Claims Coverage Triage Engine

What it works from

• Risk registers, control descriptions and policy documents
• Your scoring scales, thresholds and appetite statements

What you get back

• A scored register with the reasoning per risk
• An aggregated view at the level the committee reads

Why this is expensive by hand

Assessing the risk universe in scope by hand means every assessor scores slightly differently and the register stops being comparable. In practice it shows up as comparable registers: score every risk identically, so results hold up across teams, entities and quarters. It is the kind of work that decides whether a recommendation survives scrutiny — and the kind that quietly eats 1–2 hours of senior time whenever it comes round.

How this Skill produces it

As a Skill, the work is already sequenced. You bring the evidence, and the run produces a scored register with the reasoning per risk plus an aggregated view at the level the committee reads. What sits between input and output is the codified method: thresholds, sequencing and the points where a human confirms a call — all of it visible and editable in the Skill. The practical effect: 1–2 hours of manual work becomes a ~5 minutes run, held to an identical standard on the tenth engagement as on the first.