Petra: Consistent, Experienced, Accurate
Petra is the policy interpretation expert. Ability to locate, review and judge if a claim is eligible based on the claim scenario provided. Identifies the benefits available, possible exclusions and restrictions, and then provides a decision outcome. Can work quickly with multiple policy versions and provide a clear reason for the decision back to the claims processing team to action.
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Reduces time to make policy eligibility decisions by up to 80%
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Reasoning transparency for every claim decision
Key Capabilities
Policy wording & limits
Can interpret complex policy wording quickly and consistently.
Coverage decisions
Ability to provide accurate coverage decisions based on the claim presented.
Risk-Based Escalation
Flags areas of uncertainty, incomplete information, or borderline claims for human review.
Audit-Ready Trails
Provides a clear audit trail for every decision with references to any limits, wording or exclusions.
Highlights at a Glance
What Petra Solves:
Manual coverage interpretation, repetitive policy checks, and inconsistent adjudications.
Return on Investment:
Quicker insurance claim settlement, reduced human error, and robust compliance documentation.
Deployment:
Integrates with policy admin systems and claims management system; communicates to your adjucation team via chat.