Reconciliation Analyst

Claims payment reconciliation. Issued, settled, proven.

Every claims payment proven to have landed where it was agreed; the duplicate, the reversal and the payment that never cleared surfaced in time to act. Brisc squares claims money out four ways: the claims bordereau row, the payment file, the bank statement and the payment-rail status.

The value

Money out is where loss hides.

Matching is the mechanism. What finance signs off on is the point.

Payments proven, not presumed

Settlement is confirmed by the payment rail and the bank statement; an instruction alone proves nothing.

Loss surfaced after settlement

The control that assumes something got through: duplicates, wrong-amount payments and reversals surface with evidence attached.

An audit trail that survives review

Every payment carries its checkpoints, the rule that matched it and its source documents.

The four corners

What is four-way claims payment reconciliation?

Every claims payment is squared against four records. Three-way reconciliation stops at the bank statement; claims money needs the fourth corner.

Corner 1

Claims bordereau row

What was agreed on the claim.

Corner 2

Payment file

What your team instructed.

Corner 3

Bank statement

What actually left the account.

Corner 4

Payment-rail status

What the rail says happened to it.

The ladder

Match by rule. In order. To the cent.

Deterministic rules, strongest evidence first, each match recording the rule that made it. The same discipline as premium matching, pointed at money out.

01

Clear the noise

Non-claims bank activity is auto-cleared, so the queue only ever holds claims money.

02

Exact match across the four corners

Customer reference, payment number and bordereau row agree to the cent, and the rail confirms the money landed.

03

Same-reference variance

The references agree but the amount does not; wrong-amount payments surface instead of hiding.

04

Narrative extraction

The claim number is pulled from the bank narrative itself, disambiguated by amount, then by date.

05

Exact amount, short window

When references fail, an exact amount inside a short date window still finds its payment.

06

Refunds and reversals

Returned, stopped and cancelled payments are paired with the money coming back.

07

Fuzzy payee, exact amount

The payee in the bank narrative against the payment-file payee, and only at an exact amount.

On every payment

The queue starts warm. The clock stays visible.

Near-miss candidates

Ranked candidates are computed for everything unmatched, so your reviewer starts from a shortlist.

The prompt-pay deadline, stamped

Unmatched payments carry their statutory prompt-pay deadline while the clock is still running.

Checkpoints, in order

Promised, issued, settled, cleared: recorded on every payment, so you see where each one sits.

Exceptions queue with the Analyst’s reasoning and source documents attached.

The other direction

Money out is half the job.

Common questions

Claims payment reconciliation, answered

How is this different from bank reconciliation?

Direction, and one extra corner. Premium in is matched across statement, remittance and obligation; claims out adds the payment-rail status, which confirms the payment actually landed. Same engine, same evidence rules: see bank reconciliation.

Does Brisc issue, hold, or move claims payments?

Never. Brisc reconciles what your payment rails and bank accounts report; it does not initiate, hold, or move a payment. Your rails, your treasury, your approvals.

What happens when a payment is issued but never clears?

It stays visible instead of vanishing. The ordered checkpoints show where it stopped, the statutory prompt-pay deadline is stamped on it while the clock is still running, and it sits in the review queue with ranked near-miss candidates attached.

What about returned, stopped, or cancelled payments?

A dedicated rule set pairs them with the money coming back, so a reversal never masquerades as a settled claim and a reissued payment starts its own evidence trail.

Can it catch fraudulent or duplicate claims payments?

Reconciliation is a post-settlement control. Screening tools score payments before money moves; the Analyst proves what actually happened afterwards. Duplicates, wrong-amount payments, reversals masquerading as settled claims, and payments that never cleared surface as exceptions with the evidence attached.

Is the matching based on rules or AI?

Rules. The ladder is deterministic and every match records the rule that made it. AI reads the bank narratives and payment files and argues the borderline cases in the review queue; it never decides a match.

Do we need to clean our data first?

No. You cannot make banks send tidy narratives or rails report in your schema, which is exactly why the Analyst reads the files as they arrive and documents the mess while it works it.

Bring your own payment file. Watch it land.

30 minutes, no slide deck. We run your data: a real payment file and a real bank statement. Your business is specific; the walkthrough should be too.

Book the walkthrough