← Solution examplesInsurance & Risk example · PAS ↔ Claims ↔ Finance
Delegated Authority Data Control
Policies, claims, and premium rarely arrive in the same shape. We build the layer that reconciles them before reporting depends on them.
solution / delegated-authority-data-control
Engineering blueprintLAYER 01Existing systemsIntegrated, not replaced
Policy adminBordereauxClaims / TPAFinanceReinsurance
LAYER 02Governed policy dataCanonical, with lineage
InsuredsPoliciesPremiumClaims
LAYER 03KBSIntel data-control layerValidation & reconciliation
ValidationIdentity resolutionException queues
LAYER 04Decisions & intelligenceBuilt on governed data
Coverholder qualityPremium varianceReporting readiness
01
Problem
Delegated authority programs depend on data from coverholders, brokers, and TPAs in different formats and schedules. Each cycle, teams reconcile bordereaux against policy admin and finance in spreadsheets.
02
Example
A bordereau lists a policy missing from the PAS, an endorsement date that conflicts, and premium that does not tie to finance.
03
Governed object · Policy
- Insured
- Policy
- Endorsement
- Location
- Premium
- Claim
- Commission
- Coverage period
04
Where the systems disagree
- Missing from bordereau
- Missing from PAS
- Premium variance
- Unmatched claim
- Commission conflict
- Date inconsistency
05
What we build
A data-control layer that validates and reconciles each submission before it reaches reporting.
- Bordereau, TPA, and ACORD ingestion
- Validation rules per coverholder
- Policy identity across PAS, claims, and finance
- Premium and commission reconciliation
- Exception queues with coverholder feedback
06
Controls
- Validate required reporting fields
- Reconcile bordereaux against the PAS
- Tie premium and commission to finance
- Match every claim to a governed policy
07
Intelligence
- Exception rate by coverholder
- Data-quality trends by product
- Recurring claims-matching failures
- Reporting readiness
08
What we'd measure
- Submission exception rate
- Unreconciled premium value
- Claims without a policy match
- Time from submission to reporting-ready
Start with one problem. Engineer the right solution.
Manual work, systems that don't talk, data nobody trusts. We trace it to the source and ship the fix into production.
