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Business

Elysian Launches Ely Audit and Ely Adjust to Deliver Real Time Claims Quality at Scale

Financial Post ·

NEW YORK — Elysian , the AI-native TPA and claims quality platform company, today announced the launch of Ely Audit and Ely Adjust. Together, the two solutions help insurers improve claims quality at scale: Ely Audit evaluates claims files and identifies portfolio-wide patterns, and Ely Adjust continuously monitors open claims and surfaces forward-looking recommendations while there is still time to influence the outcome. These products supplement Elysian’s offering of TPA services to the commercial insurance industry.

Claims handling is increasingly complex. Adjusters must navigate large volumes of information, administrative work, and disconnected systems that can limit productivity and make it harder to identify risks early and ensure every claim is handled well throughout its life cycle. Elysian was founded by experienced claims professionals who have collectively managed hundreds of billions in reserves as Chief Claims Officers across Allied World, Hippo, Hiscox, and more. Elysian built the tech to fix the problems they encountered for decades, and is introducing their AI solutions to improve insurance claims operations while keeping qualified humans firmly in control.

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Traditional audit programs review about 2% of a carrier’s claim files, leaving leaders with limited visibility of the rest of their portfolios. Ely Audit replaces periodic spot checks with the ability to review an entire book of business, including both closed and open claims, and integrates with a carrier’s existing technology environment. It has the added capability to audit longer-tail claims with thousands of documents, while evaluating claims handling quality, adherence to established standards, and the performance of external vendors.

Rather than only producing a pass/fail score for each claim, Ely Audit delivers opinionated, human-grade evaluations that, until now, have only been possible through manual review by experienced auditors. Drawing on Elysian’s deep expertise across admitted, non-admitted, personal, and commercial lines, it identifies portfolio-wide patterns, risks, and opportunities—amplifying human-grade expertise at infinite scale, and giving insurers complete observability into the issues affecting their portfolio. This broader view helps insurers address harmful handling patterns before they affect more outcomes and creates an unprecedented view of its operations.

Ely Adjust extends the same intelligence into the active life of a claim. It provides daily reviews of all open claims to surface emerging risks, changes, and opportunities, then it proactively surfaces which claims handlers need to look at and what they should consider next.

A qualified human remains in control every step of the way: Ely Adjust makes recommendations and the adjuster decides and executes with greater confidence and consistency.

Read the full article on Financial Post ›

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