For insurers & reinsurers
Claims decisions, made visible.
AI-assisted decision-support, BPS risk visibility and portfolio MI for Income Protection, Group Risk and reinsurer claims teams.
What we build
The decision-support layer around complex claims workflows.
Decision-Support Audit
A structured diagnostic to identify where claims decisions, provider updates and rehabilitation pathways would benefit from clearer visibility.
Claims Visibility Dashboard
Operational and portfolio-level MI across referrals, duration, intervention stage, provider activity, RTW status and outcomes.
AI-Assisted Intake & Triage
Human-reviewed extraction, case summaries, risk flags, missing information and next-action prompts with source-linked evidence.
BPS Risk Intelligence
Biopsychosocial risk taxonomy, work-readiness indicators, triage pathways and audit-friendly decision logic.
How it is delivered
As services your systems call, not another platform to log into.
Claims teams already have systems. We proved these capabilities end to end in ClaimCompass — insurers, providers and clients on one shared, auditable case — and now offer them as services that plug into the estate you already run, by API or as an MCP server for your own AI agents.
An API your systems call
Structured referral intake, case status and tracking, biopsychosocial scoring, session approval and outcome analytics, exposed as endpoints your claims system, provider portal or data warehouse calls directly.
An MCP server your AI agents use
The same capabilities as tools your own assistants can call — so an agent in your estate can structure a referral, check a case or score risk, with a person approving anything consequential.
Explainable, and on the record
Every score comes back with the drivers behind it and every call leaves a record, so a decision can be evidenced later rather than defended from memory.
Why it matters
What this changes for a claims team, day to day.
- Claims drifting towards long duration get flagged while there is still time to act
- Rehabilitation referrals happen earlier, not after months in a queue
- Assessors reach consistent decisions, with the rationale recorded on the case
- When compliance, internal audit or the FOS asks, the evidence is already on file
The AI structures the evidence and surfaces the signals. Your specialists make the decision.
Audit-ready
Built for auditability, source evidence and decision provenance.
Our approach
A structured path from first look to ongoing support.
01
Discover
We map how the work actually flows and where time, money and control leak.
02
Design
We shape the right system around your workflow, governance and the standards you answer to.
03
Deliver
We build and roll out in controlled phases, testing on real cases as we go.
04
Support
Where useful, we stay on to monitor, maintain and improve the system by agreement.
Start