Insurance
Introduce an AI claims assistant without losing decision control.
The business exposureClaims documents contain sensitive personal information and may include untrusted instructions. An assistant that retrieves records, drafts correspondence and invokes tools must not acquire the authority to release payments or change beneficiary information simply because it can propose them.
How Genellipse helpsGenellipse maps the claims workflow with operations, security and technology leaders. We identify the record boundaries, sensitive actions, approval authority and failure cases, then test the assistant against those boundaries before widening access.
Define the task
Classify documents; identify permitted records and prohibited actions.
Constrain access
Authorize record scope; separate retrieval from payment permissions.
Test hostile inputs
Exercise injected instructions, missing evidence and cross-customer requests.
Approve the action
Review evidence; authorize only the specific consequential change.
Verify the outcome
Reconcile actions; resolve exceptions; review the control evidence.
Go-live decision: required approvals, denied-action tests, access revocation and action tracing must pass the agreed acceptance criteria.
WHAT YOU RECEIVE
A bounded claims-assistance workflow, authorization matrix, test evidence and release decision record.
HOW PROGRESS IS MEASURED
Measure inappropriate-access test failures, approval coverage, unresolved exceptions and handling time including human review.
Illustrative engagement design. These are not customer results or promised performance outcomes.