DIGITAL HUMAN / INSURANCE CLAIMSINDUSTRY 01

Expert judgment.
Across every claim.

The right decision is rarely on one screen. Help teams draw on experienced adjusters’ knowledge, then move toward action with human oversight.

Explore your workflow
Conflicting recordsClaims knowledgeHuman oversight
WORKFLOW IN FOCUSILLUSTRATIVE
FROM SIGNAL TO DECISIONILLUSTRATIVE
Two luminous information streams meet inside a faceted emerald lens and resolve into one clear path.
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 survey

Source: 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 spans intake, eligibility, medical evidence, deadlines and reviews across several systems.

Experienced handlers know which source to trust, when to wait and when linked claims need separate attention. Digital Human is designed to learn that judgment.

SEE THE APP AT WORK

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.

ACTUAL APP RECORDING00:55 / SILENT HIGHLIGHTS
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
  1. Verify coverage. The policy coverage is checked before the claim is registered.
  2. Fill the form. The application fills with claim details while the actual reasoning trail remains alongside it.
  3. Recover the amount. An edited amount is corrected back to 2,500. Watch the recovery and the remaining fields.
  4. Add a task. The registered claim appears with New status. A client-note task is added.
  5. Write the note. The client note and expanded reasoning show the work and its explanation in the same frame.
  6. 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.

ASSESS & SCOPE

Define the knowledge gap.

Choose the workflow, expert examples and unseen questions that will test what it learns.

TRAIN & EVALUATE

Learn the decision patterns.

Train the specialist and review mistakes with experts. Team-level workflow reporting is planned.

VALIDATE & DECIDE

More freedom, when proven.

Begin with human approval. Expand only when sustained results meet the customer’s agreed standard.

AGGREGATE BY DESIGN

Preserve the best work without grading the people.

The planned view shows team-level workflow patterns and coaching opportunities. Individual performance scorecards are excluded.

That boundary is written into the contract, privacy policy and interface.

Read the privacy architecture
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 Q&A explores conflicting claim records. See the response alongside documented rules for missing information and linked claims.

8 recorded probes · 2 rounds · May 2026

The transcript includes assumptions and imperfect answers. This count is not an accuracy score.

Explore the questions
RECORDED 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 recording follows email intake, coverage checks and registration. It also shows an added note and a confirmation email.

54.5 seconds · silent highlights

The claim ends registered and under review. Synthetic data is used; the app and recorded reasoning stay visible.

CHECKABLE MODEL1M claims × ~$50 handling × 30% reduction ≈ $15M / year

Illustrative model assumptions, not a measured customer result.

DESIGN PARTNER PROGRAM

Bring us the claim your best adjuster handles differently.

Start with an assessment, then target a 60-day pilot with an agreed validation plan.

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