Carrier use cases · Automated invoice audit

Audit every invoice, not a sample of them.

Automated validation expands review from the invoices a team can reach to the whole population moving through the workflow.

The problem

What gets in the way today.

Manual audit capacity is fixed. As claims expense volume grows, the percentage of transactions actually reviewed falls, and control quietly weakens.

Why the problem exists

  • Audit is staffed as a sampling function, not a control function.
  • Adding reviewers scales cost as fast as it scales coverage.
  • There is no consistent record of what was checked and why.

What happens today

  • A minority of invoices are examined.
  • Findings depend on who reviewed the file.
  • Coverage cannot grow without headcount.
How VIP changes the workflow

Same claim. Different path.

Before VIP

Roughly one in ten invoices reviewed, by hand.

With VIP

The full pilot invoice population reviewed automatically, with people focused on exceptions.

  1. Invoice population enters the workflow
  2. Automated validation against contract terms
  3. Scored and routed
  4. Human review on exceptions only
  5. Approval
  6. Audit record retained
Evidence

What the pilots actually showed.

100%of pilot invoices audited, compared with about 10% under the existing manual processObserved pilot result
2.16%invoice accuracy improvementObserved pilot result

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

Business impact

  • Expand coverage without adding headcount
  • Consistent application of the same rules
  • A defensible audit trail on every transaction

Where this sits in the claim

Pre-FNOLFNOLClaims OperationsExpensePerformancePaymentClosureIntelligence

Related VIP capabilities

Success stories

Evidence this has been done.

Related use cases

Next to this one.

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.