Wedge A · Intake & Adjudication

AI caseworkers for the world's biggest inboxes.

Disability claims, permits, FOIA, licensing, eligibility. ClearOS reads the file, drafts the decision, and routes the edge cases — so your team focuses on judgment, not data entry.

The math

The 95/5 rule.

In every back office we've studied, 95% of cases are routine — they hit the same statute, the same documents, the same outcome. The remaining 5% are the genuinely hard ones: ambiguous evidence, edge-case applicants, novel circumstances. Today, your senior adjudicators spend most of their day on the 95% and arrive at the 5% exhausted.

ClearOS inverts that.

The 95%

Auto-drafted, cited, queued for one-click approval.

The 5%

Routed to senior staff with full context and pre-research.

The 0.1%

Suspected fraud. Sealed and sent to OIG.

The exception

Anything the model is unsure about — humans, always.

Workflows

The eight queues we know cold.

Disability

SSDI/SSI initial determinations. Listings + RFC analysis.

Unemployment

Initial claims, employer responses, fraud screens.

Medicaid

Eligibility, redeterminations, asset verification.

Permits

Building, environmental, ABC, ROW.

FOIA

Intake, search, redaction, response packets.

Licensing

Professional, occupational, business.

Veterans benefits

Compensation & pension claim development.

Tax disputes

Notice response, abatement, audit reconsideration.

Inside one workflow

Disability claims, end to end.

Receive

SSA-3368, medical records, school records, work history — in any format.

Develop

Identify missing evidence, request from providers, follow up automatically.

Analyze

Map findings to listings; if not met, run RFC and grid analysis.

Draft

Determination written in your office's voice with citations.

Review

Adjudicator approves, edits, or escalates. Disagreement is logged.

Notice

Decision letter generated, mailed, and posted to the citizen portal.

Outcomes

Numbers from the field.

14mo→9wk
backlog clearance, one state DDS
98.6%
caseworker agreement with drafts
31%
reduction in appeal reversals
$22M
annual labor recovery, mid-size county
Governance

Defensible by design.

Cited findings

Every assertion in a draft links to a span in a source document.

Policy versioning

Statute and manual changes are diffs reviewed by counsel.

Override learning

When humans edit, the system learns — but only after counsel approves the pattern.

Bias audits

Quarterly fairness reports across protected classes, automated.

FOIA-ready

One click produces the complete record of any decision.

Court-ready

Decisions defend in administrative appeal and federal court.

Citizen-facing

Optional portal that doesn't feel like 1998.

An optional public-facing companion lets citizens upload documents, see real status, and respond to development requests in plain language. It also halves your phone-line volume.

  • Mobile-first, accessible (WCAG 2.2 AA)
  • Plain-language status updates
  • Secure document upload
  • Multi-language by default
  • SMS & email notifications

Citizen view · case #2026-018342

Status: Awaiting school records from Roosevelt HS.

We requested them on March 4. We'll follow up on March 11.

You don't need to do anything.

Quote

"For the first time in my 22 years, my staff is asking for harder cases. They're done by lunch."— Chief Adjudicator, State Workforce Commission
FAQ

Adjudicator questions, answered.

Can the system make a final decision without me?

Only where you say so, in writing, by case class. Most agencies start with mandatory human approval on every case for the first 90 days.

What if the model misreads a document?

The draft cites the span it relied on. If you click the citation and disagree, you reject the draft — and the system files an exception for review.

Will it pass legal challenge?

The decision is yours, signed by you, citing the same statutes you cite today. The audit trail is stronger than what most agencies have now.

How fast can we go live?

90 days for the first workflow is typical. Subsequent workflows in 30–45.

Pick a queue. Pilot it.

We'll quote a fixed-fee 90-day pilot on your highest-volume case type.

Start a pilotSee Fraud Hunter →