Pillar 3 — Always Helpful · Claims Summary Review & Comparison

Pillar 3 flow: audited calls arrive, the claim summary is compared to the call, notes are written, and your team is ahead of the file

Pillar 1 — Always There · FNOL Intake Pillar 2 — Always Listening · Call Audit Pillar 3 — Always Helpful · Summary Review See it live — Audit Dashboard Training & Consulting

Pillar 3 Audit Calibration Purpose

This suite provides executive oversight comparing real-time AxiRate™ automated AI audit outputs against human adjuster QA evaluations and carrier benchmarks. It verifies call handling accuracy, ACORD field capture, police report PDF parsing, photo EXIF metadata fraud checks, and repair estimate line-item subrogation opportunities.

SIDE-BY-SIDE AUDIT COMPARISON MATRIX (100% CLAIM COVERAGE)

Audit Category	AxiRate™ AI Auditor Result	Human Adjuster QA Result	Carrier Benchmark	Variance & Reconciliation	Executive Approval
1. Physical Safety & EMS Triage	PASS (100%)	PASS (100%)	PASS (100%)	0% Variance — Perfect Alignment
2. Fault Neutrality & Liability	PASS (100%)	PASS (100%)	PASS (100%)	0% Variance — Zero Liability Admissions	baseline
3. Date, Time & GIS Geocoding	PASS (98.4%)	PASS (98.0%)	PASS (98.0%)	+0.4% AI Advantage — Resolved GIS coordinates automatically
4. Active Empathy & Distress Care	PASS (96.2%)	PASS (91.0%)	PASS (95.0%)	+5.2% AI Advantage — Acoustic tremor detector caught early caller distress
5. DRP Tow & Body Shop Selection	PASS (97.0%)	PASS (96.5%)	PASS (96.0%)	0.5% Variance — DRP shop offered with customer consent
6. Police Report OCR PDF Parsing	PASS (99.1%)	PASS (94.0%)	PASS (98.0%)	+5.1% AI Advantage — Subrogation citation extracted automatically
7. Photo EXIF Fraud & Timestamp Verification	PASS (100%)	MANUAL (82.0%)	PASS (100%)	+18.0% AI Advantage — Automated EXIF GPS vs loss scene geofence check

PILLAR 3 FILE & FORENSIC AUDIT SUITE

Police Report PDF Extraction Engine

Extracts incident date, officer badge #, traffic citations, and fault codes. Automatically flags subrogation potential for claims examiners.

ACORD 101/125/126 Field Completeness Audit

Validates 100% field mapping of insured, claimant, vehicle unit ID, loss description, and police info against carrier schema.

Photo EXIF Metadata Fraud Check

Calculates Haversine distance between loss scene and photo upload GPS metadata. Flags photos uploaded >5 miles away or >48h off.

Repair Estimate Line-Item Audit

Cross-checks body shop labor rates, OEM vs aftermarket parts, and DNP/DRP compliance.