RYZE Claim Solutions, a national claims services and TPA partner backed by Bain Capital Insurance, supports the full lifecycle across property and casualty lines. As part of its continued expansion into commercial, liability, auto, and casualty sectors, RYZE has made artificial intelligence a core pillar of its strategy — driving smarter, faster, and more transparent claims operations that deliver measurable value for carriers, MGAs, and self-insured partners.

The Challenge

Claims QA is high-volume and detail-intensive. Adjuster reports often arrive in inconsistent formats, requiring significant manual review time. During surge periods, such as CAT events, QA workloads can multiply overnight — demanding rapid scalability without sacrificing quality or control.

RYZE’s goal: Build a more accurate, scalable, and transparent QA operation — powered by AI — without expanding internal headcount.

The Solution: Partnering with Pace

After evaluating multiple vendors — from legacy automation systems to modern AI providers — RYZE selected Pace for its proven combination of AI engineering expertise and deep insurance domain knowledge.

Pace’s engineering team worked directly with RYZE’s QA leaders to define Agentic Operating Procedures — natural-language instructions that guide AI agents through complex claim review steps. RYZE first launched the solution for a single client, then rapidly scaled after surpassing key accuracy and efficiency benchmarks.

“At RYZE, AI isn’t just a tool — it’s a strategic enabler. Partnering with Pace allowed us to reimagine how quality assurance is done, creating a process that’s faster, smarter, and more consistent across every claim.”
— Walt Leddy, CEO, RYZE Claim Solutions

Results

With the first AI QA workflow in production, RYZE achieved immediate, measurable performance gains*:

• 30% reduction in QA cycle time

• 2× the errors identified compared to the human eye

• Near-perfect audit accuracy of 98%

• Fully auditable and transparent QA process

“We’ve always believed that innovation has to enhance accuracy, not compromise it. This initiative proves how AI can elevate our standards while improving speed and scalability.”
— Amanda Lofvers, EVP, RYZE Claim Solutions

What’s Next

Building on the success of AI-powered QA, RYZE and Pace are now expanding automation to additional customers and moving upstream into FNOL Intake — continuing to integrate intelligent technology across the entire claims value chain.

“This is just the beginning. We’re building a next-generation claims operation where AI and human expertise work hand-in-hand to deliver unmatched quality and insight to our clients.”
— Walt Leddy, CEO, RYZE Claim Solutions

* Results are based on internal analyses conducted under approved estimating guidelines and endorsements. Actual performance may vary. The AI QA workflow enhances quality assurance accuracy and efficiency but does not make coverage decisions or damage determinations.