Claims experience gap
The claims experience gap is the widening shortfall between the volume and complexity of claims and the experienced staff available to handle them. As veteran adjusters leave faster than new ones are trained, judgment thins out across the industry.
Claims judgment is built over years. As long-tenured adjusters leave and juniors replace them, the average experience on the desk falls even as claim volumes rise. That is the gap between what the work needs and who is doing it.
Why it matters
Less experience on harder claims means more inconsistent decisions and more leakage. Closing the gap takes either years of training or a way to give every handler the judgment of your best ones.
Mysa encodes how your best adjusters decide, so a newer handler works from the same rules and precedent from day one.