ScopeframeResearch for property claims buyers

Scorecard · Question 5

Use observable outcomes and artefacts, not adjectives such as “enterprise-ready” or “high accuracy”.

What do good and bad look like for every criterion?

Scopeframe research deskSection 09Page 6 of 18Updated 20 October 2026

Before the pilot, convert “target” in the table into a numeric threshold or a binary test approved by the relevant carrier owner.

Criterion Weak: typically 0–1 Acceptable: rating 3 Strong: rating 5
1. Accepted-file economics — 20 Compares invoice price only; excludes carrier corrections, implementation or failed assignments Reconciled cohort costs; agreed cost ceiling met; retained work and unresolved files visible Stretch cost target sustained; downside scenarios remain affordable; capacity release and cash savings separately evidenced
2. Technical quality — 20 Undefined “accuracy”; supplier-selected samples; material omissions hidden in average estimate values Independently checked files meet acceptance, material-error and first-pass targets by required segment Results sustained across periods and inspection sources; post-acceptance defects monitored; corrective action demonstrably prevents recurrence
3. Traceability — 12 Reviewer must reconstruct support manually; original observations overwritten; unexplained quantities Material estimate elements trace to evidence, calculation or explicit assumption; changes and approvals retrievable Reconstruction tests repeatedly succeed after revisions, exports and system changes; reviewer effort meets the stretch target
4. Authority and governance — 10 Unclear decision rights; silent rule/model changes; human approval is nominal Carrier owns approval and escalation; rules and automation versions recorded; change control and override tests pass Repeated regression, override and rollback tests demonstrate effective control without bypassing accountable review
5. Integration and export — 10 PDF-only hand-off where editable output is required; rekeying uncosted; conflicting versions Agreed formats round-trip successfully; identifiers, attachments, status and versions reconcile; export test passes Repeated failure recovery and migration rehearsals succeed with low measured manual handling
6. Security and privacy — 8 Unknown subprocessors or data destinations; shared accounts; vague retention or training rights Security team approves the actual service boundary, access, data use, retention, subprocessors and incident arrangements Ongoing assurance, access reviews, incident exercises and deletion/export evidence remain satisfactory through change
7. Usable-file time — 7 Measures draft creation only; indefinite paused clocks; exception queue omitted Assignment-to-acceptance and production clocks are visible; tail-time and exception targets met Tail performance sustained through difficult-input cohorts; root-cause fixes reduce delays without suppressing escalation
8. Surge and continuity — 6 Headcount claims without available reviewer capacity; unspecified overflow Tested intake, production, QA and carrier-review capacities support the agreed surge scenario Repeated exercises or relevant events demonstrate quality-preserving surge, recovery and credible capacity allocation
9. Commercial clarity — 4 Unpriced revisions, unilateral scope changes, opaque minimums or punitive exit Normalised pricing, revision definitions, service measures, audit access and exit obligations documented Terms have worked through revisions, volume changes and an exit rehearsal; no material unpriced dependency remains
10. Implementation and people — 3 No accountable owner; reviewer workload assumed away; training or rule maintenance unfunded Named owners, funded implementation, trained reviewers, rollout stages and rollback plan Repeated delivery against milestones; effective backup ownership, calibration and benefit tracking after launch

What evidence should accompany the ten ratings?

Request a compact evidence pack rather than ten separate presentations:

  1. Economics: invoices, production and review time records, loaded labour assumptions, correction logs and allocation schedule.
  2. Quality: blinded review results, severity rubric, disagreements, final adjudications and first-submission artefacts.
  3. Traceability: a buyer-selected file reconstructed from source evidence through revisions to approval.
  4. Control: responsibility matrix, rule/model inventory, change approvals, overrides and rollback records.
  5. Integration: round-trip results, failed-transfer logs, reconciliation reports and an independently opened export.
  6. Security: actual service and subprocessor boundary, assurance reports, access tests and incident exercises.
  7. Time: event-level timestamps, blocked-time reasons and aged exception queues.
  8. Capacity: committed staffing by role, competing demand assumptions and stress-test results.
  9. Commercial: completed price schedule, exclusions, revision terms and transition obligations.
  10. Implementation: funded plan, named owners, training results and operating acceptance sign-offs.