Insurance

Put delegated authority into the claims workflow.

An agent can triage a claim and propose a settlement. Your authority rules determine when a claims professional must decide before the next action.

A settlement above the limit needs more than a recommendation.

Apply the delegated authority band at the settlement boundary. Give the reviewer the proposed action and claim context, then record the decision and what happened next.

Workflow

Submit a settlement above the authority limit.

KLA evaluates the configured rule at the integrated action boundary. A required approval creates a Decision Request in Decision Desk. The downstream action waits for its authorized outcome.

Explore human approval

Decision Desk

Review required
Proposed action
Submit a settlement above the authority limit
Configured rule
Require claims-manager approval
Decision owner
Authorized claims manager
Execution state
Hold settlement submission for a decision

Evidence for review

Find the request, the review, and the result.

Claim reference, proposed settlement, authority band, policy version, reviewer rationale, and submission result.

Lineage Explorer connects recorded events. Evidence Room packages collected evidence into a Sealed Evidence Bundle for verification. Evidence integrity establishes whether the recorded material changed; factual accuracy still requires domain review.

Explore execution lineage

Other workflows to explore

Underwriting changes

Review proposals that cross a configured pricing or eligibility threshold.

Fraud referrals

Route a proposed referral to the responsible investigation reviewer.

Customer notices

Require approval for a consequential outbound claims decision.

Your team determines the applicable obligations and approval rules for each deployment. Explore Control Mapping.

Bring a workflow your team wants to test.

Start with one claim action and its delegated authority policy. Agree the reviewer group, representative cases, integration route, and evidence your control team needs.

Discuss an evaluation
Insurance AI Runtime Controls | KLA