Now onboarding design partners

Claims Intelligencefor Humans

Turn complex claim files into source-linked chronologies, summaries, draft notes, and guided next steps.

Roadmap

Detailed and specific case analytics with guided workflows. Humans stay in control.

Discuss Roadmap
90%
Less time spent understanding the file
1000s
Faster evidence synthesis
Notes
Drafted from evidence
HIPAA
Compliant & secure

Start with Claims Ops. Expand Across Workflows.

Zicron starts with workers' comp claims teams, then extends the same evidence engine into note drafting, guided workflows, QME/IME, MSA, and other record-heavy workflows.

Claims Record Intelligence

A claims intelligence copilot for adjusters. Turn file-understanding drudgery into source-linked summaries, draft notes, and guided next steps.

For: Claims Teams, TPAs, Carriers
  • Chronological treatment timeline
  • Diagnoses, medications & procedures extracted
  • Key dates and providers identified
  • Red flag identification
  • API integration available

QME/IME Record Summary

Get comprehensive medical record summaries before evaluations. Reduce physician prep time from hours to minutes.

For: QME Physicians, IME Companies
  • Chronological treatment timeline
  • Diagnosis extraction with ICD-10 codes
  • Procedure history with CPT codes
  • Key findings highlighted
  • Draft report sections

MSA Allocation Support

Accelerate Medicare Set-Aside allocations with AI-powered medical record analysis and cost projection.

For: MSA Companies, Settlement Consultants
  • 2+ years treatment history analysis
  • Medication list with NDC codes
  • Future care projection assistance
  • CMS submission-ready format
  • Life expectancy considerations

Life Care Plan Generation

Project future medical needs and costs with clinical precision. Support settlement negotiations with defensible analysis.

For: Life Care Planners, MSA Analysts
  • Future treatment projections
  • Cost estimates by category
  • Medical necessity documentation
  • Life expectancy modeling
  • Expert-ready format

Peer Review Assistant

Streamline utilization review and peer review workflows. Get instant analysis of treatment appropriateness.

For: Peer Review Physicians, UR Companies
  • Treatment guideline comparison
  • Medical necessity analysis
  • Prior authorization support
  • Clinical documentation review
  • Structured output format

Lien Resolution Support

Identify and analyze medical liens faster. Extract relevant treatment and cost data for lien negotiations.

For: Lien Resolution Companies, Attorneys
  • Lien identification assistance
  • Treatment-to-injury mapping
  • Cost breakdown analysis
  • Medicare/Medicaid flagging
  • Settlement allocation support

How It Works

From upload to evidence-linked insight in minutes. The workflow is built to remove repetitive work so humans can focus on judgment and action.

1

Upload Records

Securely upload claim records and supporting documents in any format—PDF, TIFF, or direct integration with your systems.

2

AI Analysis

Our AI extracts key facts, compares what changed, and organizes the file chronologically.

3

Review, Document, and Act

Receive claim-ready summaries, draft notes, red flags, and suggested next steps with evidence back to the source record.

Built for Your Role

We understand the specific challenges of file review, documentation, and follow-through, and we believe the best systems make humans better at their jobs.

Claims Director / VP

The pain:

Adjusters spending hours reconstructing the file instead of making decisions

The solution:

Take repetitive file reconstruction off the team so adjusters can spend more time on judgment, escalation, and resolution

Claims Adjuster

The pain:

Drowning in scattered claim records, missing key details

The solution:

Get the chronology, facts, and note draft done faster so you can focus on the human work of moving the claim forward

TPA Operations

The pain:

Inconsistent record review quality across the team

The solution:

Standardize the drudgery while keeping the people-side judgment and customer handling with your team

MSA Analyst

The pain:

Manually reviewing years of medical records for each allocation

The solution:

Automate the repetitive record work so analysts can spend more time on defensibility and expert judgment

Product Roadmap

From Claims Intelligence to Guided Claims Workflows

We're sequencing automation around better claims intelligence: remove repetitive review work first, support human decisions next, and only automate narrow workflows when the authority boundaries are clear.

Today

Claims Intelligence

Source-linked timelines, extracted facts, claim-ready summaries, and draft notes for human reviewers

Next

Guided Workflow Support

Customer-specific next-best actions, draft tasks, and communication support with explicit approval gates

Later

Constrained Automation

Narrow claim classes, limited authority, and full auditability only where customers want deeper automation

Schedule Demo

Schedule Demo

We're onboarding a small set of design partners in workers' comp claims and adjacent workflows. Tell us about your review process and we'll be in touch.

We respect your privacy. Your information will only be used to contact you about Zicron AI.