Question 1

How does Cadence Claims reduce claim review time?

Accepted Answer

With Cadence Claims, the examiner uploads the full claim file and Cadence returns a case overview, AOE/COE assessment, Plan of Action, future medical estimate, PD rating, and dynamic timeline — enabling faster and more credible decisions in minutes, versus days or weeks. Broadspire reduced weekly POA work from 5 days to 2 days on a 208-claim pilot.

Question 2

How is Cadence different from ChatGPT or generic AI?

Accepted Answer

Unlike generic AI tools, Cadence is purpose-built for California workers' compensation on trusted sources including Sullivan on Comp, AMA Guides, the California PDRS, and the Michael Sullivan & Associates Best Practices Guide. It does not simply generate answers — it understands the law, the nuances of the claim, and the context needed to produce reliable analysis with minimal human intervention. Adjusters do not need to become prompt engineers. Cadence applies best practices automatically and helps ensure consistency across every claim.

Question 3

How does Cadence support Total Cost of Risk (TCOR) reduction?

Accepted Answer

Cadence Claims reduces TCOR by surfacing apportionment signals and prior injuries early enough to move strategy, producing PD ratings against the AMA Guides 5th Edition and the California Permanent Disability Rating Schedule so settlements anchor to authority, and grounding reserves in real fee-schedule data. Sedgwick and Broadspire have used Cadence as a TCOR and PAR audit risk-reduction tool.

Question 4

How does Cadence support PAR-audit readiness?

Accepted Answer

Cadence Claims supports PAR-audit readiness by applying the California Labor Code and Sullivan on Comp to every claim, returning documented rationale for each decision, generating suggested benefit notice language with every AOE/COE assessment, and producing an audit trail examiners can use to self-audit before regulators do.

Question 5

Does Cadence make benefit determinations?

Accepted Answer

No. California law requires the benefit determination to be made by the licensed adjuster. Cadence is an assistive analytical tool. The adjuster reviews and decides.

Question 6

How are Plans of Action generated?

Accepted Answer

Automatically at file ingestion. Cadence correlates facts across the full record against California law and Michael Sullivan & Associates best practices, then produces a structured Plan of Action that updates as new documents arrive.

Question 7

Does Cadence integrate with our claims management system?

Accepted Answer

No heavy integration is required. Cadence ingests claim files directly. Most pilots are live within days. Direct claims management system integration for automatic document analysis is in development.

Question 8

What is Cadence's security model?

Accepted Answer

Cadence Claims is SOC 2 Type 2 certified and HIPAA compliant. Security features include enterprise-grade encryption in transit and at rest, SSO/SAML, role-based access controls, audit logging, and configurable data retention with least-privilege handling. Full details at trust.cadencegroup.com.

Cut Claim Review Time with AI Built for California TPAs

Keep Every File Moving & Every Decision Defensible

Analyze, Cite & Defend the Whole Claim

Whole-file understanding.

Plans of Action auto-generate.

Send defensible future medical care estimates.

Validate & Generate Ratings.

Get time back.

Issue consistent benefit notices across your panel.

Read your file chronologically.

Export every output as structured PDF or DOCX with citations.

Anchor Every Decision in California's Leading Authorities

Trusted by Leading Adjusters

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Common Questions About Cadence Claims