Kennedys automates assessment of medical evidence in portal cases

West: Enabling our clients to be more self-sufficient

Defendant firm Kennedys is now using artificial intelligence to assess medical evidence and recommend a damages figure for claims in the MoJ claims portal.

Its ‘Portal Manager’ product has also been enhanced by fraud detection technology based on an evidential reasoning engine developed in conjunction with the University of Manchester in a government-funded knowledge transfer partnership

Portal Manager has been produced by Kennedys IQ, the global law firm’s technology company, as part of its push to give clients the tools to handle volume work like this themselves.

Karim Derrick, Kennedys IQ’s product and innovation director, said it was helping claims handlers “shift from information gatherers to insight-enabled decision-makers”.

By linking together new and existing technology, the firm said it could now enable compensators to manage road traffic and EL/PL claims from the moment they are submitted via the portal through to a stage 3 damages hearing and any recoveries.

Portal Manager continuously monitors the progress of every case to ensure a deadline is never missed – which Kennedys said “can be a problem for compensators handling a large volume of claims” – while automatically assessing the supporting medical evidence.

Medical reports are machine-read and every injury is automatically identified along with evidence of prognosis and recovery detail.

The system then calculates a compensation figure for each injury, based on Judicial College Guidelines, the client’s own compensation matrix and Kennedys’ own data. The firm said it has been tested on “the most complex casualty claims”.

Working in partnership with University of Manchester’s Decision and Cognitive Sciences Research Centre, Kennedys IQ has developed the MAKER algorithm and incorporates evidential reasoning to better detect fraud.

Claims investigators can immediately assess the reasons for a claim being flagged for investigation. Where the investigator view differs, this is reported back into the system so that the algorithm can iteratively improve.

Kennedys said the system has both found more fraudulent claims and also produced far fewer false positives.

Richard West, partner and head of the innovations group at Kennedys and a director of Kennedys IQ, said: “Portal Manager shows what can be achieved when deep legal experience and expertise is combined with cutting-edge technology – a solution that is designed to enable our clients to be more self-sufficient, reducing their reliance on lawyers for attritional claims.”

Mike Gilpin, Kennedys IQ’s commercial director, added: “Our aim is to empower our clients with the ability to handle common legal tasks themselves, reducing legal costs and improving efficiency as well as outcomes.

“The management information the system provides enables compensators to manage their resources with greater accuracy.

“The Official Injury Claim portal may appear a significant new challenge for insurers but by having all claims visible in one simple dashboard, irrespective of the source, we expect our clients to manage the transition as seamlessly as possible.”

    Readers Comments

  • Dominic Finn says:

    I’m surprised no-one has thought of this before. Let’s hope that it is not a Colossus – sorry, colossal – mistake.

  • Tom says:

    Will it be able to spot large loss triggers or pick up on subtleties…?

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