The evidence
- Policy terms and the applicable version
- Source records behind the recommendation
- Reasons for exceptions and adverse findings
AIgenTXS / Credit + Insurance
Every recommendation carries its reasons.
From an underwriting exception to a claim recommendation, AIgenTXS is designed to keep the policy, supporting evidence, and accountable reviewer connected before a consequential decision moves forward.
Credit + InsuranceArchitecture study
A claim inside its policyCoverage / evidence / delegated authority
Underwriting, claims, and fraud resolution.Illustrative industry design / AIgenTXS architecture
Why this workflow needs a record
A score is not a decision record.
Credit and insurance workflows combine contracts, changing evidence, and delegated limits. An agent’s recommendation should show which policy it used, what remains uncertain, and who can resolve the exception. The record should survive a handoff between underwriting, claims, and risk teams.
Inside the workflow
Different decisions.
The same discipline.
Choose a scenario to inspect the proposed action, governing rule, evidence, and person responsible.
The proposed action
Recommend a $12,400 collision claim payout.
Illustrative workflow. No live action.
- Policy
- Check coverage, policy limits, and the adjuster review threshold.
- Evidence
- Repair estimate, incident material, policy version, and fraud-screen findings.
- Reviewer
- Senior adjuster for the illustrated approval threshold.
- Effect record
- Reconcile a future authorized payout against the approved amount and recipient.
An interactive policy example
Change the context.
See what must change next.
Adjust one sample input, declare the evidence, and record a simulated approval. A boundary failure remains a failure even when approval is checked.
Sample delegated recommendation limit$15,000
AIgenTXS / policy exampleLocal only
Human review required
Ready for human review.
The sample rule and evidence checks pass. The senior adjuster has not recorded a sample approval.
Illustrative inputs and one simplified policy rule. Calculated in this browser; no upload, stored decision record, provider call, or external action. This is not a deployed industry workflow.
What stays attached
Evidence. Authority.
An inspectable outcome.
The authority
Underwriters and adjusters retain their decision rights. A recommendation cannot expand the agent’s delegated limit.
The effect
A configured implementation would compare the permitted instruction with the observed result. A request, approval, and payment are distinct events.
Start with one workflow
Bring the action.
Map the boundary.
Tell us what your team needs to govern, which evidence matters, and who owns the decision.
Current scopeIllustrative industry design. No live underwriting, credit determination, claims decision, or payout is performed here.
AIgenTXS’s mandate-to-effect architecture is implemented and tested in-repository with synthetic fixtures. Product runtime deployment, customer use, and independent attestation are separate milestones.
Explore another industryHealth + Life Sciences