28 seconds
Time to approve a claim denial, at industry-standard throughput of 130 claims per shift
Insurance Claim Denial and the Illusion of Oversight
An automated fraud detection pipeline denies a motor insurance claim. A human reviewer approves the denial in under 30 seconds. Months later, the policyholder files a complaint. This case study reconstructs what the reviewer actually saw, what was absent, and why the oversight claim collapses under the ICO's real influence test.