Contestable Claim Review demo

Every answer on the application set against the medical history, on one timeline, so the examiner can see whether a misstatement mattered. 1:13

What the demo shows

A claims solution for life examiners that sets each application answer against medical records.

Six agents read every page of a contestable claim the day its records are complete, date each diagnosis, test, prescription and visit on one timeline, set each application answer against it with the page behind each mismatch, and re-underwrite the true facts on the manual in force at issue, so the examiner sees whether a misstatement mattered and decides, with the medical director confirming and counsel approving any rescission.

Transcript

  1. Contestable Claim Review sets each life application answer against the insured's medical records.
  2. When an insured dies within two years, examiners read hundreds of pages by hand.
  3. Martin Ressler died 18 months after issue.
  4. Six agents put all 412 pages on one timeline.
  5. He answered no to heart conditions, but a cardiology note diagnosed coronary disease 112 days before.
  6. One click opens the cardiologist page, each sentence highlighted.
  7. Would the policy have issued?
  8. Under the manual used that day, no.
  9. Postponed. Alone, the cholesterol answer changes only the class.
  10. The heart answers stop the policy.
  11. The medical director confirms, Rachel signs, a decision in days, not weeks.
  12. Built on Botminds: agents, data, screens, and governance on one platform.

Transcribed from the film’s narration. Captions are on the player.