Provenance Logs
Every decision is traceable to its inputs — policy provisions, FNOL facts, model version, and timestamp. Source attribution for auditors and litigation teams.
ENTERPRISE
Audit & Analytics
Every claims recommendation ships with citations, rationale, confidence, and exportable audit fields — built for regulators, litigation, and internal QA.
Decision Trails
Step-by-step reasoning with confidence scores and alternative paths considered. Adjusters see why a recommendation was made before accepting or overriding.
Compliance Mapping
Audit fields align to insurance regulatory expectations — exportable records for state exams, internal QA, and partner due diligence.
Pilot KPI Dashboards
Before/after measurement on triage speed, coverage accuracy, and subrogation identification — verified against your baselines during the 90-day pilot.
Sample decision outputs
Illustrative mockups — not live customer claims. Shows the cited policy language, reasoning, confidence, and audit fields returned to Guidewire or Duck Creek on every recommendation.
See the output
What your adjusters receive on every decision
Illustrative mockups — not live customer claims. Shows cited policy language, reasoning, confidence, and audit fields returned to Guidewire or Duck Creek.
Coverage Reasoning
CLM-2026-44102
Covered lossConfidence 92%
- Policy section
- Sec. 4.2 — Collision (AUTO-12.3)
- Finding
- Covered loss
- Confidence
- 92%
Policy citations
- Sec. 4.2 — CollisionApplies
Covered perils include collision with another vehicle
- Sec. 7.1 — ExclusionN/A
Racing events excluded
Reasoning
- Rear-end collision occurred during the covered policy period.
- Loss type matches Sec. 4.2 collision coverage — no applicable exclusions.
- Deductible of $500 applies per policy terms.
Audit trail attached — view decision history
Sample illustrative output for demonstration. Design partners verify decision quality on their own claim data in a 90-day pilot.
Why claims teams need auditable decisions
Regulatory confidence
Show state examiners and internal audit exactly how coverage and triage recommendations were made — with policy citations, not black-box scores.
Continuous improvement
Pilot dashboards reveal which decision paths deliver measurable value. Expand from triage to coverage or subrogation based on verified outcomes.
Stakeholder reporting
Executive summaries translate pilot KPIs — handling time, coverage accuracy, recovery capture — into language operations and finance leaders expect.
Risk management
Monitor model drift, override rates, and edge-case patterns during the pilot. Catch issues before broader rollout.
See audit trails in a claims pilot
Structured 90-day pilot on your Guidewire or Duck Creek stack — with exportable decision records from day one.