CLAIMS DECISION CONTROLRESERVE GOVERNANCEAUDIT READINESS

reserve‑change governance for claims teams.

Claricular Reserve Guard helps claims teams check whether reserve movements are explainable, evidence-backed, manager-reviewed where needed, and exportable as an operational audit bundle.

01

Queue scope

8-12

Pilot weeks

05

Control stages

RESERVE GUARD

CONTROL DASHBOARD

RESERVE EVENT

RG-2025-0418

Motor · Bodily injury

SAMPLE PILOT VIEW

Previous

GBP 42k

Proposed

GBP 68k

Movement

+61.9%

GOVERNANCE CONTROL LOOP

STAGE 03 / 05

Reserve Event

Validation Result

Correction Required

Manager Review

Audit Bundle Ready

VALIDATION RESULT

2 ACTIONS

Authority threshold confirmed

Decision rationale needs clarification

Evidence reference required

GOVERNANCE LOG

LIVE TRAIL
14:32

Reserve event captured

14:33

Validation rules applied

14:34

Correction task opened

OPERATIONAL CONTROL TRAIL · 14:32 UTC

VIEW CASE

THE CONTROL GAP

Where reserve‑change control breaks down

Reserve decisions often move faster than the evidence trail around them. Reserve Guard brings the operational checks into one visible workflow.

01

Weak rationale

Reserve movements are submitted without clear decision reasoning.

02

Missing evidence

Supporting references are incomplete, scattered, or hard to audit.

03

Limited visibility

Managers cannot easily see correction status, repeat issues, or readiness gaps.

STRUCTURED WORKFLOW

A control loop for reserve decisions

A clear operating path from reserve movement through correction and manager oversight to an exportable handoff.

01

Reserve event captured

Capture the movement, context, rationale, and linked claim references.

02

Validation rules applied

Check rationale, evidence, authority, and context against agreed triggers.

03

Correction task raised

Route weak decisions back into a structured operational workflow.

04

Manager review

Escalate unresolved or material cases for clear oversight.

05

Audit bundle exported

Create a structured operational handoff for the selected scope.

CONTROLLED ADOPTION

Built for controlled pilots

Reserve Guard is designed to start narrow: one claims queue, agreed reserve‑change triggers, limited insurer-system ingestion, operator-controlled service credentials, and structured audit-bundle export over an 8-12 week pilot.

Status: production-pilot deployable, subject to agreed infrastructure setup.

8-12 week pilot
One claims queue
Agreed reserve‑change triggers
Limited integration
Operator-controlled credentials
Audit-bundle export

SYSTEM POSITIONING

Designed to sit beside existing claims systems

Reserve Guard is API-first and designed to work alongside existing claims platforms rather than replacing them. Production-pilot deployment requires agreed PostgreSQL, Redis, TLS, backup, monitoring, and secret-management setup.

API-firstLimited ingestionStructured exportOperator controlled

CONTROL LAYER POSITIONING

API-FIRST

EXISTING

Claims platform

Agreed claim and reserve‑change inputs

CLARICULAR

Reserve Guard

Validation, corrections, review, control trail

HANDOFF

Audit bundle

Structured operational export

Agreed infrastructure
Secret management
TLS and monitoring

POSITIONED WITH CARE

Operational audit handoff, not certification

Reserve Guard supports operational governance and audit readiness. It does not provide legal, regulatory, or claims-outcome certification.

FOR CLAIMS TEAMS

Who Reserve Guard is built for

For operators and governance teams who need a clearer control layer around reserve‑change decisions.

Claims Operations Leaders

Technical Claims Managers

Claims Transformation Teams

Risk and Governance Teams

TPAs and Claims Service Providers

PILOT PARTNERS

Looking for 1-2 controlled pilot partners

Claricular is seeking a small number of UK claims teams to test Reserve Guard on a narrow reserve‑change workflow before broader rollout.

Request Pilot Discussion

BUYER ENQUIRY

Discuss a focused Reserve Guard pilot

Tell us about the queue, reserve‑change workflow, and operational control question you want to test.

Narrow pilot scope
Agreed integration boundaries
Operational audit-bundle handoff
Buyer discussions for UK claims teams

Frontend enquiry preview. Submission handling will be connected for the agreed pilot workflow.