Claims administration without the rework.
Docura fits into claims workflows to help adjusters review claim records, surface relevant information, and create action plans. Routine obligations stay visible without adding another system for adjusters to manage.
Built to support professional judgment, not replace it.
Built around the adjuster’s day
Claim record review, action plans, integration with the claims system you already use, and oversight that stays with your team.
Claim record review that surfaces what matters. Pull relevant details from a complex claim file so adjusters do not have to search through every document.
Create action plans. Turn gaps, unanswered requests, and upcoming obligations into a concrete action plan with a clear owner.
Fits how you already work. Designed to integrate with claims management systems, not to become another silo adjusters have to remember to open.
Oversight stays with your team. Automation handles repetitive administrative tasks. Your team makes decisions, escalates priorities, and communicates with the worker.
Medical records, organized for the adjuster
Docura reviews the medical records on a workers' comp claim and organizes them into a claim timeline and source-linked summaries. Every point links back to the page it came from, so your team can check it before acting on it.
Claim timelines. Injury date, visits, diagnoses, imaging, procedures, and work status in date order across the whole file. Each entry opens the source page.
Source-linked summaries. Key findings, treatment history, and prior injuries summarized, with a link to the record behind each one.
Missing records flagged. See which records and reports are still outstanding, and turn each one into an action plan item with an owner.
Voice agents for record retrieval. AI voice agents call providers and facilities to request records and follow up on open requests.
Inputs for reserve setting. Evidence drawn from the medical record and linked to its source. The adjuster reviews it and sets the reserve.
A claim is not defined only by severity. Unfinished administrative work also matters.
Where unfinished work accumulates. Missing information, unanswered requests, and repeated work create administrative friction. Time and cost can accumulate before the medical issues are even considered.
Unfinished work. Claims teams need a clear view of what is needed, who owns it, and what happens next, especially when claim information is spread across email, vendors, portals, and counsel.
Start with one recurring service problem
We map the workflow with your team: what starts the task, who completes it, what the worker experiences, and how you’ll measure whether it’s working.
Outstanding wage and job duty requests. Wage statements and job descriptions can sit unanswered and delay the temporary disability rate.
Record collection that keeps looping. Records requests that go out again and again before anything comes back.
Treatment or payment follow-ups that stall. Treatment requests and bills with no response, waiting on someone to chase them.
Preparing a complete packet for medical evaluation. Get the right documents to the evaluating physician before the examination, not after.
What your team gets back
Less chasing, fewer repeats, and adjusters back on the work that needs their judgment.
Book a demo- Less time searching through claim records
- Relevant details come forward instead of requiring a document-by-document search.
- Fewer repeated requests
- Open requests have an owner, so they don’t go out twice.
- Clearer handoffs between employers, third-party administrators, and vendors
- Everyone can see what’s needed and who has it.
- Adjusters freed for judgment and worker communication
- Repetitive administrative tasks move off their plate.
- Better visibility into unfinished work
- Gaps and upcoming obligations show up before they slip.
FAQ
Quick answers about features, security, and getting started.
- Who is this for?
- Carriers, third-party administrators, claims administrators, and claims operations leaders managing workers’ compensation caseloads.
- Do you replace our claims system?
- No. Docura is designed to fit into how adjusters already work, including claims management system integrations that we scope together.
- Will this make decisions on compensability or benefits?
- No. Docura supports preparation and follow-up. Your professionals own claim decisions.
- What does “predict the outcome” mean here?
- We use past claim patterns to help prioritize attention and surface the risk of delay or unfinished work. We don’t promise a settlement number or replace adjuster judgment. Exact outputs are scoped per customer.
- Can we start with one workflow?
- Yes. That’s the recommended path: one recurring service problem, clear owners, clear measures, then expand.
- Is this the same product evaluators use?
- It is the same company and the same attention to claim information, with workflows designed for each audience. Evaluating physicians prepare medical reports, while claims teams adjust and administer the claim.
- Can Docura review the medical records on a workers' comp claim?
- Yes. Docura reads the medical records on a claim and pulls out key findings, diagnoses, treatment history and prior injuries. Each point links to the page it came from, so adjusters can check it before acting on it.
- What is a claim timeline in workers' compensation?
- A claim timeline, also called a medical chronology, lists the medical events on a claim in date order: the injury, visits, diagnoses, imaging, procedures and work status. In Docura, every entry on the timeline links to the source record, so an adjuster can open the exact page behind it.
- What does source-linked mean?
- Every summary point and timeline entry Docura produces points to the document and page it came from. Adjusters, supervisors and counsel can verify a finding against the original record instead of taking the summary on trust.
- How does Docura support reserve setting?
- Docura gives adjusters evidence-based inputs for reserve setting, drawn from the medical record and linked to their sources. The adjuster reviews those inputs and sets the reserve.
- What do Docura's voice agents do?
- Docura's AI voice agents call providers and facilities to request medical records and follow up on outstanding requests.
- Is Docura HIPAA compliant?
- Yes. Encryption, access controls, and audit logs are built for PHI.
Show us one workflow that keeps slipping.
Book a 15-minute demo and we’ll map one recurring service problem with your team: what starts it, who completes it, and how you’ll measure whether it’s working.