Claims Intelligence

See what's moving across your claims book while there's still time to act.

Bordereaux, loss runs and system extracts show the numbers. The reasons sit in thousands of reports, letters and expert opinions. Claims Intelligence connects the two, so you can see which claims are deteriorating, why, and where it says so.

Decision intelligence for heads of claims, technical claims, reserving and portfolio teams, across complex casualty, property/BI and financial lines claims

Bordereaux, loss runs and claim files connected to a portfolio view of open claims

Across the book

The questions you ask every week, answered with evidence

Which open claims changed materially since the last review?

A ranked list of files with new claimants, revised estimates or conflicting evidence, each change linked to its source.

Where are reserves and defence costs moving faster than expected?

Movements across the book, set against what the reports and counsel's estimates say.

What do these claims have in common?

Patterns across files that share a product, insured, jurisdiction or panel firm.

Which files need a decision or an escalation?

Claims that meet your escalation criteria, with the evidence ready for the claims committee.

Do the bordereau figures match the claim files?

Reported paid, outstanding and incurred figures reconciled against the documents, with differences flagged.

Which claims are showing early signs of severity?

Large-loss indicators such as new claimants, upgraded injuries and rising expert estimates, flagged between reviews.

Where teams use it

How claims teams use Claims Intelligence

Live claims oversight

Keep the whole book in view between reviews

Every claim worked in Claims Workflows feeds the portfolio view. Claims leaders see material changes, adverse development and unusual reserve movements as they happen, and can go from any figure to the claim and the page behind it.

  • Review lists ranked by what changed
  • Earlier sight of large-loss and reserve movements
What changed across open claims
Reserves and defence costs

See where they've drifted from the documents

Counsel's estimates, adjusters' reports and expert fees move faster than the reserve sheet. Navi compares the figures in the documents with the reserves you hold and shows where they've drifted apart across the book. Setting the reserve stays with your team.

  • Reserve and cost movements across open claims
  • Gaps between document figures and reserves held
Reserve and defence cost movements
Delegated and reinsured claims

See behind the bordereau

Carriers overseeing delegated claims, reinsurers and claims auditors can check reported claims against the underlying files, see where the figures and the evidence disagree, and focus their reviews on the files that changed.

  • Reported figures checked against the claim files
  • Questions for the TPA or cedant, with the pages attached
Delegated claims and bordereau checks
Underwriting

Bring what the claims say back to underwriting

The reasons behind your losses sit in claim files: a component that keeps failing, a clause that gets tested, an insured with a pattern. Navi finds those patterns across the book and puts them in front of your underwriters before renewal.

  • Patterns across claims by product, insured, broker or jurisdiction
  • Developing claims flagged ahead of renewal
Claims insight for underwriting
Legacy, run-off and M&A

Know what's in a claims portfolio before you take it on

Before acquiring a book, writing a loss portfolio transfer or taking on run-off, standardise the loss runs, bordereaux and claim files, reconcile the figures and find the claims where the files tell a different story from the data.

  • Reconciled figures, with exceptions to investigate
  • A diligence pack with evidence and open questions
Run-off and M&A due diligence

How it works

From documents to a decision in three steps

01

Bring the book together

Load claims system extracts, bordereaux, loss runs and claim files in whatever format they arrive. Navi standardises them into one set of claim records, even across thousands of claims.

02

Connect each figure to its evidence

Every claim's figures link to the reports, letters and wording behind them. Where the data and the documents disagree, Navi flags it.

03

Investigate and decide

Start from the portfolio view, open the claim, check the source page and decide what happens next. The handler working the claim sees the same evidence.

Compre

“Parsewise surfaces material claims risk earlier, which directly protects our combined ratio.”

Compre Group · Legacy & Run-off Specialist · Portfolio acquisition diligence and claims reconciliation

See Claims Intelligence on a casualty book

We'll build a portfolio view from claim files and bordereaux, then follow one material change as it moves a claim up the review list. Every figure traces back to its source. Then we'll scope a pilot on your own files.

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