Human-authored finding
SupportedThe listed vehicle was scheduled for business use on the loss date.
Entered by claims staff · source · Policy declarations · p. 14
For auto claims organizations
Sentanis starts with represented demand response: catch the clock, deconstruct the file, and prepare source-linked work for review. Commercial-auto investigation carries the same record into fleet- and trucking-specific questions, sources, and staff review. Adjusters and counsel still decide, sign, file, and send.
Choose where you work
Sentanis begins with auto claim operations across non-standard personal and commercial lines. Claims and legal see the same evidence, while each retains its own duties and decision authority.
Claims operations
Catch a time-limited demand, open a commercial loss in the right investigation workspace, and put the adjuster’s next decision in one sourced view.
See the demand workflow →Carrier legal and defense
Start with the same cited chronology, open questions, and recorded claim position—without rebuilding the file before legal work begins.
See the defense workflow →First wedge · Demand response
See how Sentanis identifies the deadline, deconstructs the package, and prepares source-linked work for review. Then inspect the adjacent claim workflows. Every file shown is fictional.
Product expansion · Distinct auto solutions
Route auto work to the right team, save human-authored findings across the claim, and turn unanswered questions into owned evidence requests.
Implemented in synthetic evaluation · production and customer acceptance pending
Northstar Casualty · Claim operations
Fictional product view · synthetic records
Claim routing
Two-vehicle intersection loss
Source remains separate
Imported type · Commercial automobile. The imported value does not become the reviewed routing decision.
Claim-wide reviewed work
Persists across investigation lenses
Human-authored finding
SupportedThe listed vehicle was scheduled for business use on the loss date.
Entered by claims staff · source · Policy declarations · p. 14
Evidence request
Human ownedDriver qualification file and trip purpose record
Approved for follow-up · not sent
The product
Some modules are on our current product roadmap.
Every page is read, classified, and extracted on arrival. Each fact links back to the page it came from.
Every claim carries a short reading: what it is, where it stands, and what it needs next.
Checks each claim against the policy for excluded drivers, lapses, and misrepresentation.
Fleet and trucking lenses over the same claim record, with driver, vehicle, and trip questions kept sourced.
Explainable indicators for staged crashes, provider networks, and billing anomalies. SIU decides.
Describe a cohort in plain English and get back the matching claims.
Exposure, unanswered demands, and files over limits, counted from the claims themselves.
What the claim is worth, what defense will cost, and the exposure — side by side.
Catches time-limited demands, explicit or disguised, and runs the countdown.
Turns a demand package into a cited medical and billing chronology, with buildup and duplicates flagged.
An independent audit checks every legal citation in a draft response. Counsel still signs.
Decisions open on the evidence, not a recommendation. A person with authority records the call.
Answers, discovery, and routine motions drafted from the claim file. Counsel edits, signs, and files.
Outlines built from the full file, with contradictions against prior statements flagged.
Panel-firm invoices checked against billing guidelines, line by line.
Safeguards
Claim CL-24-08817 · Time-limited demand
9 days leftSystem recommendation
Tender the $30,000 policy limit
Adjuster decision · required
Tender limits
$30,000
Counter-offer
Set amount
Request records
Extend review
Reject
Counsel review
Recorded to the adjuster by name, append-only. The system cannot choose for them.
The system never
Every settlement or tender decision goes to a licensed adjuster. Everything filed with a court or sent to opposing counsel is reviewed, edited, and signed by licensed counsel — that's Sean's side of the house. In the running system these are enforced below the interface: named permissions, gate-specific authority, and row-level security in the database decide who may record a decision, and the browser hiding a button changes nothing.
A demand package is an adversarial document written by someone who would very much like your system to do what it says. Imported text and attachments are treated as untrusted evidence throughout — the model reads them, and never takes orders from them. That distinction is architectural, and it is the one most AI claim tools get wrong.
Courts have sanctioned filings that included fabricated AI citations. Sentanis runs a separate audit agent over every drafted response: it inventories each matter of law and each explicit authority, resolves them against claim-free legal sources, and binds numbered findings to that exact revision. Edit the letter and the proof is void. A passing audit is evidence for the person signing — it never releases anything itself.
Courts have already compelled insurers to hand over their AI's claim evaluations. So decisions are append-only, evidence is recorded alongside the judgment a reviewer saw, feedback and later evaluation stay attached to the file, and a derived assertion carries the source line that produced it. Cheap to build in from the start, expensive to retrofit under a market-conduct exam.
