Signals

How Isomer detects risks across your claims book — the detector library, detection scopes, and signal output.

Isomer Signals is the risk detection product built on Isomer Core. It continuously evaluates the claim graph against a library of 85+ detectors and emits a structured signal for every match. No configuration required to start — connect an inbox and the detectors run.

How detection works

Each inbound message updates the claim graph. Signals evaluates the updated graph against every applicable detector. When a detector's criteria are met, it emits a signal.

A signal is not a raw alert — it is a structured output carrying everything needed to act:

Field Description
Source evidence The triggering message, document, or page
Urgency How quickly the signal requires a response
Confidence How strongly the evidence supports the detection
Configured action Notification, CMS writeback, or Actions workflow

Detector library

Detectors are organized into seven categories.

Bad faith & litigation

Signals related to litigation activity, attorney involvement, bad faith exposure, and adversarial legal tactics — including venue selection, demand strategies, and reptile theory framing.

Examples: time-limited settlement demand, initial attorney representation notice, bad faith demand letter.

Fraud, abuse & evidence integrity

Signals related to fraudulent activity, organized schemes, suspicious billing or treatment patterns, evidence manipulation, and referral networks that suggest abuse of the claims process.

Examples: medical-legal referral pattern, staged loss indicators, duplicate billing.

Coverage & policy

Signals related to coverage disputes, policy interpretation, limits and reinsurance thresholds, misclassification, reservation of rights, and silent or unintended exposures.

Examples: policy limits demand approaching threshold, coverage dispute language, reservation of rights trigger.

Severity & complexity

Signals related to claim severity and handling complexity — medical severity escalation, diagnostic complexity, multi-system injuries, biopsychosocial factors, structural damage assessments, total losses, and patterns that indicate specialized handling.

Examples: catastrophic injury indicators, multi-system trauma, total loss threshold.

Compliance & regulatory

Signals related to regulatory investigations, government inquiries, sanctions screening, and statutory obligations that carry compliance risk.

Examples: OFAC match, regulatory inquiry notice, statutory deadline approaching.

Aggregation & systemic events

Signals related to multi-claimant events, common cause scenarios, emerging contaminants, and patterns indicating exposure extending beyond a single claim.

Examples: common-cause indicators, catastrophe event clustering, emerging contaminant filing.

Reputation & external scrutiny

Signals related to adverse media coverage, public attention, social media activity, and external scrutiny that could affect brand or public standing.

Examples: media mention, high-profile plaintiff attorney, social media activity on a claim.

Detection scopes

Every detector operates at one of three scopes.

Single-message. Fires on a single document when the graph has enough structure. Examples: a time-limited demand, a spoliation notice, a critical-severity FNOL.

Claim-lifecycle. Emerges only across multiple events on the same claim over time. Examples: a benign FNOL followed by escalating medical records and an attorney letter forming an indemnity-severity pattern. Detection is only possible after the claim develops — the single-message scope would not catch it.

Cross-claim. Requires pattern analysis across claims, parties, or portfolio data. Examples: organized fraud rings, medical-legal referral patterns shared across claimants. Cross-claim scope is what separates a signal platform from a document classifier.

Line of business applicability

Every detector carries an LOB applicability tag. Detectors can apply to a single LOB or multiple:

  • Personal Auto
  • Commercial Auto
  • Homeowners / Property
  • Commercial Property
  • General Liability
  • Workers' Compensation
  • Professional Liability / E&O
  • Umbrella / Excess
  • Universal (all lines)

Where a signal behaves differently by LOB, the detector definition carries LOB-specific guidance. For example, attorney representation is common and expected in Workers' Compensation but is a stronger adversarial indicator in Homeowners.

Signal output and routing

When a detector fires, the signal is routed based on your configured response:

  • Notification — email or Slack alert to an adjuster, supervisor, or team.
  • CMS writeback — structured data written back to your claims management system.
  • Actions workflow — triggers a multi-step workflow in Isomer Actions for cases requiring more than a notification.

Confidence thresholds are configurable. Low-confidence firings route to human review rather than auto-executing — no silent actions.

Next steps