HomeProductLarge-Loss Early Warning
LARGE-LOSS EARLY WARNING SOFTWARE

Know which claims are heading toward six figures, early.

BETA

Large-loss early warning software from Medrecords AI flags claims trending toward high-severity thresholds based on early medical records, treatment intensity, injury type, and comparable-case trajectories — a directional signal, never a reserve or spend decision. Live in beta, refined hands-on with early carrier and TPA customers.

A signal, never a decision: confidence and drivers are always shown, and it never sets a reserve or authorizes spend.

Early warning · this week's book directional signal
ClaimTrendingConfidence
Adams, Timothy · right knee high severity medium
Ramirez, K. · lumbar strain watch low · early data
Chen, L. · shoulder normal range high
A directional flag for review — no reserve set, no spend authorized
Status BETA · in active testing
Reads early records for trajectory the way an experienced adjuster would — just earlier and cited — refined hands-on with early carrier and TPA customers.

Early records, read for trajectory.

First-notice records, initial treatment, and injury type are read as soon as they're available and compared against comparable-case trajectories — so a claim that's likely heading toward high severity can be spotted well before the full picture develops.

Reads early medical records, treatment intensity, and injury type
Compares trajectory against comparable-case cohorts
Early trajectory read
First-notice records read cited
Treatment intensity tracked
Comparable trajectories matched
Every driver behind a flag is visible and cited.
Flag detail
Driving factors shown
Confidence level shown
Reserve / spend action never automatic
What happens next is a decision for your team.

Confidence and drivers shown, not just a flag.

Every flag shows the medical drivers behind it and a confidence level that reflects how much data is available yet — a starting point for a claims team's own review, never a black-box score.

Confidence level shown alongside every flag
Never sets a reserve or authorizes spend on its own
Division of labor by design
The system reads early records, compares trajectory
The flag a directional signal, confidence shown
Your claims team reviews and decides on resourcing
Reserve or spend authorization never made by the system
The boundary

A signal early enough to act on. A decision that's still yours.

Large-Loss Early Warning is a directional signal: it flags claims trending toward high-severity thresholds based on early medical records, treatment intensity, injury type, and comparable trajectories, with the confidence level and driving factors always visible.

It never sets a reserve, authorizes spend, or makes a resourcing decision. What follows a flag, and how much, stays with the adjuster and the team that owns the claim.

See Reserve Benchmark Radar

From early records to a flag your team can act on.

Three steps, before any resourcing decision is made.

STEP 1
Early records read

First-notice records, initial treatment, and injury type, as soon as they're available.

STEP 2
Trajectory compared to comparable cases

Matched against comparable-case cohorts to see how the claim is tracking.

STEP 3
Flag shown with confidence & drivers

Your team reviews and decides what resourcing follows — never a reserve or spend decision made automatically.

Who watches large losses with it.

Built for the teams that want the early signal, not an automated decision.

FAQ

Large-Loss Early Warning, answered.

Yes, in beta. It's live and testable now on your own claims; we're refining severity-trajectory matching hands-on with early carrier and TPA customers, and if your book is a good fit we'll work with you directly.

No, never. It's a directional signal only. Any reserve, spend, or resourcing decision on a flagged claim stays with your adjusters and claims leadership.

From the earliest available records — first notice and initial treatment — though confidence is shown as lower while the data is still thin, and rises as more of the record comes in.

Treatment intensity, injury type, and comparable-case trajectories, each cited back to the record it came from, alongside the confidence level for the flag.

It routes to your team for review. Nothing is actioned automatically — the flag is a starting point for a resourcing decision your team makes.

Related capabilities.

Early warning pairs naturally with reserve benchmarking and portfolio triage.

See which claims your book would flag early.

Join the beta and run large-loss early warning on your own claims — directional, cited, and never a reserve decision. Or book a quick walkthrough first.