Worked example
A claims-triage workflow, run as a managed service, that sorts inbound claims — so your team handles only the exceptions and the decisions.
Illustrative — a representative problem and how we'd approach it, not a past client engagement.
Scenario. Inbound claims arrive faster than the team can sort them; triaging each to the right queue and flagging the urgent ones is constant low-value load.
The solution. A Run engagement, kept as Augmentation — we operate and monitor it, not something you run in-house; the routing and urgency rules are tuned on your real claim flow, and your people decide every claim.
- Inbound claims
- Managed triage agent — sorts + flags urgencyOperated + monitored — run log
- Routing + urgency rules
- Your team handles exceptions + decisions
- Triaged claim queues
The outcome we’d target. The outcome we'd target: your team working exceptions and decisions, not sorting — a managed triage we'd run and monitor, the routing rules tuned on your real claim flow, your assessors the decision-makers throughout.
This worked example applies the AI Fluency framework — how we frame which door fits