Automating 100% human rep QA auditing, carrier SLA benchmark tracking, 3-tier coaching dispatch, and 122 automated NLP compliance rules across 50 demo claim scenarios.
Amendable SLA thresholds, detailed adjuster QA scorecards, and 122 NLP compliance rules.
Adjust the target timeframes (hours/days) and scoring weights below to match your carrier or TPA operational guidelines. AxiRate™ dynamically recalculates audit benchmarks across all incoming claim reviews.
| Operational Metric / KPI | Carrier Quality Benchmark Standard | Target SLA | Weight | Status |
|---|---|---|---|---|
|
1. Initial Party Contact SLA
First contact attempt (Insured / Claimant)
|
Contact established or documented 3-point attempt within mandatory timeframe post-FNOL. | PASSED (1.8 Hours) | ||
|
2. Recorded Statement Completion
Detailed loss & injury interview
|
Full statement taken and transcribed within target limit post-FNOL. | PASSED (4 Hours) | ||
|
3. Liability Decision SLA
Fault determination & comparative neg
|
Liability decision rendered and communicated to all involved parties. | PASSED (1.2 Days) | ||
|
4. Indemnity Payment SLA
Property damage payment turnaround
|
Property damage payment issued following agreed estimate receipt. | PASSED (3.8 Days) |