Triages incoming claims by complexity and risk the moment they arrive, assembles the underwriting file automatically, and recommends a decision with a documented rationale — your team still signs off on every case.
Assessa is in early access with insurance carrier design partners. The estimator below is grounded in published industry claims-processing benchmarks, applied to your own volume.
Most carriers process claims in the order they arrive, not by urgency or complexity — high-risk and low-effort claims sit in the same queue.
Application data, third-party reports, and prior claims history often get manually re-entered across systems before a decision can even start.
Without a documented, explainable rationale behind every decision, carriers face regulatory and reputational exposure when decisions are challenged.
A simple, clearly-covered claim can sit for days behind claims that genuinely need adjuster attention — hurting customer experience for no reason.
Scores incoming claims for complexity and risk the moment they arrive, routing straightforward claims to fast-track and complex ones to senior adjusters.
Pulls application data, prior claims history, and third-party reports into one structured file — no manual re-keying.
Runs every case against your documented underwriting and claims-adjudication rules the same way, every time — with a full explainable rationale attached.
Surfaces a recommended decision with supporting rationale for every case — final sign-off always stays with a licensed underwriter or adjuster.
Own claims cycle-time and customer-satisfaction metrics and need faster triage without adding adjuster headcount.
Spending hours per application assembling the same third-party data before the actual underwriting judgment can even begin.
Need every underwriting and claims decision to carry a consistent, documented, and auditable rationale.
Uses published industry benchmarks for manual claims triage vs. an agent-assisted target.
Illustrative estimate applying published industry manual-triage benchmarks against an agent-assisted target. Actual results depend on claims mix and system integrations — refined during early access onboarding.
Industry research on claims operations (McKinsey and LIMRA insurance-automation studies) consistently finds that manual intake and triage — before any actual adjudication judgment begins — consumes a large share of total claims-handling time, and that straightforward, low-complexity claims are frequently delayed behind genuinely complex ones simply due to first-in-first-out queuing. Assessa targets the same category of triage-time and queue-fairness improvement, validated against your own claims mix during early access.
Assessa is designed so every recommendation carries a documented rationale — the same explainability discipline behind our Warden AI governance product.
Assembling data cleanly from policy admin systems, claims platforms, and third-party report providers is systems-integration engineering — exactly what Varcio's cloud practice does daily.
Assessa is built as a recommendation and triage layer, never an auto-decisioning black box — keeping your licensed professionals firmly in control.
Become an early access design partner and let's pilot Assessa on your highest-volume claim type first.