Your adjusters assess liability and quantum.
They shouldn’t be assembling the requirement set.

A Case Orientation Report instead of a raw claim file.

Every requirement the claim engages — your policy terms, conditions and exclusions, the provincial conduct requirements, and your own handling standards — identified for consideration, with the evidence on the file set against each one. It states the position on each requirement. It never reaches liability or quantum.

Two rails, clearly separated. The statutory and regulatory requirements for the jurisdictions you write in, and your own handling standards alongside them. Your adjuster can see at a glance which findings carry regulatory exposure and which are your house rules.

It reports the file, not the adjuster. It states what the record shows and what it does not — never what anyone did or decided.

It can be run at the beginning, and again whenever the claim is updated, to orientate the adjuster. Requirements that did not exist at intake appear with their own deadlines, and evidence that was absent becomes present.

A complete position on every requirement, before judgement begins.

What is examined later is rarely only the decision — it is what was considered before it, and whether the file can show it. Outcomer establishes which requirements the claim engages and checks the file against each one, so the position is recorded and dated at the time rather than reconstructed after a challenge. Your adjuster keeps the judgement. Outcomer keeps the record.

An estimated 32% less time on each claim —
around 47% more capacity from the same team.

Estimated from a task-level decomposition of a complex liability claim at the point of evaluation, taking the conservative end of each range and including the time to run and read the report. Judgement minutes are unchanged — the saving is all preparation. These are our figures, not measurements on your claims; we go through the working against your own case timings in the demo.

Configured to your rule book, and signed off before anything runs.

Three sets of requirements govern a casualty claim, and the report names all three. Your standards sit in your own configuration only. Nothing derived from them enters the shared regulatory corpus, and no other client’s configuration can draw on them.

Maintenance is agreed at the same time — we monitor the instruments, decompose any change, you sign it off, and it applies from the effective date. Requirements are date-gated, so a claim from 2021 is examined against the rules as they stood in 2021.

Six things your claims leader sees.

1. Fewer decisions undermined by something that was on the file.A condition or exclusion nobody identified was never in the position taken.
2. A dated record of what was considered before judgement.Not reconstructed at discovery, and not dependent on the adjuster remembering.
3. The same requirements applied whoever holds the file.Inconsistency between adjusters is the specific thing opposing counsel looks for.
4. Fewer reserve surprises.An exposure nobody identified was never in the estimate.
5. Fewer files back on a supervisor’s desk.The position on each requirement is complete and recorded the first time.
6. More capacity from the adjusters you have.The time comes out of preparation, not out of the time spent deciding.

In your estate, against the requirements in force at the time.

An orientation layer that sits alongside your claims administration system. Outcomer does not replace or write to it. It reads the file and states the position; your adjusters decide and update the record. No migration, no change to how claims are administered.

Outcomer deploys as a container inside your own environment. The software and the model run in your estate, and nothing about the claim leaves your tenancy.

Built to fit your claims workflow. Outcomer can operate as a standalone workflow during evaluation, or integrate with your existing claims-management environment so the Case Orientation Report becomes another part of the adjuster’s existing workflow.