Settle or Fight
Know which rejected complaints you'll lose at the regulator; settle those first.
The job
Compares the expected cost of fighting with settling now for every rejected complaint heading to the regulator or ombudsman, and shows the likely ruling before you decide, so you settle the ones you would lose anyway.
The moment
Rejected complaints heading to the regulator or ombudsman are grouped by type, and each type sits on a set of scales: settle now or fight.
A mock hearing puts the company's rejection letter beside a likely ruling built from 23 past rulings on the same type of case. The ruling: the insurer failed to cite the exclusion clause, so the claim is upheld.
Across 118 similar cases, settling costs $410,000. Fighting is expected to cost $1.9 million, plus a drop in the regulator's index.
The head of the team approves settling the whole batch before lunch.
What it does
- Log a ruling
- Refresh class odds and hearing text
- Approve a settlement batch
- Draft an explanation letter
- Propose a policy change
What you see
Scales of justice per case class, a docket sorted by tilt, a Mock Hearing side-by-side and an approval tray
What it moves
The share of rejections overturned by the regulator, escalations to the regulator, and fines in dollars each quarter.
Built for
- Compliance, complaints & legal
- Finance
