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Take advantage of groundbreaking AI and predictive analytics to predict P&C insurance claims outcomes as well as power consistent, timely, and accurate resolutions.

AI-Powered Claims Predictive Analytics

Trusted

ALM's Law.com VerdictSearch
DXC
Guidewire Insurtech Vanguards
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KER Legal Group

"I cannot speak highly enough of Optimalex's commitment to innovation and practicality. They have consistently demonstrated a keen ability to create intuitive, user-friendly solutions that align with our client's needs."

Richard Caruso, Vice President & General Manager, ALM

"We were looking for a tool to help us with our claims assessment. We found it: Optimalex's Agatha is an injury worksheet on steroids."

— Nigel Shepherd, J.D., CPCU, ARe, Chief Claims Officer

Solutions

AI Claims Guidance

Our award-winning, end-to-end AI claims solution offers property and casualty insurance companies and attorneys the means to reduce uncertainty over the claims lifecycle and optimize outcomes in a variety of claim types: Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation.

Optimalex's Agatha

AGATHA

Optimalex’s AGATHA is a SaaS platform that uses AI predictive intelligence to estimate the outcome of a claim, quantify damages compensation and length of proceedings for all parties involved.

AGATHA displays an interactive dashboard of estimates.

Users can update parameters to create multiple win and recovery rate estimates for the same case.

NOAH

Optimalex’s NOAH extracts, curates, and structures your data for our claims predictive analytics. This service sets the course for your future cases to streamline claims and litigation management.

About Us

Our Story

Optimalex was founded in 2020 after nearly a decade of intensive legal analytics, data science research, and software engineering between New York (Columbia) and Paris (La Sorbonne).

Our Vision

Optimalex is an insurtech whose ambition is to increase fairness, reduce risk, and improve efficiency on damages claims and recoveries, hence benefiting all parties involved in disputes.

Our Mission

Optimalex provides AI predictive analytics decision support tools to improve consistency, fairness, and efficiency in insurance claims management and dispute resolution.

Get Started Now

Optimalex can be fully piloted quickly — no huge IT lift required.

Easy to Use and Time Efficient

Optimalex’s solutions are designed for easy integration and operation, significantly reducing data input time. 

Seamless Integration 

Our platform seamlessly integrates with your existing claims system and ingests and structures your data. No more double documentation and navigating between different platforms. 

Accelerated Processes and Maximum ROI

With our optimized workflows and shortened processes, you can handle claims with unprecedented speed and precision. Our smart report generation features automatically compile relevant claim information from notes, not only saving you time but also ensuring accuracy and streamlined data management. Reach out to us to estimate your ROI. 

How It Works

The Path From Data to Prediction

Claims Analytics

Our team of lawyers continuously analyzes new claims data, both settled and litigated, to keep our models up-to-date.

Natural Language Processing and Machine Learning techniques enhance our capabilities, but we do not rely on them alone. Our lawyers verify and correct results to ensure our predictions are interpretable and reliable: we are lawyers trained in data science, not the other way around.​ Our legal team also continually explores new areas of the law where our expertise could be helpful.

Information Extraction

Our engineers and data scientists have developed tools to identify, extract, and curate all the relevant information per claim, whether structured or not, and from private and public sources for optimal insurance claims and risk management.

​With our groundbreaking AI algorithms and user interface, we offer our clients the collective intelligence of all our analytics without putting their data at risk. Only you can access the data you decide to share with Optimalex.

Machine Learning

Once the data is extracted and secured, our data scientists and legal analysts turn to predictions. We use state-of-the-art machine learning techniques, including Neural Networks, Random Forests, and Gradient Boosters. Our internal lawyers collaborate with our engineers throughout the entire process to ensure that models are interpretable and sound.

Results

Once the process is completed, you will have instant access to predictions with unprecedented levels of detail.

Take advantage of advanced analytics to quickly settle claims and improve consistency and fairness. 

 

From INOL to closing, estimate the value of claims, the likelihood of escalation, the propensity to litigate, and so much more.

Our claims predictive analytics solutions lead to efficient decisions within your team.

We Are Hiring

Join us on our mission to provide AI-based claims predictive analytics software for cost-effective claims management for P&C insurance carriers

How We Help

How We Help

Insurance Claims Management

Claims Triage

As an insurtech, Optimalex helps claims adjusters identify early-on potentially outlying cases to protect insurance companies from devastating verdicts. 

Our solutions also help you optimize retention of legal representation and experts. 

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Claims Management

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Our software allows you to benefit from integration with claims management solutions to access predictions and leverage the value of time. Using AGATHA, claims can be settled quickly and at a fair value.

 

Gain instant insights into several key indicators such as claim value, escalation, likelihood, and length of litigation.

Claims Settlement and Mediation

Optimalex helps you manage the risks associated with each claim by recommending prompt settlement at a fair value and predicting the outcome of mediation or undesirable litigation.

Our software allows you to compare each claim with similar cases and estimate its likelihood of success based on legal and economic factors. This allows you to assess whether it is more profitable to settle or mediate your dispute.

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Claims Litigation

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Optimalex solutions is benchmarked with millions of datapoints from Federal and State courts. Our software estimates claims outcomes based on jurisdictions, law firms, and experts involved, as well as the severity and circumstances of the loss.

 

Using our extensive database and federative learning principles, we allow you to identify the most promising causes of action, arguments, and legal principles. As a result, you can find the most appropriate methods of damage assessment for your situation.

Solutions That Suit You

P&C Insurance
Carriers

You are an insurance company wanting to delve into predictive analytics software.

PropertyCasualty360 Award

Law Firms and Lawyers

You are a law firm or lawyer interested in our solution for your practice.

Self-Insured Corporations

You are a corporation interested in making informed decisions to remedy contract breach.

Who We Are

Who We Are

Team

Frank Giaoui
Frank Giaoui
Founder and President
Luv Aggarwal
Luv Aggarwal
Co-founder & Head of Engineering

 

Senior Advisory Board

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Nigel Shepherd

Senior Insurance Advisor

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Nate Beatty

Founder of Ascent Technology Consulting

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John Siegman

Co-Founder

HazardHub

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Pete Sisserson

Senior Claims Management Executive

News

News and Publications

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October 2023

Optimalex Selected For Insurtech NY Accelerator

Guidewire

January 2023

Optimalex Named to Guidewire Insurtech Vanguards

ITC

September 2022

Frank Giaoui Presents Optimalex At InsureTech Connect

Optimalex Legal AI Pilot

September 2022

Optimalex Joins With Great American Insurance Group To Pilot A Legal Predictive Analytics Claims Solution

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Contact Us

We look forward
to doing
business with you.

Thank You! We will respond as soon as possible.

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