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Miami, FL — Claims teams face a compounding problem: nuclear verdicts, social inflation, and litigation funding have raised the cost of a wrong decision to its highest level in a generation. Meanwhile, claims professionals spend 40–60% of their time organizing, reading, and searching documents before making a single claim decision.
Wisedocs today introduced an AI-powered decision intelligence platform built to address that problem directly — moving carriers, TPAs, and legal teams from manual file review to structured, decision-ready intelligence across the full claims lifecycle, from intake and active care through escalation, litigation, and closure.
The platform turns complex claim documents into source-linked intelligence that surfaces risk signals, inconsistencies, and key insights early. It is built to handle even the most complex files, including claims exceeding 100,000 pages. The result is a new level of speed and confidence in claims outcomes. Organizations using Wisedocs report 60–80% faster first touch on complex claims and up to 2x case handling efficiency, enabling claims teams to move from document preparation to decision-making far earlier in the lifecycle. In existing deployments, including with a top P&C carrier, Wisedocs has reduced turnaround times by 85% and achieved 3x lower costs compared to previous BPO-based review processes — results the new platform is designed to extend and scale further.
Rather than forcing claims professionals to sift through thousands of pages to find risk signals or claim anomalies, the new platform surfaces the insights needed to act earlier. The platform highlights treatment outliers, litigation risk indicators, and claim inconsistencies such as missing records and contradictions that influence claim severity and outcomes.
Trusted by insurance carriers and organizations including TPAs, medical evaluators, law firms, and government programs, Wisedocs transforms document processing into decision intelligence for claims. The platform is already deployed across large claims organizations, including multiple Top 10 U.S. P&C and Disability Carriers, an HHS government claims program, and one of the largest state workers’ compensation insurers in the United States. Wisedocs is also a member of the Guidewire Insurtech Vanguards program, a curated community of insurtech innovators supporting the Guidewire global insurer ecosystem.
At launch, the platform centers on three core capabilities that prepare claims data, surface risk insights, and enable secure collaboration across the claims ecosystem.
WisePrep prepares claim files for investigation and review before a human opens them. The moment a file arrives, WisePrep automatically classifies documents across more than 1,500 medical, legal, and billing types, applies automated deduplication that removes 20-40% of page volume, generates structured medical timelines with gap detection, and delivers an organized case workspace within minutes. Early deployments demonstrate the ability to handle files exceeding 100,000 pages, scaling for catastrophic injury, medical malpractice, and multi-party liability cases.
Also included in WisePrep is WiseChat, which allows claims professionals to ask any question about the claim file in natural language and receive source-linked answers drawn directly from the underlying records.
WiseInsights introduces specialized AI analyzers that identify decision risks across escalation, pre-litigation, and litigation. By surfacing what teams would otherwise discover later, it enables earlier action — reducing escalation and controlling costs. Five analyzers are available at launch. The flagship Claim Consistency Analyzer identifies conflicting information across treatment records, missing records, and potential fraud. The Standard of Care Analyzer evaluates whether clinical treatment aligns with accepted medical standards for the injury type and jurisdiction, surfacing deviations that shape both reserve decisions and litigation strategy before either conversation is too late. Treatment Guideline, Demand Letter, and IME Report analyzers are also available alongside purpose-built claim analyzers for Auto, Liability, Workers’ Compensation, Malpractice, and Disability lines of business. Billing and Policy analyzers are planned for later in 2026.
WiseShare is the document exchange layer that most claims organizations currently manage through email and unsecured file transfers. Encrypted sharing, expiring access links, and role-based permissions control exactly what each external party — counsel, IME providers, experts — can access and when. A full audit trail logs every share, every download, and every access event, creating the chain-of-custody record that compliance and litigation require.
Additional platform capabilities are planned for phased release over the coming year, including WiseAPI, which will expand Wisedocs’ existing open API into a more comprehensive integration layer for embedding Wisedocs intelligence directly into existing claims systems and workflows.
“Structuring claims documents with AI is quickly becoming table stakes in the industry,” said Connor Atchison, Co-Founder and CEO of Wisedocs. “The next frontier is turning that data into decision-ready intelligence — surfacing the signals that matter so claims professionals can act earlier and with greater confidence.”
Wisedocs’ AI infrastructure is built on the core building blocks of AI-first claims — including hundreds of millions of annotated data points, large-scale expert annotation workflows, and a portfolio of in-house machine learning and language models designed specifically for complex claims documents.
The decision intelligence system builds on Wisedocs' expert-in-the-loop architecture keeping human expertise central to every decision. A dedicated in-house machine learning team continuously trains and refines the AI models while expert clinicians review and validate the AI-generated outputs to ensure accuracy, defensibility, and continuous improvement of the underlying models.
The new Wisedocs platform is rolling out across Wisedocs’ customer base throughout 2026, with new customers deployed on the platform from day one.
For more information, visit wisedocs.ai/product/claims-decision-intelligence.
About Wisedocs
Wisedocs is the decision intelligence platform for insurance claims. The company helps insurers and organizations across the claims ecosystem transform complex claim documents into structured, decision-ready intelligence.
Using artificial intelligence combined with expert human oversight, Wisedocs organizes, analyzes, and summarizes large volumes of medical, legal, and billing records so claims teams can identify risk earlier, make faster decisions, and improve claim outcomes.
Founded in 2019, Wisedocs serves insurance carriers, TPAs, law firms, medical evaluators, and government programs. The platform is built for highly regulated environments and supports enterprise deployments with SOC 2 Type II compliance, HIPAA alignment, and expert-validated AI workflows.
To learn more, visit wisedocs.ai.
Media Contact:
Joe Kevens
Head of Marketing, Wisedocs
joe@wisedocs.com
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