Financial services
Insurance claims automation
Compress claims cycle time by automating intake, triage and evidence assembly, while keeping a licensed adjuster on every decision that affects a policyholder.
The problem
What this fixes.
Built for Claims and operations leaders at insurers carrying long cycle times and rising adjuster workloads.
Claims intake is manual, and triage depends on whichever adjuster picks up the file.
Evidence assembly across systems eats the time adjusters should spend on judgement.
Regulators and model-risk functions require every adjudication to be explainable.
How we deliver it
From problem to production.
01
Intake
First notice of loss is captured and structured from any channel, with missing information flagged immediately.
02
Triage
Claims are routed by complexity and risk, concentrating adjuster attention on the cases that need judgement.
03
Assemble
Policy terms, history and supporting evidence are gathered and presented in one reviewable case.
04
Adjudicate
A licensed adjuster decides, with the AI surfacing evidence and policy, never deciding a denial alone.
Outcomes
What good looks like.
0%
Reduction in claims cycle time
0%
Straight-through triage on simple claims
0%
Adjuster time returned to judgement work
Indicative ranges drawn from comparable engagements, measured against a pre-AI baseline. Your figures are set and tracked from your own data during delivery.
What you get
Shipped, owned, documented.
Every engagement hands over working software in your repositories, with the evidence to run and audit it.
Multi-channel claims intake and structuring
Risk and complexity triage routing
Automated evidence and policy assembly per claim
Adjuster decision workspace with full reasoning trail
Model-risk audit pack and evaluation harness
Questions
What buyers ask first.
No. The AI assembles evidence, surfaces policy and accelerates approvals, but a licensed adjuster owns every adverse decision. This is both the defensible design and, in a growing number of jurisdictions, the legal requirement.
It is built to. Every adjudication is explainable and traceable, and the engagement ships with an audit pack, a versioned evaluation harness and a documented residual-risk register designed for second-line review.
Capabilities behind it