Measure How Claims Are Handled Before Deploying AI Copilots
Pyze measures how adjusters and claims handlers work across the claims system, documents, email and external portals, so cycle time, workload balance and AI copilot effect can be measured against a baseline.
Structural facts about the method, not engagement outcomes or guarantees. What a given claims operation yields depends on its claim mix and how much handling work sits inside the claims system.
Claims leaders are accountable for cycle time, indemnity and expense leakage, litigation rates, quality and regulatory compliance. The claims system records the status changes and payments of a claim. It does not record how an adjuster spent the days in between: which systems were used, how many handoffs occurred or how much time went to rework. When a copilot or automation is introduced, the effect on that work is difficult to demonstrate.
Questions Asked of This Role
Cycle time targets set against claims where the time between status changes is unexplained
Adjuster workloads that look balanced by file count but differ widely by effort
Leakage and litigation exposure linked to handling variation that the claims system does not capture
Quality and audit reviews based on file samples
AI copilot adoption reported by license usage with no measure of effect on handling time
Key Questions and Outcomes
Each question shows the answer available today, why that answer is insufficient, and what changes with Pyze.
Where does time go between first notice of loss and settlement?
Cycle time by claim type and stage from the claims system.
Stage durations show where claims wait, not what handlers did while they waited. Searches across systems, document handling and follow-up outside the claims system are not visible.
Observed handling work per claim type and stage across every application the adjuster uses, so elapsed time can be separated into work, rework and waiting.
Is the workload balanced across adjusters and teams?
File counts and open inventory per adjuster.
File counts treat all claims as equal effort. Two adjusters with the same number of files can carry very different amounts of work, and the difference is only noticed when a backlog forms.
Measured effort per claim type and per handler, so workload balance is assessed on work performed and the rebalance lever can be sized.
Has the AI copilot changed how claims are handled?
License counts, usage rates and adjuster survey results.
Usage shows that a tool is opened, not whether handling time, rework or the number of steps changed. Survey results are subjective and cannot be separated from changes in claim mix.
The same measurement before and after deployment, with work split into what the copilot absorbed, assisted and left with the adjuster, so the effect is reported by claim type.
Engagement Sequence
Instrument claims handlers across the claims system, document tools, email and external portals in scope. Ingest claims procedure documents for the conformance view. No change to how claims are handled.
Handling effort sized by claim type and stage, and opportunities sorted across the five levers, including candidates for copilot or agent support with their preconditions.
First changes land. The same measurement runs on the changed workflows, so cycle time, effort and rework are compared against the baseline.
Frequently Asked Questions
Does Pyze evaluate individual adjusters? +
No. Pyze captures application interaction metadata: which application, which screen, the sequence and the timing. It does not capture keystrokes, field values, free text or screen contents, and no claim data or claimant information is collected. Identifiers are pseudonymous and the unit of analysis is the process.
We already have a claims copilot. Can its effect be measured? +
Yes. If a pre-deployment baseline exists, the comparison is direct. If it does not, the before side is reconstructed rather than measured and is labeled that way. Either way, the measurement shows which handling steps the copilot changed and which it did not.
Does this work alongside our claims platform? +
Yes. Pyze does not replace or modify the claims platform. It measures how people use it and the surrounding applications, and it complements the platform and the copilots built on it.