The Adjusters view and scorecards
The Adjusters view turns the supplements you negotiate into a per-adjuster read: who approves, who stalls, and where money is being left on the table. Verinode builds a scorecard for every adjuster…
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Overview
The Adjusters view turns the supplements you negotiate into a per-adjuster read: who approves, who stalls, and where money is being left on the table. Verinode builds a scorecard for every adjuster it can identify from your supplement threads, always measured against your own baseline. The numbers stay operator-private. They are never aggregated back to a carrier, and operator data is never sold to carriers.
Where to find it
Open Margin from the sidebar at iq.verinode.ai/margin. In the Explore row you will see an Adjusters tile with a count of the adjusters worth a closer look. Open it to reach the Adjusters view.
The view groups adjusters into three bands so the most time-sensitive work sits at the top:
- Worth acting on, adjusters where Verinode has clustered several signals into a recommended verdict (Escalate, Accept, Renegotiate, or Educate). Click one to open the workspace.
- Watching, adjusters showing at least one pattern, such as a lower approval rate than your baseline, a slow response time, or a recent drop, but no verdict yet.
- Tracked, adjusters Verinode is observing with nothing open right now.
What a scorecard shows
Click into any adjuster to open their scorecard. Every number is grounded in your own documented supplements with that person.
- 1Approval rate vs your baseline. The share of that adjuster's decided supplements that were approved or partially approved, shown next to your overall approval rate across all adjusters. A marker on the approval bar puts your baseline right beside their number, so the gap is visible at a glance.
- 2Supplement count. How many documented supplements you have negotiated with this adjuster. This is the volume the rest of the scorecard rests on. Verbal, call-only mentions are kept separate and labeled "Verbal · unconfirmed", they never move the rate or the dollars until a letter or email confirms them.
- 3Dollars of exposure lost. The denied amount on supplements that were not overturned on escalation. This is money that stayed denied, and it is the clearest read on what a tough adjuster is costing you.
- 4Primary carrier. The carrier this adjuster most often works claims for, inferred from the jobs their supplements are attached to. Blank when no carrier is set on any of the jobs.
The scorecard also shows median response days, escalation overturn rate, submitted, approved, and denied dollar totals, an extraction-confidence figure so you can judge how sure Verinode is of the identity match, and a Recently panel comparing the last 90 days against the 90 before to catch an adjuster whose behavior has changed.
Severity bands
Verinode sorts each adjuster into one of three severity bands, and the count on the Adjusters tile is the number sitting above the calm band.
Note
- Info, approval rate is close to your baseline and exposure is low. Nothing to do.
- Warning, approval rate trails your baseline by roughly ten points or more, or exposure lost has crossed into the low thousands.
- Critical, approval rate trails your baseline by roughly twenty-five points or more, or exposure lost has grown large. These are the adjusters to look at first.
The exact thresholds are internal and can shift as the model improves. Read the band as a priority order, not a fixed score.
Who can see it
The Adjusters view is role-gated. It is available to owner, admin, and manager accounts, and the scorecards never leave your business. If your role does not have access, you will see this note instead:
Adjuster scorecards are operator-private and available to owner, admin, and manager accounts. Your current role doesn't have access.
An admin on your account can adjust roles from Settings.
When it is empty
If Verinode has not read any supplement chains yet, the view shows an invitation rather than an empty grid:
Adjuster patterns land here as Verinode reads your supplement chains.
The fix is to get supplement threads flowing in. Forward the email chains where you request additional scope and the adjuster responds to your Verinode inbox address. As those threads arrive, adjusters populate here and the verdicts start to cluster once two or more signals fire on the same person.
Best-practice example
Start with the Worth acting on band. If an adjuster carries a real dollar figure of exposure lost and their approval rate sits well under your baseline, open the workspace: Verinode has already drafted the argument for the recommended verdict, so you spend the time deciding rather than digging.
Data sources
Data sources
- 1.Your forwarded supplement email chains. Your business.
- 2.Your own baseline approval rate and response times. Your business.