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AI Claims Predictive Analytics
Our award-winning, end-to-end AI predictive analytics platform 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.
AGATHA, our flagship tool, provides an interactive dashboard of estimated claim outcomes. Its power is also available to you via APIs.
Users can update parameters to run multiple estimates for the same claim.
AI Claims Workflow Assistance
Claims adjusters usually spend up to 60% of their time in data collection, structuring, reporting, and communication. Our cutting-edge technology (combining NLP, OCR, RPA) saves them half this time to focus on more certain claims resolutions.
Dedicated GenAI models help users summarize, structure and review reports faster than ever!
Workflow automation focuses attention on the right claims and reduces claims cycle time.
AI Underwriting Analytics
Leverage the power of AI and historical claims data to quote the appropriate premium for prospective insureds.
Agatha’s dedicated interface and APIs compare the risk of a prospective insured profile to others practitioners in the same State or region. Timely using consistent trends and insights provided by Agatha, improve your quantification of risk and premium!
AI Data Structuring
Data is gold.. provided it is properly exploited! Insurance companies typically hold vast amounts of unstructured information, the power of which they struggle to leverage.
Optimalex offers the necessary expertise and technology to structure your data into the powerful fuel of predictive analytics engines.
Trusted
"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 at Kingstone Insurance Company
"The implementation was easy. I did not hear much from our IT department which is a good sign!"
— Ryan Bucsi, VP Claims, OMIC
"Agatha fact based shared decision support is a low risk change management tool"
— Tim Padovese, CEO
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 University) and Paris (La Sorbonne).
Our Vision
Optimalex is an insurtech whose ambition is to increase fairness, reduce risk, and improve efficiency of damages claims and recoveries, thereby benefiting all parties involved in disputes.
Our Mission
Optimalex provides AI predictive analytics decision support tools to improve consistency, fairness, and efficiency in insurance underwriting, claims management and dispute resolution.
Get Started Now
Easy to Use and Time Efficient
Optimalex can be fully piloted quickly — no significant IT lift required.
Optimalex’s tools are designed for easy integration and operation, significantly reducing data input time.
Seamless Integration
If you decide so, our platform seamlessly integrates with your existing claims system.
Data ingestion is optional. No more double documentation and navigating between different platforms.
Accelerated Processes and Maximum ROI
With our workflow assistance, you can handle claims with unprecedented speed and precision. Our smart report generation features automatically compile relevant claim information from notes. Contact us to estimate your ROI.
How We Help
Insurance Claims Management
Workflow Automation
Optimalex assists adjusters in organizing their workflow through intuitive dashboards and alerts. Track progress on claims and complete milestones until the resolution of the claims, with management and defense counsels onboard”.
Optimalex’s Agatha further assists adjusters in setting reserves through FNOL assessment. Investigation of loss is facilitated by insights and statistics. Finally, AGATHA's predictive capabilities help reach a fair settlement value while ensuring smooth communication between all parties.
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.
Claims Management
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 Litigation
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.
Optimalex solutions are 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.
AI consulting and audit readiness
Our team of experts and senior advisors is available to help you draw your AI strategy for all branches of your company.
Optimalex’s team can also assist you on fighting the most severe cases or getting ready for reinsurance audits.
Solutions That Suit You
P&C Insurance
Carriers
You are an insurance company wanting to delve into predictive analytics software.
Law Firms and Lawyers
You are a law firm or lawyer interested in our solution for your practice.
Captive Insurance
You are a captive insurer interested in AI claims predictions and assistance.
Who We Are
Management Team
Jòan Gondolo
Co-founder & Head of Legal
Luv Aggarwal
Co-founder & Head of Engineering
Philippe Lachkeur
Co-founder, Managing Director
& Chief Data Officer
Senior Advisory Board
Nigel Shepherd
Senior Insurance Advisor
Dr. Steven Rosenfeld
Senior Medical Advisor
News & Publications
April 2025
Optimalex Announces New Partnership with Sunlight Simplify Read More
February 2025
Optimalex Newsletter Read More
January 2025
Optimalex Newsletter Read More
January 2025
Webinar: "How to integrate AI-based predictive analytics to reduce claims handling time and increase profitability" Watch the video
Medical Liability Monitor (MLM) features Frank Giaoui, CEO of Optimalex
December 2024
Optimalex Newsletter Read More
November 2024
Optimalex Newsletter Read More
October 2024
Sharing experience at the MPLA IT Forum in Chicago
Ryan Bucsi from the Ophthalmic Mutual Insurance Company (OMIC) showcased their successful partnership with Optimalex illustrating the real-world impact of our solutions. Watch the video
Contact Us
We look forward to doing
business with you.