Carrier use cases · Adjuster efficiency

Give adjusters their time back.

Routine expense validation is rule work. Automating it keeps adjusters on the claim instead of on invoice exceptions.

The problem

What gets in the way today.

Expense review and fallout rework land on adjusters who are already carrying files, and the time cost rarely shows up in any expense number.

Why the problem exists

  • Adjusters are the fallback owner when a transaction fails.
  • Rule checking is delegated to judgement.
  • Rework is invisible in claim metrics.

What happens today

  • Adjusters spend claim time on invoice questions.
  • Exception handling competes with customer work.
  • Capacity is absorbed by process, not claims.
How VIP changes the workflow

Same claim. Different path.

Before VIP

Adjusters absorb the process overhead.

With VIP

Adjusters see only what genuinely needs a claims decision.

  1. Rules applied automatically
  2. Clean transactions pass through
  3. Only genuine exceptions routed to a person
  4. Adjuster involvement reserved for claim judgement
Evidence

What the pilots actually showed.

13.1% → 9.3%invoice falloutObserved pilot result
100%of pilot invoices audited, compared with about 10% under the existing manual processObserved pilot result

Results from a 60-day carrier pilot. Carrier not identified.

Business impact

  • Less non-claim work per adjuster
  • Faster handling on the files that matter
  • Capacity released without adding staff

Where this sits in the claim

Pre-FNOLFNOLClaims OperationsExpensePerformancePaymentClosureIntelligence

Related VIP capabilities

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Bring us one claims workflow.

Show VIP where the friction exists. We will map the workflow, identify the operating gaps and show where VIP can create measurable value.