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Case study 01  Quick peek  2 min read

Claims Adjuster Copilot

B2B2C client app  Single sign-on for client companies and their employees

An AI workflow for claims: the same seven steps for every claim. The AI handles the routine volume, and a licensed adjuster approves every payout.

Scope
6 screens
Domain
Insurance / regulated AI
Status
Concept
Prototype
Clickable, not user-tested

The problem

Insurance carriers are moving claims triage toward AI-assisted decisioning — but a wrong payout or missed fraud signal creates real liability. The design question: let AI handle routine volume while keeping a human demonstrably, auditably in control of every dollar that moves.

The approach

Grounded in documented human-in-the-loop patterns — propose → review → commit, confidence-based gating, and escalation with full context handoff — applied to insurance-specific constraints: mandatory human approval, inspectable reasoning, and a permanent audit record.

The centerpiece screen

Claim review card

Before any action executes, the adjuster sees the full AI-proposed decision — payout, confidence, fraud risk, and the reasoning behind the number. Nothing is approved automatically, and nothing is approved blind.

Claim review card with a $7,905 AI-proposed payout, confidence, fraud risk, coverage status and reasoning

Outcomes, business impact & learnings

What came out of it

Outcomes

What I delivered

  • A six-screen flow and clickable prototype for confidence-gated claim review.
  • A pattern set for trust-first AI in regulated domains, each pattern traced to a source.

Business impact

Designed, not measured

  • Faster routine claims, with judgment kept for high-risk cases.
  • A defensible audit trail for regulators and disputes.

Learnings

What I took from it

  • In regulated work, the design job is making the human’s approval fast and informed.
  • Confidence sets how closely to look, never whether to look.

Where this stands

A scoped concept with a clickable prototype, not yet tested with adjusters. It is positioned honestly as growth-area depth in AI workflows and human-in-the-loop UX, built on 9 years in regulated insurance platforms at Northstar.

Want the full walkthrough?

All six screens, the design principles applied, the interactive prototype, and full source citations.