CasesEvery published claim
Every published claim, followed through every version
Each claim's page shows what every version decided and why. The report follows the first one.
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Life benefit
A planted fraud in the test set, written to look routine.
Under W3 Sent to a person: not certain enough for the amount at stake. The right call
Under the recommended design A person: not certain enough for the amount.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Parking-lot fender-bender
A small, clean, well-documented claim: the case automation is for.
Under W3 Paid automatically. The right call
Under the recommended design Paid with no person. The right call
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Large car repair
A clean claim over the large-claim limit, which a person must always see.
Under W3 Sent to a person: over the large-claim limit, so a person must see it. The right call
Under the recommended design A person, by a fixed rule.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Storm damage, paperwork to follow
An honest claim missing its documents: the right next step is to ask for them.
Under W3 The customer is asked for what is missing, automatically. The right call
Under the recommended design Asked for documents, with no person. The right call
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Storm-damaged roof
An honest claim that trips a hand-set fraud limit.
Under W3 Sent to a person: fraud signs above the limit. The right call
Under the recommended design A light fraud check by a person.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Slip-and-fall at a business
A commercial claim the first design settled alone by asking for more information, wrongly.
Under W3 Sent to a person: not certain enough for the amount at stake. The right call
Under the recommended design A person: not certain enough for the amount.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Burst pipe, flooded basement
A clean home claim sent to a specialist until the model's answers were weighed properly.
Under W3 Paid automatically. The right call
Under the recommended design Paid with no person. The right call
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Cracked windshield
A small claim the model was nearly sure of, just short of the certainty bar.
Under W3 Sent to a person: not certain enough for the amount at stake. The right call
Under the recommended design Asked for documents, with no person. The right call
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Burglary
An honest claim just under the bar, where a second model's agreement could settle it.
Under W3 Sent to a person: not certain enough for the amount at stake. The right call
Under the recommended design Asked for documents, with no person. The right call
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Life benefit, with a reply
A planted fraud that a reassuring made-up reply got paid.
Under W3 Sent to a person: not certain enough for the amount at stake. The right call
Under the recommended design A person: not certain enough for the amount.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.
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Life benefit, paid alone
The largest claim the recommended version settles with no person: the kind of decision an audit exists for.
Under W3 Paid automatically. The right call
Under the recommended design Over the payment limit: a person approves the payment.
A development claim, scored by settings fitted on the other claims; not from a test on fresh claims.