Claims handling, written down honestly

The ground truth For adjusters & claims leaders

A day on the adjuster's desk

A hundred and forty open files, and the day goes to the ones that shout

9 min read The ground truth For adjusters & claims leaders

From first notice to first contact

The first 48 hours decide more of the claim than the next 48 days

9 min read The ground truth For every reader

Reserve stair-stepping, and what adequacy really means

Three increases in six months is not prudence. It is a reserve nobody set

10 min read The ground truth For claims executives

Where claims leakage hides

Not in fraud. In late notices, unpursued recoveries and payments nobody checked

10 min read The ground truth For adjusters & claims leaders

The clocks every claim runs on

Acknowledge, decide, pay: statutory clocks that start whether or not anyone is looking

9 min read The ground truth For claims executives

Why claims systems stall at 'system of record'

The record is complete. The work still happens in email, spreadsheets and memory

9 min read

How InsightCW works For adjusters & claims leaders

The Claim Workspace: one page per claim

Ten tabs and no payment button, replaced by one page that says what to do next

9 min read How InsightCW works For every reader

Ten claims agents, inside authority

Gather, reason, propose, govern — and a person decides

12 min read How InsightCW works For claims IT & architects

Grounded figures: why a model's number is thrown away

If the number is not in the file, the sentence does not ship

10 min read How InsightCW works For every reader

The autonomy dial, prepared decisions and pull-back

Draft, ask first, act and tell, act — and the evidence that earns each notch

11 min read How InsightCW works For claims IT & architects

The claims decision record

Every coverage position, hold and referral, with the rule and the facts behind it

9 min read How InsightCW works For adjusters & claims leaders

A claims copilot that cites the file

Ask about the claim on screen; every figure in the answer is checked against it

9 min read How InsightCW works For claims IT & architects

Rules Studio for claims

Severity, fraud, clocks, payment controls and bill review as rules a claims manager can read

9 min read How InsightCW works For claims IT & architects

Autorun: the agents read the file when it changes

A document arrives, a reserve moves, a suit is filed — and the file is read again

8 min read

Use cases, end to end For adjusters & claims leaders

Auto collision with subrogation

A rear-end collision, an identified other driver, and the recovery nobody chased

15 min read Use cases, end to end For adjusters & claims leaders

Workers' comp injury and medical review

A warehouse back injury, ninety days off work and a bill that does not match the injury

15 min read Use cases, end to end For claims executives

Property CAT event surge

A wind event, three hundred notices in four days, and an IA panel to stretch

15 min read Use cases, end to end For adjusters & claims leaders

D&O notice: the coverage position and the reservation of rights

A securities class action, a claims-made trigger and a retro date that matters

16 min read Use cases, end to end For adjusters & claims leaders

A cyber incident claim

Ransomware on a Friday night: breach coach, forensics, an extortion demand and a sanctions check

15 min read Use cases, end to end For adjusters & claims leaders

A litigated general liability claim

A slip-and-fall becomes a suit: panel counsel, a defense budget and the first LEDES bill

15 min read Use cases, end to end For adjusters & claims leaders

An SIU fraud referral

A stolen car, a policy three weeks old and an attorney on day four

14 min read Use cases, end to end For claims executives

A large loss, reported to reinsurance and the board

A warehouse fire crosses the line threshold, and three audiences need to hear the same number

14 min read Use cases, end to end For every reader

Payment controls: sanctions, duplicates and 1099

Three payments, three holds, and none of them a failed transaction

13 min read Use cases, end to end For adjusters & claims leaders

Closing a claim cleanly

Reserves to zero, a signed release, no approval waiting — and a closing letter

13 min read Use cases, end to end For adjusters & claims leaders

A late-reported claim against the policy at the loss date

Reported 74 days after the loss, on a policy that has since renewed

14 min read

The connected suite For claims executives

Claims experience in the underwriter's hands

The renewal sees the open suit, the deductible bill and the reserve that moved last week

9 min read The connected suite For claims IT & architects

Claims into reinsurance: cessions, recoveries and CAT

Every reserve movement is a cession movement. Reinsurance should not find out at quarter end

9 min read The connected suite For claims IT & architects

Portfolio signals and notices from documents

Pulse sees the book; Xtract reads the ACORD form

9 min read

Adopting it For claims executives

The first ninety days

One line, one desk, agents at 'draft' — and the evidence that earns the next step

10 min read Adopting it For claims executives

Measuring it: cycle time, LAE, leakage and reserve accuracy

Five numbers that say whether the claims desk got better

10 min read Adopting it For claims IT & architects

Governance and model risk for claims agents

Traces, versioned prompts, PII redaction, budgets — and tests that never call a model

11 min read Adopting it For claims executives

Build versus buy for a claims workbench

What it takes to build the agents, the controls and the record yourself

10 min read