Made-whole compliance
The recovery is scored against each state's made-whole rule to ensure the insured is fully compensated before the carrier asserts subrogation rights.
Subrogation Recovery Engine recovers dollars on claims your team missed or can't work — not software. An internal AI engine reads the claim file, finds and values the recovery, drafts the demand, and runs the correspondence; licensed recovery specialists own the liability call and attorneys handle litigation. You pay a flat fee per file, not a percentage of recovery.
Every year, U.S. property & casualty insurers leave an estimated $15 billion+ on the table because roughly 15% of claims close without anyone identifying a valid subrogation opportunity — not because the recovery is unwinnable, but because recovery teams hit capacity and never work the file. Closed-file audits put the average miss rate at 16% (range 11–21%), and as high as ~30% in workers' compensation.
Most carriers run recovery by hand, from memory, with teams that are already at capacity. The dollars are sitting in claim systems; the bottleneck is human attention.
Subrogation Recovery Engine exists to close that gap with a single, exhaustive standard applied identically to every file.
We do not summarize the law and hope. Every file is scored against a versioned rule pack tied to the exact text of each state's subrogation statutes and made-whole doctrine. These are the provisions each file is held to.
The recovery is scored against each state's made-whole rule to ensure the insured is fully compensated before the carrier asserts subrogation rights.
Each file is checked against state anti-subrogation laws that bar recovery in certain lines or circumstances.
The AI reads the entire claim file to identify any third-party liability, scores the probability of recovery, and estimates the gross recovery value.
Itemized damages, liability basis, supporting evidence, demand amount, and payment deadline — all present, or the file does not release.
The applicable statute of limitations for each state and cause of action is verified and tracked; no demand is sent if the SOL has expired.
For files subject to inter-company arbitration (e.g., Nationwide, Arbitration Forums), the demand is formatted per the applicable forum rules.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
Upload a batch of closed claims. We return a free completeness read: which files have missed subrogation opportunities, and the estimated recovery value.
As your authorized clerical agent, we parse the claim file (FNOL, adjuster notes, police reports, photos, medical bills) and run third-party liability checks.
The demand package is drafted from your validated data and the state-specific rule pack into field-locked templates — no legal opinions, no invented facts.
Made-whole compliance is verified; the SOL is checked; the demand elements are resolved; SCRA is screened. Any failure blocks release.
A licensed recovery specialist reviews the exception queue and signs the release. High-value or complex files route to attorney review first.
You receive the recovery: demand package, evidence log, made-whole analysis, SOL calendar, and correspondence trail — ready for the carrier to send under its own name.
The deliverable is completeness itself — every statutory element and search accounted for or explicitly exception-coded. Nothing is left implicit.
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a statutory requirement.
We prepare documentation and run searches as your clerical agent. We never contact the third party, give legal advice, or conduct the litigation.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
Start with a free Closed-File Audit. Send a batch of closed claims and we'll return a completeness read against every applicable state subrogation statute.
Documentation-completeness service · not legal advice · the carrier sends every demand.