Dashboard Overview
Key performance indicators and system status
+18%
1,247
Total Cases
+12%
152
Active Cases
+1
8
Team Members
-2.3d
12.8d
Avg Resolution
+5.2%
93.4%
RTW Success
+23%
$847K
Cost Savings
Case Volume (Last 12 Weeks)
Case Status Distribution
Active Treatment
542
RTW Success
389
Pending Review
186
Closed
130
Case Management
All active and closed cases
1,247
Total Cases
+18%
152
Active
+12%
23
Unassigned
Needs Assignment
34
Pending Review
+5%
94.3%
RTW Success
+5.2%
12.8d
Avg Resolution
-2.3d
AI Auto-Distribution Ready
23 unassigned cases are waiting for distribution. AI can automatically assign based on case manager workload, expertise, and case complexity.
| Case ID | Patient | Injury Type | Case Manager | Status | AI Flags | Days Open | Actions |
|---|---|---|---|---|---|---|---|
| WC-2025-4782 | John Wilson | Back Strain | Sarah Johnson | ACTIVE TREATMENT | Fraud Alert | 14 | |
| WC-2025-4791 | Maria Garcia | Carpal Tunnel | Marcus Chen | RTW PLANNING | None | 42 | |
| WC-2025-4788 | David Thompson | Shoulder Injury | Emily Davis | ACTIVE TREATMENT |
Opioid Risk
High Cost
|
28 | |
| WC-2025-4756 | Lisa Chen | Ankle Sprain | Lisa Anderson | RTW SUCCESS | None | 21 | |
| WC-2025-4801 | Robert Martinez | Knee Injury | UNASSIGNED | PENDING ASSIGNMENT | AI Ready | 3 | |
| WC-2025-4799 | Amanda Johnson | Repetitive Strain | UNASSIGNED | PENDING ASSIGNMENT | AI Ready | 5 | |
| WC-2025-4797 | Michael Brown | Fracture - Wrist | UNASSIGNED | PENDING ASSIGNMENT |
AI Ready
High Priority
|
1 |
AI Agents ACTIVE
Machine learning agents powering intelligent case management
8
Active Agents
2,847
Tasks Today
96.3%
Avg Accuracy
$847K
Cost Saved
ICD-11 Coding Agent
Automated medical diagnosis coding
Accuracy
97.2%
Tasks Today
1,847
Impact
$234K saved
Fraud Detection AI
Identifies suspicious claim patterns
Accuracy
94.8%
Tasks Today
423
Impact
47 cases flagged
Opioid Risk Predictor
Predicts addiction risk from prescriptions
Accuracy
89.4%
Tasks Today
892
Impact
23 interventions
Prior Authorization Bot
Auto-submits treatment authorizations
Accuracy
98.1%
Tasks Today
634
Impact
4.2 hrs saved/day
Cost Escalation Predictor
Forecasts case cost overruns
Accuracy
91.7%
Tasks Today
1,247
Impact
$412K prevented
RTW Success Predictor
Predicts return-to-work outcomes
Accuracy
93.2%
Tasks Today
1,582
Impact
92% RTW rate
Documentation Quality AI
Ensures complete case documentation
Accuracy
87.3%
Tasks Today
245
Impact
34% improvement
Litigation Risk Analyzer
Identifies cases likely to be litigated
Accuracy
88.9%
Tasks Today
318
Impact
12 cases escalated
Real-Time AI Activity
Last updated: 2 seconds agoSuggested code G56.00 for Case #4782
97%
Confidence
Flagged Case #4791 for unusual activity pattern
87%
Confidence
Submitted authorization for physical therapy (Case #4788)
99%
Confidence
Estimated total cost $18.5K for Case #4756
94%
Confidence
AI Agent Configuration Center
No-code configuration for all AI agents - adjust settings with simple toggles and sliders
ICD-11 Coding Agent
Automated medical diagnosis coding
85%
50%
Lower = More suggestions
99%
Auto-Apply Codes
Automatically apply codes when confidence > 95%
Manual Review Alerts
Notify when confidence is between 70-85%
2,000
500
Tasks per day
5,000
Fraud Detection AI
Identifies suspicious claim patterns
High
Low
Medium
High
Auto-Flag Cases
Automatically flag suspicious patterns
Auto-Escalate High Risk
Send high-risk cases to compliance team immediately
Monitor These Patterns:
Performance Analytics Dashboard
Real-time metrics, accuracy trends, and impact analysis for all AI agents
ICD-11 Coding Agent
Current Accuracy
97.2%
â–² 2.4% this month
Tasks Completed
1,847
Today
Accuracy Trend (7 Days)
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Impact Metrics
Time Saved
127 hours
Cost Savings
$234,000
Error Reduction
-87%
Fraud Detection AI
Detection Rate
94.8%
â–² 1.2% this month
Cases Flagged
47
Today
False Positive Rate
Current Week
5.2%
Target: < 10% (Excellent performance)
Fraud Prevention Impact
Fraud Prevented
$1.2M
Cases Investigated
142
Confirmed Fraud
23
Overall AI System Health
96.3%
Avg Accuracy
8,292
Tasks/Day
$847K
Cost Saved
99.7%
Uptime
247h
Time Saved
Team Management
Manage case managers, permissions, and access
| Team Member | Position | Grade | Active | RTW % | MFA | Actions |
|---|---|---|---|---|---|---|
|
JM
Jennifer Martinez
jennifer.m@company.com
|
Senior Case Manager | A- | 28 | 91% | ||
|
SJ
Sarah Johnson
sarah.j@company.com
|
Case Manager | A+ | 24 | 96% | ||
|
MC
Marcus Chen
marcus.c@company.com
|
Case Manager | A | 26 | 93% | ||
|
ED
Emily Davis
emily.d@company.com
|
Senior Case Manager | A | 25 | 95% | ||
|
RW
Robert Williams
robert.w@company.com
|
Case Manager | B+ | 22 | 89% | ||
|
LA
Lisa Anderson
lisa.a@company.com
|
Lead Case Manager | A+ | 27 | 97% |