Flag anomalies in loss notifications and bordereaux submissions. Automated validation against treaty terms and historical patterns.
Reinsurers receive thousands of loss notifications and claims bordereaux monthly. Manual review misses duplicate claims, late reporting, claims outside treaty terms, and unusual loss patterns that indicate fraud or treaty breaches.
AI-powered claims monitoring that validates every loss notification against treaty terms, checks for duplicates, flags late reporting, identifies unusual patterns, and compares to historical baselines. Automatically escalates suspicious claims for investigation.
Validate 100% of loss notifications automatically
Detect duplicate claims and late reporting
Flag claims outside treaty coverage
Identify unusual frequency/severity patterns
Reduce leakage by $10M+ annually
Daily loss notification validation and processing
Monthly claims bordereaux reconciliation
Duplicate claim detection across cedents
Late reporting identification and follow-up
Extract and reconcile premium, claims, and commission data from bordereaux files. Handles multi-currency, multi-territory treaty structures.
Extract terms from treaty wordings and facultative slips. Identifies coverage layers, exclusions, and contract conditions.
Analyze loss ratios, expense ratios, and combined ratios by segment, territory, and underwriter. Identifies profitable and unprofitable accounts.