For P&C carriers and claims partners
Decision governance for claims.
AudRI reads your claims SOPs and supporting documents, turns them into checkable rules, and checks every file you give it, not just the 3–5% a QA team samples. Every finding shows the rule, the claim data and the reasoning.
Checkpost: SOPs plus the supporting documents behind each rule.
Someone asks why you decided that. Can you show them?
Keshav Koratkar, Founder, AudRI. 25 years in enterprise document management (Documentum, DocuSign, Box, Gilead). Author of Products Are Stories. LinkedIn
The problem
Two gaps persist in claims operations:
the Money Gap and the Liability Gap.
AI is widening both.
Traditional sampling gives carriers visibility into a fraction of the claims book. Across the rest, financial exposure and decision rationale are harder to see — and AI-driven processing is accelerating the pace.
Full visibility across the book — not a sample.
Manual QA typically reviews 3–5% of files after they close. AudRI is built to check every file, not a sample. Limited sampling can leave leakage, fraud, and reserve errors outside the reviewed population — across the other ~95% of the book.
Traceable rationale, across every system.
Most carriers already have controls in place. But as AI accelerates decisions, the rationale and authority behind a call can fragment across systems and workflows — and become hard to reconstruct when it's later questioned. AudRI shows the rule, the data and the reasoning behind every finding.
What AudRI does
It governs the decision — not just whether a step was completed.
Traditional QA confirms a process step was followed. AudRI checks the decision itself: whether the right amount went to the right party, for a defensible reason, under the appropriate authority. Every finding shows the rule, the claim data and the reasoning.
Systems of record store the claim. Dashboards report on it after the fact. Decision-time governance is the next build, scoped with founding design partners.
Illustrative: how a governed decision looks in AudRI.
Governed decision
CLAIM WC-2026-04821 · reserve set
$48,500 — approved to claimant
Every element — rule, authority, evidence, and human reasoning — stays part of the durable decision record.
The bigger picture
Systems of record everywhere.
A system of governance nowhere.
AudRI · System of Governance
Your rules as versioned, checkable assets, run against every claim file.
Claims Core
Guidewire · Duck Creek
Policy & Billing Cores
Sapiens · Majesco
RMIS
Origami · Riskonnect
Documents
Legacy · SOPs · Contracts
Each system is fine at its job. None of them knows what your handling standards require on this file, today. Integrations are scoped with design partners.
Compliance fails in the seams between systems. ServiceNow governed IT. Vanta governed cloud infrastructure.
AudRI governs claims decisions.
Product and company names are trademarks of their respective owners. AudRI is not affiliated with or endorsed by them.
How it works
Extract. Execute. Explain.
Rules applied consistently, with the reasoning shown.
Extract
AudRI reads your SOPs and supporting documents and turns them into checkable rules. Each rule traces back to the text it came from.
Execute
Rules are applied consistently. Hard thresholds like reserve limits and contact deadlines are checked directly; judgment calls are flagged with the reasoning shown.
Explain
Every finding shows the rule, the claim data and the reasoning, and a person reviews the findings.
Today AudRI runs on your handled claims. Decision-time governance is our next build, scoped with founding design partners.
For partners
Bring AudRI to your clients.
For claims consultants, TPAs and systems integrators: joint pilots, charter terms, and an independent governance layer that sits alongside Guidewire and Duck Creek.
Partner with us →Reconstruction & oversight
When a decision is questioned, show why.
The rule, the evidence and the reasoning behind every finding.
Auditors stay in control.
Auditors keep decision authority. A person reviews every finding today, and override capture with the reasoning saved to the record is part of the design-partner build.
An independent governance layer.
The system that executes a decision shouldn't be the only system that attests to it. AudRI sits independently across the claim file and decision process — and that independence and cross-file visibility strengthen auditability, regulatory defensibility, and litigation readiness.
Business value
Outcomes, not licensing structure.
Dollars protected, decisions governed, and measurable movement toward best-in-class claims performance — extending the reach of the QA work your team already performs.
Quality, extended
What governing every file unlocks.
Claims-quality management, SOP adherence, coaching, and reporting extend the reach of the QA work your team already does, across the files you run.
Become a founding design partner
See decision governance on your own handled claims.
A co-development pilot on your own handled claims.
contact@getaudri.com
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