Product - RiskVert Underwriting Risk Platform

Platform Overview

Four modules. One integration point.

Most carriers need to stitch together three or four vendor tools to get from ACORD submission to bindable quote. RiskVert provides submission scoring, ISO alignment, claims triage, and loss forecasting in a single API layer that sits between your front-end intake and your PAS.

The platform does not replace your underwriters. It removes the 40–60% of submissions that are either clearly acceptable or clearly outside appetite, letting your underwriters spend their time on the submissions that actually need judgment.

Module 01

Submission Risk Scoring Engine

Each submission is parsed from ACORD 125 and 126 forms, cross-referenced against your historical book data, and scored on a 0–100 composite risk index. The index combines:

Occupancy code frequency vs. your loss history
Geographic CAT exposure score (PCS wind, USGS seismic zones)
Prior carrier history and gaps in coverage
Business operations vs. stated SIC code (anomaly detection)
Loss run recency and severity-to-frequency ratio

Sample API Response

{
  "submission_id": "SUB-2024-09231",
  "risk_score": 72,
  "tier": "review",
  "flags": [
    "CAT_ZONE_HIGH",
    "LOSS_RUN_GAP_18MO"
  ],
  "recommended_action": "senior_uw",
  "processing_ms": 87
}

Module 02

Claims Triage & Severity Classification

FNOL data arrives in multiple formats: EDI 837, direct API, or scanned PDF parsed by our document extraction layer. Each claim is immediately categorized into one of five severity tiers based on:

Severity Tier Assignment

Bodily injury claims automatically segregated from property losses. Large-loss threshold triggers immediate management notification.

Adjuster Queue Routing

Claims route to specialist queues based on coverage type: GL, commercial auto, inland marine, or workers comp.

Fraud Indicator Flagging

Pattern matching against known SIU indicators: late reporting, inconsistent claimant statements, duplicate claim submissions.

Reserving Guidance

Initial reserve recommendations based on your historical development patterns for similar claims, segmented by line.

Module 03

ISO Rating Alignment & Loss Cost Monitoring

Most carriers receive ISO circulars and manually update their rating engine. Rate updates lag by 3–6 months on average. RiskVert automates the mapping.

Circular Ingestion

ISO circular updates are parsed and staged for review before applying to your rating tables. Actuarial team approves the delta before any production change.

Rate Deviation Alerts

Submissions where your filed rates deviate more than a configurable threshold from ISO loss costs are flagged for actuarial review before binding.

Territory Benchmarking

Compare your written premium by territory against ISO indicated loss costs, identifying territories where you are systematically over- or under-priced.

Module 04

Loss Ratio Forecasting

RiskVert produces monthly loss ratio projections for each line of business using credibility-weighted experience adjusted for trend and development. Actuarial teams can configure:

Credibility parameters by line and accident year
Loss development factors (LDFs) — default ISO or custom
Trend selections for frequency and severity by coverage
Confidence intervals at 80%, 90%, and 95% CL

The forecasts are not black box. Every projection links back to the underlying development triangles so your actuaries can review the inputs, not just the output.

Integrations

Connects to your existing infrastructure

RiskVert does not require you to replace your PAS or claims system. It adds an intelligence layer on top of what you already have.

REST API

Full REST API with OpenAPI 3.0 documentation. Webhooks for real-time event delivery. Client libraries for Python and Node.js.

PAS Connectors

Certified connectors for Applied Epic, Duck Creek Policy, and Guidewire PolicyCenter. SFTP/EDI integration for legacy systems.

Data Residency

Policyholder data is processed in-memory and not stored in RiskVert infrastructure. Deployment in your cloud VPC available on Enterprise tier.

Run a pilot on your actual submission data

30-day evaluation using your historical submissions. We generate risk scores for your last 12 months of written policies and show you where the model would have changed your outcomes.

Schedule a Pilot View Pricing

The Underwriting Intelligence Platform