Deterministic Capital Intelligence for Medical Stop-Loss

Identify third-party liability recovery and quantify true financial exposure directly from adjudicated paid claims data.

A measurable opportunity hiding in your claims data

$11B-$36B

Undetected Recovery Opportunity

6 Domains

Full Discovery Coverage

72%

Cases Flagged for Investigation

$1.1T+

Annual Claims Analyzed

Capital Discovery

Identify Recoverable Capital Across All TPL Domains

Most payers only evaluate two recovery pathways. Capital Signal systematically identifies third-party liability exposure across all six domains within paid claims data.

Expanding visibility beyond MVAP and Workers’ Compensation to uncover materially unmeasured recovery opportunity.

Full Domain Coverage

Evaluate all six TPL recovery domains, including Premises Liability, Medical Malpractice, Mass Tort/MDL, and Transportation.

Systematic Detection

Rules-based signal detection applied consistently across all paid claims — not dependent on manual review.

Financially Relevant Signals

Signals are identified and evaluated in the context of case-level paid amounts and attachment proximity.

Immediate Case Identification

Flag high-confidence recovery opportunities for Claims Search, Litigation Search, or both.

THE CSA platform

A Complete Capital Intelligence Platform

From recovery identification to financial truth and capital risk analysis — all grounded in deterministic, case-level data.

capital discovery

Identify Recoverable Capital

Systematically detect third-party liability exposure across all six domains within paid claims data.

6 TPL domains. One systematic approach.

Rules-based signal detection at scale.

High-confidence opportunities, fast.

capital truth

Establish Financial Truth

Construct a deterministic, auditable record of case-level financial exposure against the attachment point.

Case-level financial aggregation.

Attachment-aware exposure measurement.

A single source of financial truth.

capital stress

Quantify Capital Risk

Analyze portfolio-level exposure, volatility drivers, and stress scenarios using deterministic capital models.

Portfolio-level exposure analytics.

Volatility and driver analysis.

Deterministic stress testing.

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Performance

Proven Accuracy on Real-World Claims Data

Tested across real-world modeled datasets to validate signal detection, routing accuracy, and domain classification.

Built on real-world data

We test where others only claim.

Every metric to the right is measured against ground truth outcomes from real-world modeled claims data.

No shortcuts. No proxies. Just results.

Overall Accuracy

94.4%

Routing and domain identification combined

Validated on real-world data

ROUTING ACCURACY

95.2%

Disposition matched ground truth outcomes.

Real-world tested

domain ACCURACY

97.1%

Correct TPL domain identified.

Across all six domains

cases flagged

72%

Routed to at least one recovery channel.

Ready for investigation

Based on real-world modeled claims datasets across multiple client population segments.

No class-level failure patterns observed. All variances occurred at threshold boundaries.

who it’s for

Built for the Organizations That Own the Risk

Capital Signal helps the teams closest to claims data uncover recoverable capital, establish financial truth, and manage exposure with confidence.

Brokers

Unlock hidden recoveries in your clients’ medical stop-loss and liability claims.

the challenge

Recoveries are missed or left on the table due to manual reviews and limited visibility.

what we deliver

Systematic identification of third-party liability (TPL) across all six domains — enabling greater recovery and stronger client outcomes.

TPAs

Drive performance, reduce leakage, and deliver higher value to your clients.

the challenge

Siloed processes and inconsistent data make it difficult to scale recovery efforts.

what we deliver

Deterministic signal detection and case-level financial visibility that integrates directly into existing claims workflows.

Stop-Loss Carriers

Strengthen your balance sheet with clear, defensible capital insight.

the challenge

Uncertain recoveries and opaque analytics distort true financial exposure.

what we deliver

An auditable, reproducible record of capital exposure with portfolio-level risk insight and recovery-adjusted views.