First commercial Decision Intelligence Pack
ClaimVeritas
Policy-Aware Claims Intelligence
AI-assisted claims analysis grounded in policy conditions, evidence and traceable reasoning.
Claims decisions require more than document search
A single claim can draw on a wide set of information, held in different formats and produced by different people at different times.
- Policy documents
- Claim forms
- Supporting evidence
- Coverage conditions
- Exclusions
- Dates
- Customer information
- Previous records
- Internal claims procedures
The harder question is:
Does the available evidence support the claim under the applicable policy conditions?
Retrieving the documents is the straightforward part. Relating them to one another, under the conditions that actually apply, is the work.
Workflow
How a claim moves through ClaimVeritas
Each step narrows the question, and every step is recorded so the basis of the recommendation stays visible.
Claim workflow
08 stages
Claim
Relevant Policy
Coverage & Conditions
Supporting Evidence
Rules & Constraints
AI Reasoning
Recommendation
Human Review
Capabilities
What ClaimVeritas is designed to do
Policy Conditions
Identify and interpret policy provisions relevant to the claim.
Claim Information
Structure facts and circumstances associated with the claim.
Supporting Evidence
Evaluate documents and information provided in support of the claim.
Conditions & Rules
Check the claim against applicable conditions, exclusions and business rules.
Missing & Conflicting Information
Identify information requiring clarification or additional evidence.
Recommendation
Produce a structured recommendation with supporting evidence and relevant reasoning.
Traceability
Evidence-backed decisions
A recommendation is only useful to a claims team if the basis for it can be inspected. ClaimVeritas is designed so each of these questions has an answer on the record.
Decision trace
- Evidence
What evidence was considered?
- Policy
Which policy conditions apply?
- Reasoning
What supports the recommendation?
- Gaps
What information is missing or contradictory?
- Review
Where does human review remain necessary?
Human control
Human review remains part of the workflow
AI assists with the analysis.
The organization retains decision authority.
Human review checkpoint
AI Analysis
Recommendation
Human Review
Approve / Change / Escalate
Platform connection
Built on the AI&S Global Platform
ClaimVeritas is the insurance configuration of the same reusable layers described on the platform page.
AI&S Global Platform
Knowledge, reasoning, agents, governance.
Insurance Domain Intelligence
How claims work in practice.
Policy Conditions
Coverage, conditions, exclusions.
Claims Evidence
What the claim is grounded in.
Decision Logic
How a recommendation is reached.
ClaimVeritas
Pilot
Start with a focused pilot
We are currently looking for insurance organizations interested in validating ClaimVeritas through a focused pilot.
What a pilot covers
- Defined claim type
- Representative policy and claim data
- Controlled evaluation environment
- Human review workflow
- Agreed success metrics