable insights:

84%

Increase in Efficiency

Process files in a fraction of the time with AI automation.

Enhanced Understanding

Surface key medical, legal, and financial insights instantly.

10%

Reduction in Claim Payouts

Settle smarter and earlier with consistent, data-driven decisions—avoiding costly litigation.

The Challenges of Med Malpractice

Managing medical malpractice claims presents a range of unique and complex challenges:

Highly Complex Claims

Claims often involve intricate medical histories, negligence allegations, and multi-layered liability issues requiring deep expertise.

Extensive Documentation

Handling large volumes of medical records, legal filings, expert opinions, and patient care data is resource-intensive.

Unstructured Data Formats

Data inconsistencies, including handwritten notes, scanned documents, and varying terminologies, complicate processing.

Litigation Risks

Disputes over liability or settlement amounts often result in costly and time-intensive legal proceedings.

Medical Malpractice – Navigating Complexity with Confidence

Medical malpractice claims stem from alleged failures in the clinical responsibilities of hospitals, physicians, nurses, and other healthcare professionals. Common issues include misdiagnosis, delayed diagnosis, surgical errors, childbirth injuries, and medication-related harm. These cases often require comprehensive analysis of complex medical records and other unstructured documents—making the discovery process both time-intensive and resource-heavy.

‍

Claims most frequently requiring structured medical analysis include:

‍

Hospital negligence claims
Wrongful death cases
Radiology interpretation errors
Nursing home wrongful death
Birth-related injuries
Traumatic brain injuries
Spinal cord injuries
Medication prescribing and administration errors
Infection-related complications
Stroke mismanagement
Post-treatment deformities
Sepsis-related harm
Nerve damage cases

our solution

The amaise agenticAI Platform and Product Suite

The amaise agenticAI Platform addresses these challenges with a comprehensive, AI-driven approach to medical malpractice claims management:

Automatic Document Organization

Effortlessly organizes all claim-related files, including medical records, legal documents, and expert reports, while removing duplicates for streamlined workflows.

Enhanced Insights

Highlights critical details such as patient outcomes, provider negligence indicators, legal exposures, and policy coverage, ensuring adjusters have actionable information at their fingertips.

AI-Powered Insights and Recommendations

Provides actionable insights for decision-making, including negligence assessments, causation analysis, and settlement recommendations. Multiple perspectives—pro-insurance, pro-claimant, and neutral—ensure balanced and defensible outcomes.

Personalized Question-Sets

Customizable templates ensure each claim is thoroughly evaluated, covering key criteria such as standard of care breaches, liability allocation, and damages assessment.

"The future of claims adjusting is AI conversational."

Key Benefits

Optimized Claim Settlements

Ensures fair and accurate settlements while reducing overpayments or underpayments. Proven to achieve a 10% reduction in claim payouts, leading to significant cost savings for insurers.

Accelerated Claims Processing

Litigation Risk Reduction

Conversational AI