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Business Insights

Move Subrogation Upstream in Insurance Claims With Agentic Orchestration

We don’t think any carrier deliberately misses recoveries. The miss is structural, due to a high volume of complex claims spread across multiple tools and screens. Anyone could easily miss the opportunity. In many organizations, subrogation is still treated as a downstream review after the claim is adjusted and payments go out. By the time recovery looks at the file, the evidence has cooled, and witnesses are harder to reach, so you’re likely to miss capturing necessary data to make a defensible recovery. Plus, your leverage with counterparties is significantly lower when the file is already heading to closure. That late identification shows up in three key places: Claims leakageThe carrier pays more than its fair share when responsibility isn’t…

Business Insights

Stop Late Severity Escalation in Claims With AI Agents

Late severity escalation claims, sometimes called “jumper claims” start out looking ordinary. Then, seemingly with no warning, they escalate materially after the organization has already set reserves, staffing expectations, and outcome targets.

Business Insights

6 Agentic AI Insurance Use Cases to Prioritize in Claims

Many carriers have already proven AI value in pockets of claims work. The problem is AI agents aren’t embedded within core processes. AI assistants or chatbots that summarize a document or draft an update do not, by themselves, take action autonomously within a set of predefined guardrails.

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