Define the knowledge gap.
Agree the workflow, expert examples and the held-out questions that will test process knowledge.
DIGITAL HUMAN / INSURANCE CLAIMSINDUSTRY 01
Expert judgment.
Across every claim.
The right decision is rarely on one screen. Bring your most experienced adjusters’ judgment to the moments that matter, with grounded knowledge first and governed action next.
Explore your workflowWORKFLOW IN FOCUSILLUSTRATIVE
FROM SIGNAL TO DECISIONILLUSTRATIVE
POLICY SCHEDULEAuthoritative source
SYSTEM STATUSSync unresolved
NEXT STEPHuman review
One claim. Two different signals.
The policy schedule is authoritative. The downstream system still shows an unresolved sync.
Motion reduced
THE PAIN, QUANTIFIED
The expensive work begins where the manual ends.
1–2 hrs
of reorientation time lost per adjuster, per day
internal estimate$25.7B
annual provider cost of claims adjudication
Premier Inc. · 2023 data~$18B
spent fighting denials ultimately overturned
Premier Inc. · national surveySource: Premier Inc., February 2025. Third-party figures describe provider adjudication, not Digital Human performance.
THE WORK, AS IT REALLY HAPPENS
A claim is not one screen, one rule or one source of truth.
A disability claim moves through intake, eligibility, diagnostic mappings, synchronization steps, status gates, deadline tasks and audit requirements, across several systems at once.
A senior handler carries the precedence rules in her head: which document overrides which system, what must never happen while data is unresolved and when one case is actually two claims that need parallel handling. Digital Human learns the judgment, not the keystrokes.
SEE THE APP AT WORKReal applications.
Real applications.
Real execution.
See the application and the model’s reasoning together: policy checks, a form filled, an added task and the final confirmation.
01 / Verify coverage
The policy coverage is checked before the claim is registered.
A silent 54.5-second highlights cut using synthetic demo data. Selected sequences play at 2× speed; form recovery and the expanded reasoning have time to read. The full application and reasoning panel remain visible together. Pause or use the chapters to inspect a moment. The claim is registered and under review, not approved or paid.
Read the scene overview
- Verify coverage. The policy coverage is checked before the claim is registered.
- Fill the form. The application fills with claim details while the actual reasoning trail remains alongside it.
- Recover the amount. An edited amount is corrected back to 2,500. Watch the recovery and the remaining fields.
- Add a task. The registered claim appears with New status. A client-note task is added.
- Write the note. The client note and expanded reasoning show the work and its explanation in the same frame.
- Confirm the outcome. The reasoning records completion. The confirmation email keeps the claim in New status for review.
DEPLOYMENT, AS EARNED
One bounded workflow. An agreed measure of progress.
Learn the decision patterns.
Train a specialist and review its errors with experts. Team-level variance reporting is a planned product surface.
Autonomy graduates.
One bounded workflow begins behind approval and expands only on a sustained, customer-validated record.
AGGREGATE BY DESIGN
Preserve the best work without grading the people.
Managers see workflow patterns and team-level coaching opportunities. The view that would produce individual performance scorecards does not exist in the product.
That boundary is written into the contract, privacy policy and interface.
Read the privacy architectureWEEKLY WORKFLOW PATTERNSTEAM LEVEL ONLY
IntakeEligibilityPolicy reviewRoutingClosure
Less variationMore variationIllustrative
No namesNo person rowsNo individual scorecards
ONE PROGRAM · TWO EVIDENCE TYPES
Clone the expert. Then execute the work.
LIVE EVALUATION
Unscripted probes against a live model.
Start with the question behind the field.
A recorded disability-claims Q&A asks what to do when valid intake data conflicts with a placeholder on the claim form. Explore that response beside documented rules for missing sources and linked-record synchronization.
8 recorded probes · 2 rounds · May 2026The transcript includes assumptions and imperfect answers. This count is not an accuracy score.
Explore the questionsRECORDED DEMO
Behavior shown in a recorded application session. This is not a production deployment or an accuracy benchmark.
Then follow the work across applications.
The supplied recording shows email intake, coverage verification and claim registration. An added instruction creates a processing note before the agent returns to the confirmation email.
54.5 seconds · silent highlightsThe claim finishes registered and under review. The full-frame film uses synthetic data and keeps the actual reasoning visible.
CHECKABLE MODEL1M claims × ~$50 handling × 30% reduction ≈ $15M / year
Illustrative model assumptions, not a measured customer result.