Exam Readiness
Every examiner request answered from cited files, with sampled claims and policies tested in hours.
Why it matters
Exam request lists arrive with tight deadlines; teams pull samples by hand, test them against standards they reconstruct each time, and findings surface only after the examiner has the file.
How the solution handles it
Agents read each request, pull the sample, test every file against the handbook standards and state timing rules — acknowledge, decide, pay — and draft a cited answer. A compliance officer approves every response before it reaches the examiner.
How a request moves
Five agents read the request list, pull samples, test files and draft cited answers; a compliance officer approves every response.
What it reads, and what it hands back.
What goes in
- Exam call letter and request lists
- Claim, policy and complaint files
- MCAS data and prior exam reports
- Unfair claims practices rules by state
- Procedures and training records
What comes out
- Cited response to each request
- Sampled files tested against standards
- Self-identified issues with owners
- Response log for the exam
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
Sources: NAIC Market Regulation Handbook · NAIC Unfair Claims Settlement Practices Model Act (#900) · “Target” = design goal, measured in the live solution · “Typical” = typical industry figure · “Estimated” = our estimate
5 specialist agents. One person decides.
More in this division.
Every AI system the insurer uses inventoried, tested and documented, ready for the regulator’s first question.
Rate & Form FilingsEvery rate and form filing checked against state rules and past objections before it goes to SERFF.
Statutory ReportingEvery statutory schedule tied back to the ledger and source file before the officers sign.
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