Measure the adjuster workday and the claim lifecycle

Pyze measures how claims and underwriting work is performed across the platform and surrounding applications, then measures what changed after AI agents are deployed.

44%
of adjuster effort measured outside the system of record
Screen
and field-level telemetry inside the claims platform
1 week
to instrument, no workflow change
4
levers separated before automation

Engagement archetypes from Pyze deployments in this sector rather than a single named account.

The claims platform records the claim. It does not record the searching, checking, follow-up and re-keying that determine how long the claim takes, which on the engagements we have run is a large share of the adjuster day.

Common Findings in Insurance

Four patterns that recur across engagements, each shown with the measurement and the resulting change.

Cycle time is measured end to end, but the portion that is hands-on effort is not known.

Simplify
What the measurement shows

Wall-clock and hands-on time are separated, so waiting time is distinguished from working time.

What changes

Effort is attributed to the step that consumed it, which is the basis for pricing an automation candidate.

First notice of loss is templated, yet adjusters complete it differently.

Standardize
What the measurement shows

Steps performed consistently that appear in no procedure, and procedure steps that are routinely skipped without consequence.

What changes

The procedure is updated to reflect what experienced staff do, and the remaining deviation becomes a coaching list.

Coverage checks are repeated across systems that should hold the same data.

Automate
What the measurement shows

The same value is verified two or three times in different applications within a single claim, which is rework the claim record does not show.

What changes

Verification is consolidated at the point the value first enters the file, which removes the repeat.

An agent was deployed into triage and average handling time increased.

Agentify
What the measurement shows

The agent absorbed the claims that settle at first pass and left the ones that do not, so average handling time rises in the first month of a working deployment.

What changes

Absorbed, assisted and retained work are measured separately, so the deployment is assessed on released capacity instead of an average that no longer reflects the work.

Opportunity Register

A sample register, sorted by the lever that resolves each opportunity. In an engagement, each line carries measured hours, a named owner and the evidence it was derived from.

FNOL intake completion
Agentify
Structured intake completed from the notification, with exceptions routed and the missing information identified.
Coverage verification
Automate
One check at the point of entry instead of repeated checks across systems.
Document and evidence chase
Agentify
Outreach drafted from the file position and followed up to a deadline.
Reserve setting support
Agentify
Evidence assembled for the decision, with the decision retained by the adjuster.
Subrogation identification
Agentify
Recovery candidates surfaced from the claim record against stated criteria.
Complaint routing
Standardize
One documented path where each team currently has its own.
Adjuster load balancing
Rebalance
Assignment levelled against measured effort instead of open claim count.
Regulatory reporting assembly
Automate
Returns compiled from the record instead of rebuilt each period.
Automate and Agentify are distinct findings. Scheduling a report is deterministic work with a stated rule. Diagnosing an exception is a decision. Separating the two prevents a register from over-scoping the first and missing the second.

Systems typically instrumented

Guidewire ClaimCenter and PolicyCenterDuck CreekPegaSalesforceDocument managementExcel and Outlook

Capture covers browser-delivered and thick-client applications, including virtualized estates, with no change to how anyone works.

Roles Involved

Claims operationsUnderwriting operationsComplaints and disputesOperational excellence

Instrumentation is configured per application rather than per person, so the population in scope is set during scoping and is not a deployment constraint.

How an Engagement Runs

Baseline, blueprint, transform, prove

The same four stages apply in every sector. The fourth stage repeats the baseline measurement, which makes the engagement an ongoing operating capability rather than a one-time report.

01

Baseline

What the work costs today, measured across every person and application.

02

Blueprint

Procedures, application rules and execution evidence, read as one target state.

03

Transform

Where each of the five levers applies, priced and owned.

04

Prove

The after state measured against the baseline, using the same method.

Frequently Asked Questions

Can Pyze see inside the claims platform itself?
Yes. Capture is at screen and field level inside the platform, beyond the browser boundary, which allows effort to be attributed to a specific step instead of a session.
How does this differ from the task mining we evaluated?
Task mining observes the desktop. Pyze observes the application and binds each event to the claim, so the output is a case-aware measurement instead of an activity log that requires interpretation.

Start with a measured baseline

Six weeks from instrumentation to a priced opportunity register, and the baseline stays in place so later quarters are measured rather than re-estimated.