CLAIM FNOL INTELLIGENCE · THE USE CASE
A claim arrives complete. The architecture to govern what happens next rarely exists.
WHERE THE ARCHITECTURE BREAKS DOWN
FNOL document arrives. Ingested. Not interpreted.
System of record stores the claim. No governed layer extracts meaning from it.
Adjuster reviews manually. Generic logic. No rule enforcement.
Compensability, indicators, jurisdiction — assessed inconsistently across every claim.
Reserves estimated. Authority applied. No traceable rationale.
Every decision a judgment call. Nothing tied to a specific carrier rule version.
Examiner asks for the audit trail. It does not exist.
The governance artifacts regulators require were never built into the decision architecture.
WHAT GOVERNED FNOL LOOKS LIKE
Document parsed, structured, jurisdiction confirmed automatically.
WC, Auto, Property, GL — 50 states. Carrier rules applied, not generic logic.
Compensability scored. Indicators ranked. Reserve estimated. Authority gate applied.
Deterministic execution in sequence. Code enforces rules. AI reads documents. Roles never cross.
Every finding traced to a source. Every decision auditable.
Not a confidence score. A rule citation. Versioned to the rule active at decision time.
Adjuster receives a complete, defensible picture. From day one.
Your institutional knowledge encoded once. Applied consistently to every claim that follows.
SEE IT IN ACTION
Your best adjuster's judgment, encoded into every claim.
Watch how enCODE Claim FNOL Intelligence structures a property claim, surfaces contradictions in the evidence, and routes to authority — before an examiner opens the file.
Property FNOL · 90-second intelligence walkthrough · enCODE by ElevateNow
THE OUTCOME
Your best adjuster's judgment. Applied to every claim consistently. Before anyone opens a document.
enCODE Claim FNOL Intelligence