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Industries · Insurance

Policy. Coverage. Answer.

Coverage, exclusion, and claim questions are answered from the policy itself. The internal team and the policyholder ask the same source; the policy set never leaves the organization's hardware.

On-Premises Deployment

Policy-Bounded Answers

Same Source, Two Sides

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From policy to answer, one source.

  1. Coverage Schedule

    The policy's coverage, limit, and deductible structure is brought into the system of record; which coverage is in which policy is recorded.

  2. Coverage and Exclusions

    The question is whether an incident is covered; the answer is generated from the relevant policy clause, and the clause is shown.

  3. Claim File

    The claim notice, loss assessment, and documents are gathered in a single file; it is clear at which step the file is waiting.

  4. Internal Use

    The operations and call team ask the same policy set; the internal answer and the answer given to the customer do not diverge.

  5. Customer Side

    The policyholder asks about their own policy; the answer comes only from that policy, and no other customer's document serves as a source.

  6. Access and Personal Data

    Policy access and personal data are separated by permission level; the retention period under KVKK is defined at deployment.

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The policy, as a matrix

The policy opens as a matrix of coverage items and condition axes; the question lights up the relevant cells, and the answer is generated from the clause in those cells.
Coverage matrix — questions are answered from within the policyThe policy opens as a matrix of coverage items and condition axes. The question enters the matrix, the relevant cells light up, and the answer is generated from the clause in those cells. The internal team and the policyholder ask the same matrix.POLICY-01opens as a gridCOVERAGEEXCLUSIONDEDUCTIBLENOTICECOVERAGE · ACOVERAGE · BCOVERAGE · CCOVERAGE · DINTERNALoperations and call teamPOLICYHOLDERonly their own policyANSWERsource: COVERAGE · B × EXCLUSIONthe relevant clause is shownSAME SOURCE, TWO SIDESinternal team and policyholder ask the same matrixPOLICY-BOUNDED ANSWERSanother customer's document is never a sourceDIAGRAM · COVERAGE MATRIX

The policy's coverage schedule as a matrix: rows are coverage items, columns are condition axes; the question finds the relevant cells.

  • Coverage · A, Coverage · B, Coverage · C, Coverage · D
  • Coverage, Exclusion, Deductible, Notice

INTERNAL and POLICYHOLDER → ANSWER — the relevant clause is shown. Policy-bounded answers: another customer's document is never a source.

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