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Claims Bordereaux AI Agent

Clean Claims Bordereaux. IMS-Ready. Without the Manual Work.

 
Brisc’s Claims Bordereaux Agent ingests raw claims BDX from your program partners — in whatever format they arrive — and delivers validated, IMS-ready output without manual pre-processing.


Field mapping. Header normalization. Status remapping. Financial validation. Exception flagging.
All handled before a single record touches your claims system.

Claims BDX dashboard

The Bottleneck Nobody Talks About

Everyone focuses on claims handling. But before your adjusters or your system ever see a claim, someone has to make the data usable. That’s the pre-ingestion layer — and for most carriers and MGAs running delegated authority programs, it’s entirely manual.

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Every program sends claims bordereaux differently.

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Analysts spend days pre-processing before ingestion.

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New programs mean new formats — and an engineering ticket.

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Errors slip through and compound downstream.

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The process doesn’t scale with your book.

From Raw File to IMS-Ready Output. No Manual Steps.

1. Ingest the Raw Claims Bordereaux

Upload or forward the claims bordereaux as it arrives from your program partner — Excel, CSV, PDF, any format. Brisc reads the file structure, identifies the header layout, and applies the correct mapping configuration automatically. No manual file prep required.

Claims BDX ingestion
Claims BDX exceptions

2. Normalize, Validate, and Flag Exceptions

Brisc maps fields to your IMS schema, normalizes headers, remaps status values (Open / Closed / Re-Open), handles financial fields as inception-to-date values, and deduplicates records. Exceptions — missing fields, unrecognized statuses, financial discrepancies — are flagged with clear explanations before anything reaches your system.

3. Deliver Clean, IMS-Ready Output

Brisc hands off a validated, structured output that’s ready for ingestion into IMS or your claims system of record. Your team reviews flagged exceptions, approves the file, and ingests with confidence. Full audit trail on every mapping, validation, and exception.

Claims BDX IMS Ready
Manual Pre-Processing With Brisc
New format onboarding Engineering ticket. Days or weeks in the queue. Business users configure mapping in minutes. No engineering dependency.
Header normalization Analyst manually remaps columns every file, every month. Automatic. Applied on ingestion based on recognized patterns.
Status remapping Manual lookup and conversion per program’s status codes. Configured once per program. Applied automatically to every file.
Financial validation Analyst checks ITD vs. incremental conventions manually. Errors caught downstream. Validated on ingestion. ITD handling applied consistently. Discrepancies flagged before IMS.
Deduplication Manual cross-referencing against prior bordereaux. Automated. Duplicate records identified and flagged with source references.
Exception handling Errors found after ingestion, during reconciliation or reporting. Exceptions surfaced before ingestion with clear explanations for analyst review.
Audit trail Tribal knowledge. No documentation of mapping decisions. Complete audit trail on every field mapping, validation rule, and exception.
Scaling with new programs Linear: more programs = more analyst hours = eventually more hires. Flat: new programs add configuration, not workload.
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Real-Time Insights and Instant Processing

As files come in Brisc processes them and makes them available for insights in real-time. 

What This Means For Your Operations

No More Engineering Bottleneck

New program formats are onboarded by your operations team, not your dev team. No tickets. No queue. No dependency on engineering availability to get claims data into your system.

Tribal Knowledge Becomes Auditable Logic

Mapping rules, validation logic, and exception criteria are captured in Brisc’s configuration layer. Documented, repeatable, and consistent regardless of who’s working that day.

Errors Are Caught Before They Compound

Exceptions are surfaced before ingestion — not after, when a reconciliation doesn’t balance or a reinsurer’s report doesn’t match. Flagging issues upstream prevents expensive downstream cleanup.

Monthly Crunch Becomes a Steady Process

Instead of a monthly sprint where your team manually pre-processes files against a deadline, Brisc handles files as they arrive. Consistent, continuous, and done before the month-end crunch.

New Programs Don’t Mean New Hires

Your book grows. Your team stays the same size. Every new program partner adds a configuration entry, not a headcount request. The process that works at 15 programs still works at 50.

Your Claims System Gets Clean Data, Every Time

IMS, FileHandler, whatever your claims SOR is — it receives validated, mapped, deduplicated data. Better data in means better reporting, better reserves, and better reinsurer confidence out.

