Criterica Intelligence — 23,508 production models trained on 106M+ real court records
Insurance & Claims
Beachhead Market

Claims are the largest cost driver in insurance. The legal component is the least quantified.

Insurance runs on actuarial models. Legal outcomes within claims are the exception. Criterica closes that gap.

The Challenge

The moment a claim enters litigation, the actuarial framework breaks down.

Insurance already operates with quantitative precision on frequency, severity, reinsurance structure, and loss development. But the moment a claim enters litigation, that precision disappears. Reserve setting becomes adjuster judgment. Defense strategy becomes instinct. Settlement timing becomes negotiation without benchmarks against actual historical outcomes at the jurisdiction level.

Criterica brings actuarial rigor to the legal dimension of claims. Jurisdiction-specific outcome models, calibrated on real court records, give claims organizations the same quantitative foundation for litigation decisions that they already apply to everything else. This is not legal AI. This is the actuarial layer that legal has never had.

Who We Serve
P&C insurers
Litigation exposure, claim severity modeling, settlement timing
Professional liability
Attorney, medical, and executive liability risk modeling
D&O / E&O carriers
Complex claim probability and defense strategy scoring
Reinsurers
Portfolio-level legal risk modeling, concentration analysis
Claims administrators
Triage, reserve setting, settlement strategy, defense direction
Capabilities
RESERVE MODELING

Jurisdiction-specific severity predictions for claims in litigation.

Set reserves based on the statistical outcome distribution of similar claims in the same venue. Not adjuster estimates or industry averages. Calibrated against real filed records, not settlement databases that underrepresent verdict severity.

SETTLEMENT TIMING

When should a claim settle?

Settlement probability by case stage, venue, judge, and opposing counsel profile. Understand where a claim sits on the timeline curve and whether early resolution or continued defense is statistically optimal.

DEFENSE STRATEGY SCORING

Which approach has the highest probability of favorable outcome in this venue?

Motion-level probability modeling by judge and jurisdiction. Defense tactic scoring against historical outcomes in cases with matching profiles. Replace instinct with calibrated data.

PORTFOLIO EXPOSURE

Aggregate litigation exposure across claims portfolios.

Concentration risk by jurisdiction, case type, and severity band. Correlation analysis across open claims. Stress test litigation exposure against adverse outcome scenarios with historical grounding.

P&C, professional liability, D&O, and E&O litigation records across federal districts and state jurisdictions. Calibrated against real court records spanning the venues where claims are litigated.

Criterica serves P&C insurers, professional liability carriers, D&O/E&O underwriters, reinsurers, and claims management organizations.