For California claims managers · 30-day workflow assessment

Less time reading reports. A clearer next action.

Test whether ClaimLayer can reduce the time your team spends reviewing PR-2, PR-4, QME and AME reports. Receive a draft action queue, supporting source documents, a review of proposed dates and missing information, and measured time savings against your current process. Your team makes every claim decision.

Discuss a paid assessment Explore the simulated demo ↗
$2,500 · fixed scope 30 days · shadow mode Licensed human at every decision Reviewed outputs · source documents attached
Why it's different

Start with what the report changes.

The assessment focuses on report review and action preparation. We compare the proposed work against an experienced claims reviewer’s expected actions, identify omissions, and measure the time needed to correct the output.

Work status
Identify a change that needs reviewSurface restrictions, return-to-work information and changes since the prior report for an adjuster to confirm.
Next action
Prepare the follow-upDraft an action with its supporting report and flag the information needed before a decision can be made.
P&S / MMI
Bring important findings forwardIdentify potential P&S findings and disagreements between reports for human review.
Dates
Make assumptions visibleReview proposed deadlines against confirmed receipt dates and claim context. Missing anchors are flagged for resolution.
The offer

A useful answer in 30 days: does this save your team time?

The first engagement is intentionally narrow: synthetic or redacted medical documents, shadow-mode outputs, and measured accuracy across classification, routing, deadline calculation, and adjuster review time.

Scope

Incoming medical reports

Start with the medical documents that drive adjuster action: PR-2 progress reports, PR-4 / permanent-and-stationary reports, and QME/AME med-legal evaluations.

Mode

Shadow pilot only

No production claims handling. ClaimLayer runs against synthetic or redacted historical examples and produces reviewable outputs alongside your existing process.

Deliverable

Audit-ready results

Classification and routing results, action-queue examples, error analysis, audit packets, and an ROI estimate for production use.

Workflow

From raw medical document to prepared decision.

ClaimLayer is not a core-system replacement. It is the execution layer between inbound medical paperwork and the adjuster's decision surface.

01Classify incoming medical documents — PR-2 and PR-4 reports, QME/AME evaluations, and related correspondence — against controlled categories.
02Match the document to its claim, or route low-confidence items to human triage — never silently filed.
03Draft the next action and proposed date, show the source document, and identify assumptions for reviewer confirmation.
04Review the proposed queue alongside your existing process. Record corrections and timing; the assessment does not send notices or update your claims system.
ClaimLayer decision drawer showing a prepared claim action with its source medical document and computed deadline
Guardrails

Built for a workflow where a wrong automated decision has consequences.

The pilot runs on the same operating contract as the product: AI can prepare, summarize, classify, and route. Licensed humans remain responsible for every consequential claim decision.

Decision safety

No automated adverse decision

ClaimLayer prepares, summarizes, classifies, and routes. It cannot deny a claim, stop or reduce benefits, or finalize a determination — compensability, temporary disability, and permanent disability stay licensed-human decisions, by construction.

Audit trail

Evidence and corrections included

The final packet includes source documents, draft actions, reviewer corrections, and a record of what the assessment could and could not resolve.

System fit

Layer, not replacement

The pilot demonstrates the document-to-action layer first. System-of-record integration is scoped only after the workflow value is proven.

Success criteria

What the pilot measures.

These are the pilot's success thresholds to be measured on your documents — targets the engagement is designed to test, not guarantees of product performance.

≥90%target medical-document classification accuracy on agreed pilot categories
0wrong-claim filings or missed critical actions in the agreed held-out evaluation set; any occurrence requires correction and retest
≥30%*target reduction in adjuster review time for pilot document types
0production claim decisions during shadow mode
100%prepared actions tied to an audit packet
1production-readiness recommendation at the end

* Review-time reduction is a measured pilot target on your document mix, baselined against your current process — not a guaranteed outcome. The pilot reports the actual measured figure, whatever it is.

Fixed-scope assessment

30-day workflow assessment

$2,500
Up to 100 reports · 1,500 pages · one workflow

Includes a baseline review, one configuration round, an evaluation on examples held back from configuration, and a findings meeting. Scope is confirmed before work starts. A useful negative finding is a valid outcome; savings are measured, not guaranteed.

This assessment includes only synthetic or fully redacted examples. Production data handling and claims-system integration require a separate engagement. See data handling.
Included

What you get

01Up to 100 medical reports and 1,500 total pages, whichever limit is reached first. One team and one agreed workflow.
02Action-queue and audit-packet walkthrough for the sample set.
03Error analysis, override review, and workflow-fit findings.
04ROI estimate and a production-integration recommendation.
Data handling

Your claim data is gated, not assumed.

HIPAA readiness and a SOC 2 examination are production launch requirements, not current certifications. This assessment uses synthetic or fully redacted medical documents. Do not submit claim records through the contact form or public demo. Unredacted records are outside this offer. A future production engagement requires separate technical and contractual review; signing an NDA alone does not make this deployment ready for production data. ClaimLayer is a reference implementation and active project, not a live system processing real claims; production use of any customer data is a separate, reviewed step.
Thanks — your request is in.
I'll reply within two business days to set up a 20-minute workflow review. — Akash
Next step

Start with a 20-minute workflow review.

Bring the current path for incoming medical reports. We'll compare where documents enter, who touches them, what deadlines matter, and whether a paid workflow assessment is worth running. No obligation.

Prefer email? akashdixit@gmail.com

Submitting shares only what you enter here. No claim data is sent through this form. We reply within two business days.