VIGILASSIGNED EXAMINER
LiveAE

ASSIGNED EXAMINER

Smarter for Health Plans

Human judgment retained

Work-to-proof operating intelligence

Connect products, rates, networks, claims, billing, reporting, and consumer protection across federal and state oversight.

Health insurers, plan operations, network, claims, compliance, and Marketplace teams · Product analyst · Rate analyst · Network analyst · Claims reviewer · Marketplace specialist · Compliance officer
Smarter graph connectedPrivate-by-default learningHuman review gates active
Role workflows2ready now
Capabilities6role adapted
Exam mappings4evidence linked
Raw content shared0constitutional boundary

Role operating queue

Work once, prove continuously

Health Plans
01
Health product and Marketplace operations

Control product, rate, network, benefit, disclosure, enrollment, and reporting obligations.

productratenetworkfiling
Feeds CMS and state DOI review.
ready
02
Claims and consumer protection

Test claims, denials, appeals, billing, complaints, remediation, privacy, and vendors.

claim populationdenialappealcomplaint
Creates cross-regulator market-conduct evidence.
available

Vigil requirement bridge

Relevant examination programs

All exams ↗
Consumer Financial Protection BureauConsumer Financial Law Compliance Examination4 exact requirements routed
FDICDeposit Insurance Application6 exact requirements routed
State Insurance Regulators / NAICRisk-Focused Financial Condition Examination6 exact requirements routed
State Insurance Regulators / NAICMarket Conduct Examination6 exact requirements routed
State Insurance RegulatorsRate, Rule, and Form Filing6 exact requirements routed
CMS Center for Consumer Information and Insurance OversightPrivate Health Insurance Oversight Review6 exact requirements routed

Shared capability fabric

One governed context across every system

Signed lineage
1Smarter entity and work graph
2Vigil requirements and examinations
3Apparently controlled documents
4Tomorrow obligations
5Orchestrator approvals
6Pareto analysis
Learning boundary

Raw work product remains workspace-private; only authorized, purpose-bound, pseudonymous reviewed outcomes may enter minimum-cohort learning.

No employee scoring · minimum cohort 5

Vigil is coordinating quietly. Authority changes, evidence, dependencies, Vigil Review, and continuity readiness remain monitored.

View lifecycle