Processes

Set program thresholds to match investigation unit capacity

How set program thresholds to match investigation unit capacity are reshaped as AGI capability advances.

ProcessesSet program thresholds to match investigation unit capacity
Set program thresholds to match investigation unit capacity — illustrated

Business-as-Code

Read as an executable program — the work decomposed into Code, Generative, Agentic, and Human.

Set program thresholds to match investigation unit capacity sits inside a larger value-flow — 1 parent structure it composes into. The hierarchy is grounding, not the story: it tells you which aggregate exposure Set program thresholds to match investigation unit capacity inherits.

Where Set program thresholds to match investigation unit capacity sits

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How the work flows

Trigger: A capacity review cycle begins or the investigation unit reports a sustained backlog or excess availability.

  1. Assess current investigation unit workload and available capacity
  2. Review historical flag rates and false-positive metrics
  3. Model proposed threshold changes against past claim volumes
  4. Approve new threshold parameters
  5. Update rules engines with new threshold values
  6. Monitor incoming queues to verify capacity alignment

Outcome: Investigation thresholds are updated in the claims system to yield a sustainable volume of flagged cases.

Measured by

Investigator Utilization RateInvestigation Backlog VolumeFalse Positive RateThreshold Adjustment Cycle Time