Your claims pipeline
has 200 rules.
Nobody can see all of them.
Insurance runs on layered complexity: underwriting rules, claims logic, regulatory requirements, reinsurance treaties, and fraud detection models. They live in different systems with different owners. Coherence makes the full picture visible, queryable, and governable.
The Problem
Regulatory drift is invisible until the audit.
Insurance regulation evolves constantly — Solvency II, IFRS 17, state-level mandates. When a rule changes, the impact cascades across policy administration, claims processing, actuarial models, and customer communications. Today, mapping that cascade takes weeks of manual effort.
| Before Coherence | After Coherence |
|---|---|
| Manual claims rule documentation in spreadsheets | Claims logic encoded as formal ontology rules with lineage |
| Regulatory impact analysis takes 3–6 weeks | Blast radius computed in seconds via the Transformation Map |
| Underwriting rules siloed from claims processing | Unified ontology links underwriting → policy admin → claims → payout |
| Fraud detection models disconnected from business rules | Fraud models grounded in the same governed ontology as compliance |
Process Lineage
From policy inception to claims payout.
Map the full lifecycle: product design → underwriting → policy administration → claims adjudication → payout. Every business rule linked to the system that enforces it. Every system linked to the regulation that governs it.
Underwriting Rules
Encode eligibility criteria, pricing models, and risk appetite as formal ontology concepts with typed relationships.
Claims Adjudication Logic
Map the full decision tree from FNOL through investigation to settlement. Every rule traced to source.
Reinsurance Treaties
Treaty terms linked to ceded risk, retention limits, and claims triggers. Visible in the graph.
Regulatory Compliance
Solvency II, IFRS 17, state mandates encoded as governance constraints. Gaps surfaced automatically.
Continuous Compliance
Regulation changes.
The ontology absorbs it.
When IFRS 17 introduces a new disclosure requirement, add it to the ontology. The Transformation Map instantly shows every policy administration system, claims process, and actuarial model that needs updating. Before a single line of code is changed.
Example compliance queries
"Which claims rules are affected by this Solvency II amendment?"
"Show me every policy administration system that processes high-risk categories."
"What is the blast radius if we change the fraud detection threshold?"
"Prove our claims adjudication logic complies with state mandate XYZ."
This site uses cookies
We use essential cookies for the site to function and analytics cookies (Google Analytics) to understand how you use it. Analytics cookies are only activated with your consent. We do not track you across other websites. Your data is stored in the EU and processed in accordance with GDPR. Read our Privacy Policy
