Claims decisions

Decision intelligence

Also known as Claims decision intelligence

Decision intelligence is software that helps a claims team make a better call on each claim. It reads the file, applies the team’s own rules, and gives the adjuster a scored recommendation to accept or override, rather than deciding for them.

Document extraction structures a claim and fraud tools flag anomalies. Decision intelligence sits at the decision itself: coverage, liability, quantum, recovery. It scores each one against how the team already decides and shows the reasoning behind it.

Why it matters

The decision is where the money moves and where most leakage sits. Automating the work around it saves time. Improving the decision itself, with a person still in the loop, is what saves money.

In Mysa

Mysa is decision intelligence for claims. Claims arrive unstructured and leave decision-ready, with a scored recommendation the adjuster confirms.

Common questions

Is decision intelligence the same as automation?

No. Automation removes steps. Decision intelligence improves the decision and leaves the final call with a person.

See it on Mysa