Medical Record AI for Claims Adjusters

The adjuster's problem is time, not expertise

You know what you are looking for in a medical file: mechanism, diagnoses, treatment intensity, pre-existing history, gaps, inconsistencies, work status. The problem is that finding it means paging through hundreds of scanned pages from six providers in whatever order the records custodian sent them — for every file on your desk.

What OctopusLM does for a claim

Upload the medical PDFs exactly as received. In minutes you get:

• A narrative summary — what happened, what was diagnosed, what was treated, what the current status is, and what pre-existing conditions are documented.
• A dated chronology — every visit, provider, diagnosis, medication, imaging result, and work-status note in order.
• A page citation on every line. Click it, the source page opens. You never have to take the summary on faith.
• Word and Excel export for the claim notes, the reserve rationale, or the referral to an IME or nurse reviewer.

What it changes on the desk

Common file types

• Motor vehicle / bodily injury — multi-provider files with ER, imaging, physio, chiro, and specialists. See why multi-provider MVA files break chronologies and the auto & BI page.
• Workers' compensation — mechanism, restrictions, RTW. See the workers' comp page.
• Slip-and-fall / premises liability — causation and pre-existing degenerative findings. See reviewing slip-and-fall records for causation.
• Disability — long treatment histories and functional capacity. See disability claims.

Verify, don't trust

Every AI summary should be checked before it drives a decision. Because OctopusLM cites the page for every line, checking is fast: you verify the entries that matter to the claim rather than re-reading the file. Our checklist for verifying AI output covers what to look at.

Pricing for adjusters

Sign up and run a real file for $0.10 per page — no contract, no minimum. If you are running files every week, $250 per month unlimited. If your whole unit wants it, ask your manager about the Insurance & Legal team plan with shared cases and volume pricing.