Property and casualty
Rings are visible across claims and invisible inside one.
An adjuster has minutes per claim and sees one file. The link that identifies organised activity sits between files, months apart, in details that were captured on the first notice of loss.
Systems
What is usually already there
A claims system, a document repository, a payments file, and an SIU that gets referrals late.
The platform reads what those systems post and nothing else. An entity is billed once it has actually been scored, and one nobody monitors is not.
The cross-reference runs on every claim
Not the ones that already looked wrong to somebody with time to look.
Documents cross as hashes
The file stays in your system. The platform can still say the same estimate arrived twice.
Referrals arrive with reasons
An SIU case opens holding the findings and the evidence, which is what a file note has to quote.
No coverage opinion, ever
Nothing here reads a policy or values a loss. It says where the details have been before.
Commitments
What a parent meeting asks
These are product commitments rather than settings. No administrator can switch one of them off.
- This is not a coverage decision
- No band, and no case, is a statement about whether a claim is payable. That decision and its notice are yours.
- The claimant hears nothing from us
- No reason, no score, and no notice reaches a claimant from this platform.
- Your outcomes are the measure
- The false-positive rate on your console is counted from verdicts your investigators recorded.
The data processing agreement carries the schools addendum.
Response
Where an alert goes
A case reaches the investigations queue with its findings. Reserves, payments and denials stay in your system.
The ladder is yours to configure. You decide whether an outside agency is reached, and a review nobody actions escalates on its own timer.
Insurance and claims
The vertical this business runs on
Carriers, TPAs, MGAs, and program administrators. Read the details
Other buildings
11 more, same product
What changes between a plant, a platform, and a lobby. All industries