Live claims calls
Follow a first notification of loss as it happens: draft the claim, track the checklist and coach the handler.
Patchworks Call IntelligenceDecisions
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Check claim files against policy thresholds, dates and cover rules, with every answer carrying its own probability.
Question
Was the loss notified within the deadline set by the policy?
Case text
Policy: notify us no later than 7 days after the incident. Claim: incident on 3 March, first call on 8 March.
Claims teams spend much of their time on questions with clear rules: was the loss inside the policy period, was it reported in time, does the event meet the cover’s thresholds. Answering them consistently, and knowing when to ask a person, is the job.
Policy rules are written as plain-language questions.
A decision engine answers each question for every claim file, with a probability.
Answers combine into a verdict for each cover.
A review band sends uncertain answers to a claims handler and decides the confident ones.
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DecisionsMotor claims, Portuguese policy
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We demonstrate every use case with synthetic data, then discuss what an equivalent would need inside your organisation: data, controls, people and delivery.
Follow a first notification of loss as it happens: draft the claim, track the checklist and coach the handler.
Broker quotes and mid-term policy changes, with the submission drafted and disclosures tracked as the call goes.
Turn plain-language questions into typed answers with probabilities, and route the uncertain ones to a person.