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AdjudiCLAIMS by Glass Box

Executive Summary — Bottom Line Up Front

For Decision-MakersCalifornia Workers' CompensationCONFIDENTIAL

Bottom Line Up Front

1AdjudiCLAIMS eliminates the three biggest drains on a CA workers' comp claims operation: manual document review time, regulatory deadline penalties, and the 60-90 day competency gap for new examiners — simultaneously, in one platform.
2The UPL compliance boundary is enforced by three independent technical mechanisms, not by policy. The system cannot give legal advice to examiners. This is verified by 517 automated test fixtures run on every release.
3For a 10-examiner operation, projected annual value is $200K–$400K from time savings plus penalty avoidance — before accounting for reduced E&O exposure, faster onboarding, and improved file quality.

THE PROBLEM

25–40%

Annual examiner turnover

3+ hrs

Per claim document review

60–90

Days to examiner competency

10→15%

Statutory TD penalty (SB 1234)

California workers' compensation claims operations face three structural problems that conventional claims software doesn't solve: the document review bottleneck, the regulatory compliance burden, and the examiner training gap. These three problems compound each other — undertrained examiners miss deadlines, which trigger penalties, which create additional documentation and review work.

THE SOLUTION

Problem	AdjudiCLAIMS Solution	Measured Outcome
Document review bottleneck	AI pipeline: OCR → classify → extract → index in seconds	1.5–2 hrs/examiner/week saved
Deadline penalties	Automated statutory deadline tracking with consequence alerts	>98% compliance target
Examiner training gap	Embedded regulatory education at every decision point	Training is inseparable from work
UPL liability exposure	3-stage technical enforcement — classifier, prompt, output validator	517 UPL tests, 100% pass rate
Audit & compliance risk	60+ immutable audit event types, 7-year retention	SOC 2 CC6/CC7/CC8 controls

FINANCIAL IMPACT (10-EXAMINER ILLUSTRATION)

Annual time savings

$81,900

910 hrs × $45/hr (fully loaded)

Annual penalty avoidance

$72,800+

Based on 8% miss rate, 85% improvement

Total annual value

$154,700+

Before E&O reduction, faster onboarding

Use the interactive ROI calculator to adjust these inputs for your specific operation.

TECHNOLOGY

Anthropic Claude (chat/classification)

Google Vertex AI (embeddings)

Google Document AI (OCR/extraction)

PostgreSQL 15 + pgvector (RAG)

GCP Cloud Run (infrastructure)

SOC 2 CC6/CC7/CC8 controls

NEXT STEPS

Request Demo

Live walkthrough with a real claim — document upload through compliance dashboard.

Security Review

SOC 2 documentation, HIPAA posture, penetration test reports available under NDA.

Pricing Discussion

Transparent pricing based on your team size and claims volume. No hidden fees.

Request Demo ROI Calculator