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Waypoint Claims

Intelligence / Predictive models

Trained on your book, not the industry average

Severity, complexity, reserve adequacy and litigation likelihood — modeled on your own history, versioned, and promoted by a person with a reason recorded.

A coastal homeowners book and an urban commercial auto book do not behave alike. A model trained on somebody else’s mix will tell you so at the worst possible moment.

Score a real file

What happens when a model gets stale?

An alert goes to a human. It does not quietly retrain and re-promote itself, because a model that changes its own behavior without anybody deciding is a model nobody can explain later — and explaining it is the job.

Five stages, one human gate

The model lifecycle

  1. 01

    Training

    Runs as a background job on your organization’s own data. No cross-tenant training, no shared model learning from other books.

  2. 02

    Registry

    Every trained model is versioned and fingerprinted, so the score on a claim can be traced to the exact model that produced it.

  3. 03

    Promotion

    Candidate to active is a deliberate step, taken by a person, with a reason recorded. Nothing self-promotes.

  4. 04

    Serving

    The active model scores, and both the score and its reasoning are recorded on the claim rather than presented as an opaque number.

  5. 05

    Staleness

    Operators are alerted when an active model ages past threshold. The response is human review, not automatic retraining.

What is modeled

Four scores, and what each is for

Each of these changes a decision somebody makes early, which is the only point at which a prediction is worth anything.

ScoreDecision it informs
SeverityInitial reserve posture and which desk should handle it
ComplexityWhether the file needs a senior examiner from day one
Reserve adequacyWhether the current figure looks light against similar closed files
Litigation likelihoodEarly reassignment to whoever handles represented parties
EntitlementPredictive scoring, off until bought

What a score is not

It is an input to a person’s decision. It is never the decision, and no configuration makes it one.

It cannot act

No score sets a reserve, releases a payment, denies coverage or closes a file. Every one of those is a human action with an audit row.

Small books model poorly

A model needs history. If your closed-claim volume is thin, we will tell you the model will be weak rather than shipping a confident-looking one.

Bias is your risk too

A model trained on your history learns your history, including any patterns in it you would not defend. That is worth examining deliberately.

Bring twelve closed files

Six that developed as expected and six that did not. That comparison tells you more about whether modeling will help you than any accuracy statistic.

Score a real file