Retrospective evaluation
Start with a bounded cohort of represented auto bodily-injury claims. Sentanis replays only the information available at the time, produces no live action, and is scored against labels and reviewer rules your team approved first. It does not change a claim, contact a claimant, or send a response.
01
A representative set of closed, represented auto bodily-injury files — routine files as well as known misses — plus their attachments, correspondence, event timestamps, and outcome labels your team approves.
02
The same demand-intake, critical-date, document-deconstruction, evidence-linking, and response-preparation pipeline shown above. It works from point-in-time records so later information cannot leak into an earlier recommendation.
03
Deadline recall and precision, date accuracy, false-alert rate, lead time where the record supports it, issue completeness, evidence traceability, and blinded reviewer scores. Avoided loss and dollar savings remain modeled, not measured.
04
A claim-level scorecard, every miss and false alert, the reviewer adjudication record, a data-flow summary, and a documented recommendation to stop, retest, or proceed to a bounded live shadow.
Carrier-owned gate
Before scoring begins, your claims, legal or compliance, and security owners agree the cohort, outcome rubric, data route, retention, and acceptance thresholds. No live workflow starts because a date arrived. Critical misses are reviewed, and the retrospective evaluation advances only when your team accepts the evidence.
A closed-file retrospective evaluation measures the bounded workflow above. It does not, by itself, prove portfolio-wide economic impact. Any avoided-loss or savings estimate is shown separately with its assumptions.
Longer-term expansion
Sentanis is building toward a shared operating layer for insurance and legal work. Represented demand response remains the first evaluation wedge; non-standard personal and commercial auto are current product contexts. Each further cohort, jurisdiction, and workflow still earns permission through evidence and governance.
Scope
One defined workflow
Progression
Evidence, not elapsed time
Authority
People remain accountable
Closed files, agreed scoring
Start with a representative set of closed claims. Sentanis replays intake, demand identification, file synthesis, and response work against outcomes your team already knows. The evaluation set, baseline, and scoring rules are agreed before results are reviewed.
Evidence gate
Advance only when the carrier accepts the evaluation design and the results meet the thresholds set for the selected workflow.
Decision authority
Claims sponsor with legal, compliance, and model-risk review.
Deliverable
A scored evaluation pack: source-linked outputs, misses and false positives, baseline comparison, and a written recommendation on whether to proceed.
The sequence is fixed; the pace is not. A phase can continue, narrow, or stop when the evidence does not support expansion. Production decisions remain with the carrier and its licensed professionals.
From claim work to legal work
The claim does not become a different matter when legal work begins. Sentanis keeps the chronology, sources, open issues, and named decision-makers intact across both teams—without a handoff packet to rebuild.
Fictional matter · claim 26WASYN000241
Elena Rivera v. Northline insured
Insurance operations
Needs attention
Reported impact and treatment pattern diverge. Confirm the settlement position before the demand clock closes.
Decision packet
Named authority
Jamie Diaz
Claims adjuster · records the tender decision
Shared source record
JUN 11 · 08:42
Loss reported
Rear impact at a controlled intersection; no injury reported at intake.
Source · Recorded FNOL call · rev 1
JUN 12 · 14:32
Treatment begins
Passenger begins care after the reported loss.
Source · Northside clinic invoice · p. 1
JUL 18 · 09:05
Demand received
$145,000 time-limited demand; response due August 17.
Source · Rivera demand package · p. 2
Legal operations
Draft posture
Respond to the time-limited demand from the verified chronology; preserve the adjuster’s recorded position and surface the unresolved treatment gap.
Counsel starts with
Named authority
Maya Chen
Defense counsel · reviews, edits, and signs the response
First workflow · demand response
Identify the TLD clock, deconstruct the demand and medical record, and prepare source-linked work for adjuster and counsel review.
Commercial auto · available for evaluation
Open commercial-auto, light-fleet, or heavy-trucking investigation profiles without copying the claim. Candidate records, exact pages, open questions, and the collection plan stay source-linked.
Broader institution · direction
Extend the same evidence, authority, and audit model across insurance lines and the legal work around them. That is the direction; broader permission is earned one measured workflow at a time.
Human review begins here
The demo shows the workflow on a fictional file. A retrospective evaluation then scores one bounded use case on your closed claims, with the test and thresholds agreed in advance. Nothing reaches a live workflow unless your team approves the evidence.
FNOL intake · fictional file
Claim 26-WA-01984
Incoming report
Recorded call · 08:06 PT
“I was stopped on Stone Way. The other car clipped the back of my car, near the driver-side corner.”
Structured claim
Report received
Ready to structure the report
Sentanis will organize the intake while preserving links to the source recording and form.