Faster claims, better outcomes: The case for smarter case management

Partner Insights from

In today's high-stakes insurance and legal environment, inefficient claims handling can carry significant consequences. As litigation costs rise and the urgency to resolve cases grows, organizations are recognizing the need for more intelligent, end-to-end workflows to stay ahead – and they need the right partners to get them there.

Rebuilding and Future-Proofing the Claims Process

Most claims teams still operate within manual, disparate systems. When records are retrieved in silos, analysis can be unclear and critical decisions may be made without a clear view of the full case history. Adjusters and attorneys could be running the risk of operating with partial views until well into the case, and could make high stakes calls without all the information at the right time.

When key data such as prior treatments, conflicting medical details or undisclosed health events surface later in a case, it can weaken strategy and drive up costs. What could have been addressed early becomes a source of prolonged discovery, higher legal fees and costly settlements.

At the same time, internal resources are stretched and client expectations are rising. The demand is no longer for basic responsiveness but for precision and speed from the outset. Meeting that expectation means reimagining infrastructure and aligning with partners that don't just deliver records but reveal actionable insights from the start – helping legal teams detect risk indicators, triage smarter, and settle stronger.

Early Signals, Smarter Strategy

When uncovered early enough, the smallest details can shift the entire outcome of a case. Missed signs such as pre-existing conditions, treatment gaps, inflated injuries —or undisclosed activity revealed through social media— can dramatically alter the trajectory of a case. In today's climate, overlooking these signals increases exposure to nuclear verdicts and other costly repercussions.

Access to complete medical records, paired with clear, well-structured clinical data and social media canvassing insights, allows teams to approach each case with stronger insight. This level of visibility supports better decisions around reserving, settlement timing and case strategy overall.

By taking a proactive approach, claims and legal professionals gain a clear edge. Rather than scrambling to respond mid-discovery, they can enter negotiations with confidence and clarity, backed by the facts that matter.

Closing the Gap to Proactive Case Management

The way insurance and legal teams approach claims is fundamentally changing. It's no longer enough to optimize each step of the process in isolation. Today, the focus is shifting toward full-lifecycle visibility where teams can anticipate risk, close data gaps and act with confidence from the very start.

This evolution requires more than speed. It calls for connected systems that work in tandem to uncover critical information and eliminate workflow bottlenecks. Ontellus is leading this transition with a portfolio of integrated solutions that span the claims lifecycle. From retrieval to review, each tool is designed to simplify progression, reduce manual effort and accelerate clarity.

For instance, Ontellus' Medical Canvass service has helped carriers uncover previously unknown treatments that significantly affect case valuations. In one case, a top 10 P&C carrier initially set a $450,000 reserve for a claimant alleging severe injury. The canvass revealed undisclosed emergency room visits, enabling the carrier to reassess risk and settle quickly and cost-effectively.

Of course, having the data is only half the battle, as making sense of it is where the real value lies. That's why Ontellus continues to refine tools like the DICOM Viewer, making it faster and easier for professionals to review, share, and download radiology images to identify key medical findings early in the process. These enhancements support more accurate assessments and help prevent unnecessary disputes.

Looking Ahead: A New Era of Interoperability and Scale

How a claim begins now carries as much weight as how it ends. Success is increasingly defined by early insight, seamless access to information and the ability to act with confidence before problems can escalate.

Ontellus is building toward that future by expanding infrastructure that supports faster, smarter and more secure data movement across the lifecycle of a claim. From straightforward cases to highly complex litigation, solutions provide the control, transparency and reliability today's teams need to stay ahead.

Without comprehensive access to relevant case data, teams risk increased costs, missed risk indicators and compromised outcomes. Organizations that embrace smarter, more connected workflows are better positioned to adapt and lead in an industry that's only growing more complex.

For professionals looking to take control of the claims process from the start, investing in early intelligence is a strategic imperative.

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