Formerly known as Gain Life
Claim Intelligence
Identifying Risk Signals to Avoid Unnecessary Litigation
OUR SOLUTION
Instant understanding of every claim, from first notice through resolution
Claims professionals are expected to move faster, reduce risk, and improve outcomes while managing increasing complexity and unstructured data. Critical information is buried across documents, messages, calls, medical records, and notes. By the time a claim is fully understood, opportunities to intervene early and avoid unnecessary litigation are missed.
Crosstie’s Claim Intelligence solution continuously analyzes claim activity and generates on-demand, file-ready summaries that give teams instant clarity. By continuously understanding what is happening inside every claim, Crosstie enables earlier intervention, including identifying claims likely to litigate weeks before escalation occurs.
Deploy continuous claim monitoring in 4-6 weeks, with enterprise-grade security ensuring sensitive claim data stays protected across every channel and interaction. Give your teams instant clarity across every claim.
The Crosstie Platform Advantage
Adjusters and supervisors review claims file by file, manually piecing together documents, communications, and notes to understand what has happened and what matters now.
Continuous claim analysis paired with on-demand summaries that consolidate the full claim story into a clear, structured view.
Faster onboarding, quicker handoffs, and confident decisions without manual file review.
Risk signals and delays surface only after issues escalate, when intervention is more costly and less effective.
Real-time monitoring identifies emerging risk patterns early and pairs them with contextual summaries that explain why a claim needs attention.
Earlier, more targeted intervention, including identification of claims likely to litigate weeks before escalation.
Supervisors lack consistent visibility into which claims need attention and why, limiting their ability to allocate resources effectively.
Portfolio-level insight automatically surfaces high-risk and complex claims, supported by instant claim understanding.
Better workload prioritization and more effective coaching without adding operational overhead.
WHY US
Why Our Approach Works
Platform Capabilities
Continuous Claim Monitoring
Real-time analysis of calls, texts, emails, questionnaires, and documents
Detection of sentiment shifts, urgency, response delays, and contentious language
Early identification of emerging risk patterns, including potential litigation
Automated alerts and intervention workflows based on configurable rules
On-Demand Claim Summarization
Executive summaries highlighting claim status, key facts, and next steps
Chronological event timelines across the full claim lifecycle
Medical summaries outlining diagnoses, providers, and treatments
Outstanding action items and time-sensitive alerts
Interactive citations linking every insight to its source
File-ready exports delivered directly into core claim systems
