Mavera DSS Insights

AI-powered decision support for medical assessments in bodily injury claims.

Turn documentation into decision support

Medical documentation holds the answers, but finding them often requires specialist expertise.

Is the injury related to the accident?
Are the symptoms likely to remain?
What disability is supported by the documentation?
Should the claim be reviewed by a medical specialist?

Mavera DSS analyzes medical documentation and transforms it into AI-powered decision support, helping claims handlers answer key medical questions with greater confidence and ensuring the right expertise is involved at the right time.

Ask the claim

Every claim raises different questions. Instead of manually searching through the documentation, claims handlers can simply ask the claim.

Examples:

Has the claimant experienced previous symptoms in the same body part?
Summarize the latest physician notes.
What documentation supports the causation assessment?
Was alcohol mentioned around the time of the accident?

Answers are generated from the claim documentation and linked directly to the supporting records, making it easy to continue the assessment with confidence.

Mavera DSS “Ask the claim” feature showing a claims handler’s question about whether the claimant had previous symptoms in the same body part, an AI-generated answer citing a March 2021 physiotherapy record, and links to the supporting documentation on pages 12 and 41.

Answer the medical questions that drive claim outcomes

Mavera DSS helps claims handlers answer the medical questions that often determine the outcome of a bodily injury claim.

A claims handler wearing headphones smiles while working at a laptop in an office, with an overlay of the medical questions Mavera DSS can support: claim complexity, causation, recovery, permanent symptoms, and medical disability.

Medical disability indication

Receive an indication of supported disability together with the reasoning behind the assessment and references to the relevant disability tables.

Causation assessment

Understand whether the documentation supports a causal relationship between the accident and the reported injury, including arguments supporting and challenging the conclusion.

Claim complexity

Identify factors that increase claim complexity and receive guidance on whether specialist expertise should be involved.

Structure the information that matters

Decision support should never be a black box.

Mavera DSS automatically organizes medical documentation into summaries, timelines, health insights, and other structured views, making it easy to focus on the information that matters.

Medical summary

Quickly understand diagnoses, treatments, symptoms and medical history through automatically generated summaries.

Timeline

Follow the claimant’s medical history chronologically and jump directly to supporting documentation.

Health insights

Review diagnoses, medications, treatments and health indicators in one structured view.

Smart document library

Navigate large volumes of medical documentation through automatically organized document categories.

The right expertise at the right time

Not every claim requires specialist review.

With the Insights module claims handlers can start with AI-powered decision support directly in the claim. When additional expertise is needed, Mavera DSS can recommend the next step and help assign the case to the right medical specialist.

Together, Insights and Assessment system help insurers use specialist expertise where it creates the greatest value.

Explore Mavera DSS Assessments

Mavera DSS showing a recommended next step for a claim: a medical specialist review based on claim complexity and available documentation, with a suggested specialty of orthopedics, an estimated response within 48 hours, and a button to assign the specialist.

Transparent and responsible by design

AI should support better decisions, not replace professional judgement.

Every assessment in Mavera DSS includes supporting reasoning, references to the underlying documentation, and where applicable, links to disability tables. Claims handlers can always see how a recommendation was formed.

Our AI is built and hosted exclusively within Mavera DSS. We never rely on public AI services, so sensitive medical data stays fully under your control.

The result is decision support you can trust, both in outcome and in how it is delivered.

Every answer includes reasoning
Source references
Disability table references
AI hosted exclusively within Mavera DSS, no public AI services
Claims handlers remain in control
Medical specialists remain part of the workflow

Better decisions across the assessment process

Answer key medical questions earlier in the process

Reduce time spent reviewing documentation

Better prepare claims before specialist review

Support more informed and consistent decisions

Built on trusted, responsible AI

Mavera DSS is built to handle the sensitive nature of medical data. Our AI runs exclusively within Mavera DSS, hosted in the EU, with no reliance on public AI services. The platform is ISO 27001 certified and fully aligned with GDPR and DORA.

Learn more about security and compliance

Ready to explore Mavera DSS?

Talk to our solution experts to get a guided tour and see if Mavera DSS is a good fit for your organization.

For other questions, please email hello.nordics@verisk.com.