Multi-provider records. Multi-defendant matters. Coverage analysis with material exposure at stake. The work that resists automation because it requires judgment, not just document processing.
GenAIM operates these workflows end to end, configured to your claims methodology and governed by your team. The same judgment layer applies across your complex claims, and operates your specialty underwriting too. Medical malpractice is the first claims workflow, ready to deploy on GenAIM today.
Settlements are climbing, and outside counsel spend with them, as complex claims pile into external firms. Regulators are raising the bar too: Lloyd's has made claims management a hurdle principle from January 2026, with reserve accuracy the first measure in its claims reporting. The pressure on complex claims is no longer just cost. It is scrutiny.
Complex claims share five characteristics that have made them resistant to automation but are well-suited to a judgment layer.
Records from multiple providers, custodians, or counterparties, in mixed formats, accumulated over time. No single document tells the whole story.
Your claims handling methodology, your reserving philosophy, your coverage framework. The methodology is the value, and it varies by carrier.
Chronology, liability, coverage, valuation. Each stage feeds the next. Getting one wrong cascades.
What matters is often in the relationships between documents. Contradictions. Gaps. Sequences. Who knew what when.
Outputs go to reinsurers, regulators, opposing counsel, courts. Traceability is not optional.
Medical malpractice is ready to deploy on GenAIM, and it is the proof the engine does this, not the boundary of what it does. The broader opportunity is in other complex claims where the hard work is reading messy evidence, building the chronology, applying methodology, and surfacing the key issues for human review and approval.
The judgment layer has two years of real reps on contested, high-value matters, the same evidence-to-judgment work a complex claim demands. The same layer applies to complex claims, configured to your methodology, integrated to your existing claims environment, governed by your people.
Composed with your team. Deployed once you approve.
Your claims handling guidelines, your reserving philosophy, your coverage framework. The methodology is institutional IP. GenAIM doesn't replace it. GenAIM runs it.
Without GenAIM, the only way to handle more complex files is to hire more senior adjusters. With GenAIM, the methodology your seniors carry in their heads runs consistently across every file, every day. The same expertise. More of it.
Claim documents flow in from the system that already holds them. The assessment is built in GenAIM, with the chronology as the spine of the case and every step tracked through to a final report. The finished result flows back to your claims system, or GenAIM runs on its own.
Complex claims are audit-sensitive and carry real exposure, so every finding is checked against its source and traces back to the document that earned it. Your team reviews the exceptions, the partial matches and the gaps, not every page, and governs every judgment. The causation chain shows how the events connect: who knew what, and when. The result is an assessment built to stand up to scrutiny, whether it comes from a reinsurer, a regulator, or a court.
Your methodology drives the composition. Your team governs the judgment. A 30-minute working session: bring a workflow you'd like to operate, and we'll show how GenAIM would run it end to end.
GenAIM is led by Jonathan Birch. 25 years building enterprise automation, including 4 years as CSO in London at an insurance technology company, automating claims processing for a major UK motor insurer. Full track record on the homepage.