Every figure from the worked example on this page. Illustrative, synthetic data.
Elective laparoscopic cholecystectomy with intraoperative cholangiogram omitted despite documented risk factors. Post-operative deterioration; urgent ultrasound results showing a bile leak remained unreviewed for nearly 24 hours, and the patient was discharged while they stood unreviewed. Emergency readmission and repair followed. The claimant alleges failure to recognise and respond to the post-operative injury.
| CM-2023-0412 | Bile duct injury, laparoscopic cholecystectomy Same procedure, same injury, same severity | Settled out of court 11 months · closed 2023 | $412,000 |
| CM-2021-0655 | Bile duct injury, delayed recognition Same injury, same delay pattern | Settled at mediation 16 months · closed 2021 | $655,000 |
| CM-2019-1180 | Laparoscopic injury, causation disputed Same procedure, causation contested | Judgment at trial 34 months · closed 2019 | $1,180,000 |
And from the chronology, GenAIM produces an accountability matrix, what should have happened, what actually happened, and where the breach sits.
| Event | Clinician | Expected | Actual | Severity |
|---|---|---|---|---|
| Intraoperative cholangiogram omitted during high-risk cholecystectomy | Dr. Daniel Oak (Consultant Surgeon) | A reasonable practitioner would have performed an intraoperative cholangiogram with risk factors present, dense adhesions, distorted anatomy, bile staining. | Cholangiogram considered but not performed due to time constraints and unstable pneumoperitoneum. | High |
| Failure to escalate critically deteriorated patient to consultant | SHO on-call (name not documented, covering for Dr. Daniel Oak) | A reasonable practitioner would have escalated to the consultant surgeon with post-operative fever, tachycardia, hypotension, and severe pain. | SHO assessment only, no consultant escalation despite ongoing critical deterioration. | High |
Every event GenAIM extracts is checked against its source record for completeness and support. Your team reviews the exceptions, the partial matches and the gaps, not every record from scratch. Every finding traces back to the source line that supports it, and the causation chain shows how the events connect, who knew what, and when. GenAIM doesn't replace professional judgment. It replaces the manual execution that sits underneath it.
GenAIM is the judgment layer over your existing claims systems, adding the judgment those core platforms don't provide, without replacing them. Your system of record stays where it is, claim documents flow in by API or upload, and the finished result flows back, or GenAIM runs standalone. For the complex-claims work, GenAIM is where your team works, building the case on the chronology, correcting findings, and approving each judgment, with every action and sign-off tracked.
We are looking for the medical indemnity partner to bring the chronology, breach, and causation workflow live with real claims. The engagement is structured, time-boxed, and built around real or de-identified claim files.
Bring a claim file or your assessment methodology. A 30-minute working session, and we'll show how GenAIM would run it end to end.
GenAIM is led by Jonathan Birch. 25 years building enterprise automation, including 4 years as CSO in London at an insurance technology company, automating claims processing for a major UK motor insurer. Full track record on the homepage.