Optimalex
- Company typePrivate
- Founded2020
- HeadquartersNew York, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
Optimalex firmographics
Firmographics- Name
- Optimalex
- Legal name
- Optimalex, Corp.
- Website
- https://optimalexsolutions.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
Optimalex industry classification
Industry- Product category
- Insurtech Software / Claims Predictive Analytics
- NAICS
- Other Insurance Related Activities (52429), Insurance Carriers and Related Activities (524), Claims Adjusting (524291)
- SIC
- Services-Computer Integrated Systems Design (7373), Services-Computer Programming, Data Processing, Etc. (7370), Fire, Marine & Casualty Insurance (6331)
- akta.pro primary industry
- Decision Optimization & Prescriptive Analytics (OR, simulation, what‑if) (HDAAAHAI)
- akta.pro secondary industry
- Risk Scoring, Hazard & Geospatial Analytics (FSAOAIAE)
Keywords
Where Optimalex is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Optimalex business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Subscription (Optimalex Solutions): Cloud-based software as a service solution provided via subscription. Customer receives online access to Optimalex Solutions as described in Order Form during the Term. Fees are set out in Order Form with payment due within 30 days of invoice receipt. Prices may be revised annually on January 1st with default escalation of 6% per annum.
- Additional Services: Professional services including training services, implementation or setup assistance, comprehensive analysis reports, and support and maintenance services. Purchased upon mutual agreement via Order Form. Remote delivery from Optimalex offices unless otherwise agreed. Additional Services must be used within term set forth in Order Form; unused portions are automatically forfeited.
- API Access: Agatha's power is available to users via APIs, allowing integration with existing claims systems and workflows.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise SaaS subscription with customizable feature access |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels8 records
Optimalex product offering
Product offeringCore offering
Optimalex provides an AI-powered claims predictive analytics platform called Agatha that estimates outcomes for Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation claims for property and casualty insurance carriers and law firms. Its product suite includes NOAH for data structuring, a Medical Expenses Calculator covering 155 million procedure-hospital combinations, AI underwriting analytics, and AI claims workflow assistance combining NLP, OCR, and RPA to reduce administrative time for claims adjusters.
Product overview
Optimalex is an insurtech platform offering AI-powered claims predictive analytics and workflow assistance for property and casualty insurance. The core product is Agatha, an end-to-end AI predictive analytics platform complemented by NOAH for data structuring and a Medical Expenses Calculator. Additional offerings include AI underwriting analytics and claims workflow automation combining NLP, OCR, and RPA technologies.
Differentiator
Problem solved
Functional benefit
Brands
- AGATHA: Award-winning AI predictive analytics platform providing interactive dashboards of estimated claim outcomes for property and casualty insurance companies and attorneys. AGATHA helps reduce uncertainty over the claims lifecycle and optimize outcomes in Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation claims.
- NOAH
Products and services
- Agatha Agatha is Optimalex's award-winning, end-to-end AI predictive analytics platform that provides interactive dashboards of estimated casualty insurance claim outcomes for property and casualty insurance carriers, captive insurers, and law firms. It supports Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation claims, lets users update parameters to run multiple estimates for the same claim, and exposes its predictive capabilities via APIs for integration with existing claims systems.
- NOAH NOAH is Optimalex's data structuring solution that curates and structures claims data to prepare it for prediction. It houses all prior claims and cases in one place, provides summaries in Agatha prediction format, and assists in-house data scientists in maximizing the value of unstructured insurance data for downstream predictive analytics.
- Medical Expenses Calculator The Optimalex Medical Expenses Calculator helps claims, legal, and medical teams estimate procedure-level medical costs with speed and consistency, grounded in broad market coverage and transparent pricing breakdowns. It covers 155 million procedure-hospital combinations, enabling confident evaluations for uncommon procedures, remote geographies, or highly variable price ranges.
- Additional Professional Services Professional services including training services, implementation or setup assistance, comprehensive analysis reports, and support and maintenance services purchased upon mutual agreement via Order Form. Remote delivery from Optimalex offices unless otherwise agreed, with unused portions forfeited at term end.
