Jopari Solutions and Verisk Partner to Transform Medical Claims Processing with AI-Powered Analytics and Faster Decision-Making

Jopari Solutions and Verisk have announced a strategic collaboration to modernize medical claims processing by integrating Verisk’s advanced data analytics and generative artificial intelligence capabilities into Jopari’s existing suite of electronic medical billing and claims management solutions. The partnership aims to make medical record review faster, more accurate, and less reliant on manual effort for healthcare payers and claims handlers. Jopari, a leader in secure electronic medical claims and billing with a nationwide delivery network spanning 2.9 million healthcare participants, will now leverage Verisk’s AI-powered medical record review and severity scoring models. These tools will be embedded into Jopari’s platform to enhance decision-making from the moment a claim is received through final adjudication. Medical record review has long been one of the most labor-intensive and error-prone stages in the claims lifecycle. Traditionally, reviewing a single claim can take hours or even days, leading to delays, inconsistent decisions, and increased administrative costs. With rising staff constraints and cost pressures, these inefficiencies are becoming increasingly problematic. The new collaboration will provide payers with pre-validated, structured data at the front end and actionable insights at the back end, enabling earlier intervention, smarter processing, and faster claim resolution. By identifying high-risk claims more quickly, insurers can improve outcomes and reduce exposure. “Claims organizations are under immense pressure to do more with less,” said Steve Stevens, CEO of Jopari Solutions. “By combining Jopari’s nationwide healthcare provider delivery infrastructure with Verisk’s advanced AI and analytics, we will give carriers the ability to intervene earlier, process smarter, and resolve claims faster. This is about embedding intelligence into the workflow.” Verisk’s AI-driven solutions have already demonstrated the ability to reduce insurance medical record processing times by up to 90% compared to manual methods. The technology automates repetitive tasks, improves accuracy, and supports claims handlers with data-backed recommendations. This partnership extends Verisk’s ecosystem strategy, enabling seamless integration of proprietary data and analytics into existing client workflows. “Clients are demanding smarter, more connected solutions,” said Carrie Barr, President of Casualty Solutions at Verisk. “By combining our strengths with partners like Jopari, we’re accelerating and improving workflows to speed up decisions, enhance outcomes, and reduce the IT burden for faster implementation.” Jopari and Verisk plan to share additional details about the collaboration at the National Workers’ Compensation and Disability Conference in Nashville, Tennessee, on November 11–12, 2025. Jopari Solutions, Inc. is a healthcare IT company providing electronic billing, attachment management, and flexible medical payment solutions for Workers’ Compensation, Auto Medical, and Commercial & Government healthcare markets. Its national network connects payers, providers, and clearinghouses, streamlining eBill and ePay processes, reducing administrative costs, and ensuring compliance with federal and state regulations. For more information, visit www.jopari.com, email info@jopari.com, or call 800.630.3060.