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Defensible Medical Record Review, Built For Insurance Carriers
Claims move faster when the records are already organized.
Across bodily injury, accident benefits, workers' comp, liability, and long-term disability, SiftMed organizes medical records into structured, source-linked summaries - in under 30 minutes. Adjusters move through files faster and every decision connects back to the record.
Trusted by carriers from regional mutuals to global P&C insurers.
The Problem
Why Is Medical Record Review Slowing Claims Teams Down?
Claims rarely arrive review-ready. Medical records are spread across multiple PDFs, out of order, duplicated, and often incomplete. Legal document dumps routinely carry 20-40% redundancy. Adjusters spend over half their day organizing files instead of making decisions, while complexity climbs, and deadlines stay fixed.
The cost runs deeper than cycle times. Missed pre-existing conditions drive settlement leakage, reserves miss the mark, and decisions don’t hold up under scrutiny. Manual review on growing files isn't a productivity problem. At the same moment social inflation is pushing claim outcomes to new highs, manual review on growing files isn't a productivity problem. It's a P&L problem.
50%+
of adjusters time spent organizing files
20-40%
of documents are redundant, duplicate data
P&L Problem
Manual review on growing files doesn't just slow claims teams. It directly impacts your combined ratio
What Does SiftMed Do For Insurance Carriers?
SiftMed is a medical record review platform built for insurance claims teams. The platform turns complex, unstructured medical files into clear, source-linked, review-ready insights - so adjusters focus on decisions and claims leaders can stand behind every output.
Automatic Organization
Sorts and structures large, complex files into a clear chronological timeline by date, provider, and record type.
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Faster, Focused Review
Surfaces key details - including diagnoses, medications, and treatment gaps - and lets adjusters query the entire claim in natural language.
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Source-Linked Outputs
Links every summary, extraction, and answer from Sifty - SiftMed's built-in AI claims assistant - back to the original record.
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Consistency Across Reviewers
Standardizes outputs across teams, reviewers, and case types - so quality is built into the workflow, not the person.
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Defensible By Design
Structures every output for audit, regulatory review, and litigation. The verification and proof are built, not added after.
What Changes When Carriers Use SiftMed?
FOR YOUR ADJUSTERS
70%
Reduction in medical record review time
95%
Accuracy identifying content, dates, and duplicates
< 30
Typical turnaround from upload to review-ready files
Minutes
FOR YOUR CLAIMS LEADERSHIP
More claims handled per adjuster
Without scaling headcount or stretching turnaround times
Standardized output across every reviewer
Audit-ready files and defensible decisions at every stage of the process
Pre-existing conditions surfaced before settlement
Leakage prevention that flows directly to your combined ratios
Performance measured across SiftMed's enterprise carrier customer base, from regional mutuals to global Top-10 P&C insurers.
Coverage
Where Does SiftMed Fit In Your Book?
SiftMed handles the medical record review work across the lines where it matters most.
AUTO BI / CASUALTY
Auto Bodily Injury & Casualty
The largest medical-record review pool in P&C, and where social inflation lands hardest. SiftMed surfaces pre-existing conditions, treatment gaps, causation evidence, and MMI markers - the inputs your reserve setting depends on and the evidence defense counsel needs to push back on inflated demands.
AUTO AB / NO-FAULT / PIP
Accident Benefits
Statutory deadlines don't move. Ontario's OCF-18 runs on a 10-business-day clock; no-fault and PIP jurisdictions carry their own. SiftMed compresses the time from intake to MIG determination, treatment plan adjudication, and catastrophic review - so adjusters hit every deadline without cutting corners.
WORKERS' COMP
Workers' Compensation
Years of treatment, return-to-work decisions, tight utilization review windows, and Medicare Set-Aside (MSA) prep or future care cost reporting. SiftMed builds the multi-year chronology your case managers and adjusters can act on - across every provider, every visit, and every authorization.
GL / COMMERCIAL LINES
General Liability
Premises liability, product liability, and commercial bodily injury claims carry the same medical-record patterns as auto BI: pre-existing condition identification, quantum assessment, defense-quality evidence prep. Fewer files, but very high pages per file. SiftMed handles both.
LTD / GROUP BENEFITS
Long-Term Disability
Initial adjudication, the two-year own-occupation to any-occupation reassessment, and contested claims with decades of treatment history. SiftMed pulls the right evidence together for accurate, defensible decisions on the claims that last longest and cost most.
Why SiftMed
Why Carriers Choose SiftMed
Medical record review is the backbone of insurance claims. It's also where time gets lost, errors creep in, and unsupported conclusions create liability. SiftMed is purpose-built for that work.
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Built around the medical record
Trained on clinical notes, hospital records, prior decisions, and treatment plans - the documents your team see daily. Where generic models stumble on handwritten notes and clinical formatting, SiftMed doesn’t.
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Every output is sourced
UnsEvery summary, extraction, and Sifty AI answer links to its original record. Click any fact and land on the source document, keeping your output defensible through every step of the process.
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Designed for real claims sizes
Claims aren't small. SiftMed processes documents running into the thousands of pages - and for catastrophic and litigated claims, tens of thousands - without splitting records or losing context across the set.
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From intake to final report
SiftMed handles the full lifecycle: ingest, organize, analyze, search, and report - directly inside the records. No switching tabs, and no piecing together the file across three different tools.
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Standardized across your team
Reviews are consistent, repeatable, and ready for audit - across every adjuster, every file, and every claim type.
CASE STUDY
A litigated bodily injury file: 8,200 pages, six years of records across four hospitals.
What used to take days of manual sorting arrives in SiftMed as a single batch. Hospital records, clinic notes, correspondence, and independent examinations are automatically de-duplicated, categorized, and organized in a timeline.
When your adjusters login files are review-ready, with key insights surfaced upfront and Sifty AI available to dig deeper. The adjuster verifies the data, builds the reserve note inside the platform, and exports a defensible summary for defence counsel - without ever leaving SiftMed.
See how other claims experts
are using SiftMed >
Security & Compliance
How does SiftMed protect claimant data and AI governance?
Medical claims contain some of the most sensitive information your organization handles. SiftMed is built to a higher standard.
Certified and compliant. SOC 2 Type II certified. HIPAA and PIPEDA aligned. Independent third-party audits, not self-attestation.
Defensible AI by design. Every output ties to a source record. Sifty AI does not generate unsupported answers - if the evidence isn't in the file, the tool says so. Human-in-the-loop is built into the workflow, not bolted on after the fact.
