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Claims Adjuster

Subrogation Identification & Pursuit

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What You Do Today

Identify claims with subrogation potential — the other driver was at fault, a product was defective, a contractor caused the damage. Refer to subro, track recovery, respond to adverse subro demands against your insured. Money left on the subro table is money the company doesn't recover.

AI That Applies

AI-powered subrogation scoring that analyzes loss facts, liability indicators, and recovery potential at first notice. Automated adverse party identification from police reports and claim narratives. Predictive models for recovery likelihood and expected timing.

Technologies

How It Works

The system ingests police reports and claim narratives as its primary data source. Predictive models fit to historical outcome data identify which variables are the strongest leading indicators, then apply those weights to current inputs to generate forward-looking scores. The results integrate into the practitioner's existing workflow — presenting recommendations, flags, or automated outputs alongside their normal working context. The pursuit strategy.

What Changes

Subro potential gets flagged at intake instead of being caught (or missed) 3 months into the claim. The AI identifies recovery opportunities you'd have found eventually — but catches them when they're still recoverable.

What Stays

The pursuit strategy. Negotiating with the adverse carrier, deciding when to arbitrate vs. settle, managing the timeline. Subrogation is claims work applied in reverse — same skills, different direction.

What To Do Next

This section won't tell you what your numbers should be. It will show you how to find them yourself. Every instruction below produces a real, verifiable result in your organization. No benchmarks, no projections — just the steps to build your own evidence.

1

Establish Your Baseline

Know where you are before you move

Before adopting AI tools for subrogation identification & pursuit, understand your current state.

Map your current process: Document how subrogation identification & pursuit works today — who does what, how long it takes, where the bottlenecks are. You need this baseline to measure improvement.
Identify the judgment points: The pursuit strategy. These are the boundaries AI won't cross.
Assess your data readiness: AI tools for this area need data to work. Check whether your organization has the historical data, integrations, and data quality to support NLP Document Processing tools.

Without a baseline, you can't measure whether AI actually improved anything. You'll adopt tools without knowing if they're working.

2

Define Your Measures

What to track and how to calculate it

Time per cycle

How to calculate

Measure how long subrogation identification & pursuit takes end-to-end today, then after AI adoption.

Why it matters

The most visible improvement is speed. If AI doesn't save time, question whether it's adding value.

Quality of output

How to calculate

Track error rates, rework frequency, or stakeholder satisfaction scores before and after.

Why it matters

Speed without quality is just faster mistakes. Measure both.

When to check: Check after 30 days of consistent use, then quarterly.
The commitment: Give new tools at least 30 days before judging. The first week is always awkward.
What NOT to measure: Don't measure AI adoption rate as a KPI. Adoption follows value — if the tool helps, people use it.
3

Start These Conversations

Who to talk to and what to ask

your claims director or VP Claims

What data do we already have that could improve how we handle subrogation identification & pursuit?

They're setting the automation strategy for your unit

your SIU lead

Who on our team has the deepest experience with subrogation identification & pursuit, and what tools are they already using?

AI fraud detection changes how investigations are triggered and prioritized

a claims adjuster with 15+ years experience

If we brought in AI tools for subrogation identification & pursuit, what would we measure before and after to know it actually helped?

Their judgment sets the benchmark that AI tools are measured against

4

Check Your Prerequisites

Confirm readiness before you invest

Check items as you confirm them.