Claims decisions

Claims triage

Also known as Claims triage automation

Claims triage is sorting incoming claims by complexity, severity and risk so each goes to the right path: a fast track for the simple ones and an experienced handler for the hard ones, instead of treating every claim the same.

Good triage decides early how much attention a claim needs. It keeps routine claims moving and gets the complex or high-exposure ones to the right desk before they go wrong.

Why it matters

Getting triage wrong is costly. A complex claim on a fast track leaks, and a simple one on a senior desk wastes scarce judgment. It is where efficiency and accuracy have to line up.

In Mysa

Because Mysa scores every decision as the claim opens, the routine ones can move straight through while the judgment calls surface for your adjuster.

See it on Mysa