Case study

Connected Evidence Analysis for Complex Claims

3 min readConsilience Team

What it gets youComplex claims become easier to investigate, with a clearer and more traceable record of the evidence and policy clauses behind each decision.

Complex insurance claims often involve information from many different sources. A single claim may include photos, police reports, invoices, customer statements, repair reports, expert assessments, previous claims, emails, and policy documents.

Claims employees currently need to review these sources and determine how they relate to the incident and to the insurance policy.

Connect every source around the claim

Consilience can organize this information around the claim and connect the incident with the customer, insured property, evidence, relevant policy clauses, and previous claims.

Questions a claims employee could ask

A claims employee could ask:

  • “Create a timeline of what happened.”
  • “Which policy clauses are relevant to this incident?”
  • “Are there contradictions between the submitted documents?”
  • “Which previous claims involved the same property or customer?”
  • “Show the evidence supporting this claims decision.”

A clearer record of how the decision was made

This could make complex claims easier to investigate while also creating a clearer and more traceable record of how a decision was made.

Connected Evidence Analysis for Complex Claims · Consilience