Built for Delegated Authority Claims Operations

Domain-Trained AI That Understands Your Business.

 

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Understands Claims Bordereaux


Brisc is domain-trained on claims bordereaux structures — paid amounts, reserved amounts, ITD conventions, loss types, policy references, claimant data. It doesn’t need to be taught what a claims bordereaux looks like.

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Handles Any Format


Excel, CSV, PDF. Different column orders, different header labels, different status conventions. Brisc adapts to the data as it arrives rather than requiring the data to conform to a rigid template.
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Deploys in Weeks


Typical deployment: 2–6 weeks. Parallel run alongside your current manual process to validate accuracy before going live. No system integration required for initial deployment.
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Enterprise Security


SOC 2 Type II certified. CCPA compliant. Secure, isolated customer environments on Microsoft Azure. Active Directory RBAC. Complete audit trails on every file processed.

Predictable Pricing The Scales With Your Book

 

Per-Program Pricing

Based on the number of programs and bordereaux volume — not per-user or per-record fees.

Unlimited Users

Your entire claims operations team has access to Brisc's agent. No per-seat charges.

Scale With Your Books

Add programs without proportional cost increases. The economics improve as your book grows.

Stop Pre-Processing Claims
Bordereaux Manually

See how the Claims Bordereaux Agent handles your formats, your validation rules, and your IMS requirements — in a 30-minute walkthrough using your own data.

Frequently Asked Questions

What is a claims bordereaux and why is processing it difficult?

A claims bordereaux is a detailed report of claims activity — including paid amounts, reserved amounts, loss dates, claimant information, and policy references — sent by MGAs or program partners to carriers and reinsurers. Processing is difficult because every program partner sends these in a different format: different column headers, different field orders, different status codes, different financial conventions (inception-to-date vs. incremental). For carriers and MGAs managing 15–20+ programs, this means receiving 60 or more structural variations every month, each requiring manual normalization before the data can be ingested into the claims system of record.

How does Brisc handle different claims bordereaux formats?

Brisc’s Claims Bordereaux Agent recognizes the structure of each incoming file and applies the correct mapping configuration automatically. When a new format variation arrives, business users configure the mapping directly — no engineering tickets or development work required. The agent handles header normalization, field mapping, status code remapping (e.g., converting partner-specific status labels to your Open/Closed/Re-Open convention), financial field validation as ITD values, and deduplication. Exceptions are flagged with explanations before any data reaches your claims system.

Does the Claims Bordereaux Agent replace our claims system?

No. Brisc sits between the incoming raw file and your claims system of record (IMS, FileHandler, or equivalent). It handles the pre-ingestion layer — everything that currently requires manual analyst work to make the data system-ready. Your claims system continues to operate exactly as it does today, but it receives cleaner, validated data.

What happens when a new program partner sends a format we haven’t seen?

Your ops team configures the new mapping directly in Brisc — no engineering involvement required. This is a core design principle: the mapping layer is owned by operations, not IT. New format onboarding takes minutes, not the days or weeks typical of engineering-dependent processes.

How long does it take to deploy the Claims Bordereaux Agent?

Typical deployment is 2–6 weeks. During the discovery phase, you provide sample claims bordereaux and your IMS field requirements. Brisc configures the agent to your data formats, mapping rules, and validation criteria. You then run a parallel process — manual alongside Brisc — to validate accuracy before going live. No system integration is required for initial deployment.

Is the Claims Bordereaux Agent secure?

Yes. Brisc is SOC 2 Type II certified and CCPA compliant. Each customer deployment runs in a secure, isolated environment on Microsoft Azure with Active Directory RBAC for access controls. Every file processed includes a complete audit trail covering field mappings, validation decisions, and exceptions flagged.

How is this different from the Brisc Claims Agent (FNOL triage)?

The Claims Bordereaux Agent and the Claims Agent solve different problems. The Claims Agent handles real-time FNOL triage — ingesting claims notifications as they arrive, extracting details, scoring severity, and routing for adjuster review. The Claims Bordereaux Agent handles periodic claims data reporting — the monthly bordereaux files from program partners that need to be cleaned, validated, and ingested into your claims system. One is about incoming claim events in real time. The other is about claims data management at the portfolio and program level.