Quantifiable outcome
- Up to 14% reduction in loss ratio by avoiding nuclear verdicts and optimizing settlement vs litigation trade-offs
- +4 more outcomes
Companies that use Optimalex
Customer profileNamed customers6 records
Segments4 records
Ideal customer profiles4 records
Optimalex technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability9 records
Feature7 records
Optimalex partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core, minor and flagship.
- Vermont Captive Insurance Association (VCIA)coreOptimalex is a proud member of VCIA. Founder Frank Giaoui was a guest speaker at the 2025 VCIA Annual Conference on the panel 'Using Predictive Analytics to Optimize Program Efficiency'. Company participates in captive insurance industry events.
- Chart RRGcoreChart RRG, a leading member-owned medical professional liability risk retention group protecting community hospitals and physicians in Northeast states, selected Optimalex's AI platform Agatha in July 2025. The partnership enables Chart RRG to leverage AI predictive analytics for claims management and optimization.
- Sunlight SimplifycorePartnership announced April 2025 with Sunlight Simplify, a cloud-based no-code/low-code Policy Administration software solution for Medical Professional Liability insurance carriers and MGAs. The integration enriches Sunlight Simplify's offering with Optimalex's predictive analytics, giving clients access to claims predictive analytics techniques and increased efficiencies. Bernadette Leh, President and Co-Founder at Sunlight Simplify, stated the collaboration provides more options for clients to increase efficiencies.
- Crittenden Medical Liability InsuranceminorOptimalex participated in the Crittenden Research Medical Liability Conference 2025 in Miami FL in April 2025. Frank Giaoui shared a panel discussion on data analytics and predictive modeling. Company strengthens relationships with patient safety and risk management professionals.
- Professional Liability Underwriting Society (PLUS)minorFrank Giaoui represented Optimalex at the PLUS Healthcare & Medical PL Symposium in Phoenix AZ on April 30, 2025. Presented on AI trends in healthcare alongside experts dedicated to MPL carriers and self insureds.
- Medical Professional Liability Association (MPLA)flagshipOptimalex is a Premium Partner of the Medical Professional Liability Association. Company sponsors MPLA events including Annual Conference, CEO/COO Meeting, Board Governance Roundtable, Claims Risk Management/Patient Safety Workshop, and Underwriting and Claims Management Conference. Founder participates in panel discussions on AI in claims management.
- American Society for Health Care Risk Management (ASHRM)minorOptimalex attended the ASHRM 2024 Annual Conference in San Diego CA on October 6-10, strengthening relationships with patient safety and risk management professionals.
- InsurTech NYminorSelected into InsurTech NY's Growth-Stage Accelerator program cohort in October 2023. The accelerator helps early-stage insurtech companies grow and provides opportunities to meet with insurance carrier decision-makers, investors, and other founders.
- Guidewire Insurtech VanguardsflagshipJoined Guidewire's Insurtech Vanguards program in January 2023, an initiative led by Guidewire to help insurers learn about insurtechs. Guidewire provides strategic guidance and advocates for participating insurtechs while connecting them with Guidewire's P&C customers. Laura Drabik, Chief Evangelist at Guidewire, noted Optimalex gives insurance clients access to legal predictive analytics for improved efficiency in early claims assessment.
- ALM's Law.com VerdictSearchcorePartnership announced December 2022 with ALM's Law.com VerdictSearch to offer VerdictSearch users access to Optimalex's legal predictive analytics. Companies worked to create a version of Agatha based on VerdictSearch's data in Medical Malpractice. ALM VP & GM Richard Caruso expressed enthusiasm about combining Law.com VerdictSearch's data with Optimalex's predictive expertise.
- Great American Insurance GroupcorePartnership began September 2022 to pilot a legal predictive analytics claims solution. Great American Insurance Group, a major insurance carrier, partnered with Optimalex to test Agatha's capabilities in their claims management workflow.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
Optimalex competitors and assessment
Company assessmentDirect peers
- CLARA Analytics: CLARA Analytics applies AI to P&C insurance claims, including claims triage, litigation management, and outcome prediction. Direct overlap with Optimalex's Agatha platform in using AI to reduce claims severity and adjuster workload for carriers.
