Delegated Claims Audit demo
Every claim the delegate handles read as it moves, with leakage and authority breaches flagged for the claims manager. 1:14
What the demo shows
A claims oversight solution for carriers that reviews every file a TPA handles as it moves.
Seven agents read every note, reserve change, payment and letter a TPA posts the moment it lands and run seven checks on it: contact, coverage, reserve, authority, payment, reporting, diary. A red badge opens the file note behind it, each TPA carries a live score per check, and the claims manager decides every hold, referral, recovery and notice.
Transcript
- Delegated Claims Audit reviews every file a TPA handles as it moves for the carrier.
- Today, an audit samples 6% of files a year after payment.
- Here, every note, reserve and payment flows passed, with seven checks on each.
- Beside each administrator, its live score on every check.
- 10-42. Bramblecrest pays $68,400 on Linden Court.
- The authority badge turns red.
- $74,600 paid against $50,000.
- One click shows the payment note, the rule, and no referral on file.
- The invoice repeats a drying charge already paid in July.
- Claire holds payments, asks for the referral, and records the duplicate the same morning.
- Built on Botminds: agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.