Claims

Heather Wilson, CEO of CLARA Analytics

Heather Wilson, CEO of CLARA Analytics

A finger cut came in as a severity one workers comp claim. Nobody looked at it for 90 days. CLARA's models kept reading the incoming medical documentation — and caught the trajectory shift before any human did. By the time the alert fired, the case was heading toward amputation, not a bandage. In Episode 159, CLARA Analytics CEO Heather Wilson explains how claims AI actually works in practice: not as a replacement for adjusters, but as a 24/7 safety net that catches what tired eyes miss — and what she wants to accomplish before she leaves this industry: finally connecting the claims intelligence that closes cases to the actuarial intelligence that prices them.

Adam Price, CEO of Kinetic Comp

Adam Price, CEO of Kinetic Comp

Kinetic started as a wearable device company with a prevention thesis. It is now a $100M+ workers comp MGA built around claims oversight software — and the pivot happened because Adam Price asked customers what they actually needed, instead of what Kinetic had assumed they needed. In Episode 155, Adam explains why prevention technology struggles in mid-market workers comp, how data fusion creates a claims experience that scales like software but feels like dedicated attention, and what MGA investors actually want to hear — hint: it is not the $6 trillion TAM slide.

Kasey Roh, Head of USA, Upstage

Kasey Roh, Head of USA, Upstage

Upstage's Kasey Roh came to enterprise AI through Tesla, Meta, and venture capital — which means she has seen enough AI companies to know the difference between real technology and a wrapper. In Episode 152, she makes the case that insurance companies have only ever been able to read about 20% of their documents, explains why throwing the rest into frontier LLMs is not a scalable solution, and shares what one Asian carrier found when it finally digitized a decade of untouched claims records — enough to launch two entirely new product lines from data it already owned.