- CCC Intelligent Solutions: CCC Intelligent Solutions is a major AI and software provider for P&C claims, particularly in auto and casualty, with predictive analytics and claims management workflows. Comparable in customer base (P&C carriers, MVA focus) and analytical approach to claims outcomes.
- Shift Technology: Shift Technology offers AI-driven fraud detection, claims automation, and underwriting for insurance carriers globally. Comparable AI-native approach to claims decisioning and workflow automation serving the same P&C carrier buyers.
- Mitchell International: Mitchell provides claims management software, medical cost analytics, and outcome data for P&C insurers, especially in auto and workers' comp. Overlaps with Optimalex in medical expenses benchmarking and claims outcome benchmarking.
- Snapsheet: Snapsheet delivers claims management technology, including appraisal and AI-based claims workflows for auto and property insurers. Comparable focus on digitizing and accelerating P&C claims handling.
Broad incumbents
- LexisNexis Risk Solutions: LexisNexis Risk Solutions provides large-scale legal, public records, and insurance data analytics. Comparable as the incumbent legal-data backbone that powers parts of Optimalex's platform and competes via broader carrier analytics suites.
- Verisk: Verisk is a leading data analytics and risk-assessment provider for insurance, with claims solutions like ClaimSearch. Overlaps with Optimalex in providing claims outcome and fraud analytics to P&C carriers but at much greater scale and breadth.
- Guidewire Software: Guidewire is the dominant core platform vendor for P&C insurers, with an expanding analytics marketplace (including Optimalex via Insurtech Vanguards). Competes indirectly by embedding analytics natively and partnering/competing with insurtechs.
Emerging players
- Cytora: Cytora applies AI to commercial insurance underwriting and risk intelligence. Comparable as an AI-native insurtech selling into P&C carrier workflows, though focused on underwriting rather than claims prediction.
Others
- ALM (Law.com VerdictSearch): ALM's Law.com VerdictSearch is the legal verdict database partner for Optimalex's Agatha. Listed as a peer/ecosystem participant since it both supplies the underlying data and distributes Optimalex analytics to VerdictSearch users.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Optimalex social profiles
Digital presenceOptimalex compliance and trust
Trust signalCompliance2 records
Optimalex financial estimates
Financial estimateRevenue estimate
Valuation estimate
Optimalex leadership team
Management profileNumber of profiles
Profiles13 records
Optimalex funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Optimalex M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Optimalex
What does Optimalex do?
Optimalex provides an AI-powered claims predictive analytics platform called Agatha that estimates outcomes for Motor Vehicle Accident, General Liability, Medical Malpractice, and Workers Compensation claims for property and casualty insurance carriers and law firms. Its product suite includes NOAH for data structuring, a Medical Expenses Calculator covering 155 million procedure-hospital combinations, AI underwriting analytics, and AI claims workflow assistance combining NLP, OCR, and RPA to reduce administrative time for claims adjusters.
Is Optimalex a public or private company?
Optimalex is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Optimalex founded?
Optimalex was founded in 2020. It employs 1 to 10 people.
Where is Optimalex based?
Optimalex is headquartered in New York, United States, in the North America region.
How does Optimalex make money?
Three revenue lines are on record. SaaS Subscription (Optimalex Solutions) is the primary driver. The others are additional Services and API Access.
Who are Optimalex's main competitors?
Direct peers on record are CLARA Analytics, CCC Intelligent Solutions, Shift Technology, Mitchell International and Snapsheet. Broad incumbents are LexisNexis Risk Solutions, Verisk and Guidewire Software. Cytora is listed as an emerging player. ALM (Law.com VerdictSearch) is listed as an others.
Does Optimalex have an API?
Yes. Agatha's power is available to users via APIs. The platform provides API access for developers to integrate predictive analytics capabilities into their existing systems.
What industry is Optimalex in?
Optimalex's product category is Insurtech Software / Claims Predictive Analytics. Its primary akta.pro industry code is HDAAAHAI, Decision Optimization & Prescriptive Analytics (OR, simulation, what‑if), with a secondary code of FSAOAIAE, Risk Scoring, Hazard & Geospatial Analytics. Its NAICS code is 52429 and its SIC code is 7373.