Traditional claims audits sample about 2% of closed files. Ely Audit reviews 100% of your book, open claims included, so claims leakage gets caught while there's still time to fix it.
Ely reviews open claims on demand as well as closed ones, so you can fix handling issues before they affect outcomes.
Your auditors can check every finding Ely makes, or only a sample. Ely covers every claim either way.
Each finding comes with a full AI analysis and an actionable explanation, tied to a cited source in the claim file.
Documents, images, audio, video, telematics, correspondence, financials, adjuster notes, and claim history, all read together.
of Ely's audit findings agree with carrier audit teams
minutes
is all it takes to review a file that used to take a full day
Ely's findings line up with carrier audit teams, in a fraction of the time. It learned the job from adjusters and claims leaders who've managed billions in premiums.
Ely comes trained on Elysian's claims knowledgebase, built by veteran claims leaders, and reads a file the way your best senior adjusters would. No guidelines required to start. Share yours, and Ely layers them in alongside ours. Ely reviews every closed file, including the ones closed without payment that regulators increasingly scrutinize. It also reviews the files your TPA handles, which gives you the evidence for a TPA audit.
Use cases
Point Ely at any part of claim handling, open or closed, in-house or at your TPA. Teams often start with:
Ely does the reviewing. Your team decides what to check and what to act on.
Bring open and closed files from the claim system you already use.
Ely gives every file a human-level quality review, with or without your guidelines.
Every finding comes with its reasoning, a cited source, and claim, loss, and handling narratives.
Your auditors review all of Ely's findings or a sample. Your team makes the final call.
Portfolio-level views surface recurring issues and leakage before small misses turn costly.
Platform
Designed to handle any claim, including the gnarliest in the industry.
Ely Audit, answered.
How Ely compares with sampling, and who does what.
An AI claims audit uses AI to review claim files for handling quality, checking areas like coverage and liability determinations, reserving accuracy, and timeliness. A traditional audit samples about 2% of files. Ely Audit reviews every file in your book, open and closed, and every finding cites its source in the claim file. Your auditors check as much as they want.
Traditional claims audits review a sample of about 2% of files, usually by hand and after the claim closes. Ely Audit reviews claims across your full portfolio, open ones included, so your team can act while the claim is still active.
A sampled audit reviews a subset of files, typically about 2% of closed files, by hand and extrapolates what it finds to the whole book. Ely Audit reads every file, open and closed, so the findings describe the full portfolio and nothing is extrapolated. Each finding cites the claim-file source behind it, and your auditors can check as many findings as they want.
As much as you want. Your auditors can check every finding Ely makes, or only a sample. Your team makes the final call.
Any part of claim handling you want checked, including defense counsel, defense strategy, timeliness, liability and coverage determinations, reserving accuracy, subrogation, and vendor management, whether files are handled in-house or by a TPA.
Yes. Ely Audit reviews claim files whether they're handled in-house or by a third-party administrator. It covers your full book rather than a sample, holds every file to the same standard, and backs each finding with a cited source, so your TPA oversight team has evidence to act on while claims are still open.
No. Ely works out of the box on Elysian's claims knowledgebase. Share your handling standards, and Ely layers them in alongside ours.
Yes. It's quality review for open and closed files, with claims leakage and handling patterns tracked across your portfolio.
Yes. Ely connects with your existing claim system(s) and data infrastructure.
