How Genesis Works

Genesis operates after a claim has been evaluated—adding a post-evaluation audit, carrier-response analysis and strategic decision layer to existing plaintiff legal workflows.

Genesis does not replace demand platforms, case-management systems or attorney judgment.

It examines what happens after the insurer evaluates the claim.

Positioned After Evaluation

Most plaintiff legal technology operates before the insurer makes its decision—organising claim evidence, preparing demands and managing the case.

Genesis operates downstream.

Once the carrier has evaluated the claim and made an offer, Genesis examines the relationship between the documented damages, the insurer’s evaluation and its subsequent handling of the claim.

The result is a continuing evidentiary record rather than another negotiation tool.

End-to-End Workflow

Step 1 — Demand Submission

The attorney submits the demand package through their existing workflow.

Genesis does not replace or change this process.

Step 2 — Carrier Evaluation

The insurer evaluates the claim through its existing claims-handling and valuation processes and communicates its settlement position.

This establishes the carrier’s initial post-demand position.

Step 3 — Genesis Evaluation Audit

When negotiations stall, Genesis reconstructs the claim from the documented evidence and captures the carrier’s valuation inputs.

The platform establishes a verified damages baseline and identifies material differences between the documented claim and the insurer’s evaluation.

Genesis does not generate another claim valuation.

It audits how the insurer arrived at its position.

Step 4 — Reconciliation

Genesis converts identified discrepancies into a structured Reconciliation Review Table (RRT).

The carrier is given the opportunity to address the specific differences between the documented claim evidence and its evaluation.

This changes the interaction from:

“Will you increase your offer?”

to:

“How does your evaluation reconcile with the documented claim?”

The carrier’s response becomes part of the claim’s evidentiary record.

Step 5 — Carrier Response Analysis

Genesis processes the carrier’s subsequent response and determines its observable response posture.

The platform examines whether the carrier:

  • maintained or revised its existing position
  • reconciled identified discrepancies
  • provided medical or valuation rationale
  • addressed treating-provider evidence
  • requested additional evidence or medical evaluation
  • introduced or maintained specific damages disputes
  • changed its settlement position
  • left material issues unresolved

Genesis does not attempt to infer an adjuster’s subjective motive.

It documents what the carrier did, what it addressed, what changed and what remains unresolved.

Step 6 — Strategic Decision

The evaluation audit and subsequent carrier response are assessed together.

Genesis uses deterministic strategic logic to determine the appropriate next stage of the claim based on the documented evidence and carrier response.

Depending on the claim’s progression, that may include continued reconciliation, resolution, regulatory escalation or litigation analysis.

The decision is therefore based on the developing evidentiary record, rather than simply the movement between settlement offers.

Step 7 — Escalation

Where material discrepancies remain unresolved, Genesis structures the evidence accumulated throughout the claim lifecycle for the appropriate escalation pathway.

The original evaluation, identified discrepancies, carrier responses, value movements and unresolved issues remain connected within a single chronological record.

Escalation therefore follows the evidence already developed during the audit rather than beginning as a separate reactive process.

Structured Outputs

Genesis creates a developing record of the insurer’s post-evaluation handling of the claim, including:

  • Verified damages and valuation reconciliation
  • Reconciliation Review Table
  • Carrier response analysis
  • Response posture and unresolved-issue tracking
  • Offer and valuation movement history
  • Strategic decision outputs
  • Regulatory escalation materials
  • Litigation exposure analysis through Prophet-LS

These outputs are designed to support claim progression and accountability—not repetitive counter-negotiation.

From Negotiation to Accountability

Traditional bodily injury negotiations frequently become a sequence of offers and counteroffers.

Genesis introduces a different process:

Valuation is audited, not simply negotiated.

Discrepancies are reconciled, not left unexplained.

Carrier responses are analysed, not merely filed.

Value movement is connected to the evidentiary record.

Escalation follows documented claim handling, rather than beginning after negotiations fail.

The result is a structured record of what happened from the insurer’s initial evaluation through each subsequent response.

Designed for Integration

Genesis is not intended to replace the systems plaintiff firms already use.

It is designed as an embedded claim-intelligence layer within existing legal-tech, case-management and plaintiff workflows.

Existing platforms manage the claim.

Genesis adds intelligence at the point where traditional workflows largely become passive:

after the insurer evaluates it.

Demand → Carrier Evaluation → Genesis Audit → Reconciliation → Carrier Response → Strategic Decision → Escalation