Smart Ratings Recommendation
Description
Due to the rating decision's dependence on the preceding steps of the rating process, there is often a backlog of claims and significant rework required to complete a rating on a claim. A need exists for a specialized, automated solution to complete several pieces of the Rating process to expedite the delivery of benefits and awards to Veterans, and to reduce errors and delays resulting from remediation.
Detailed example
The output is a rating recommendation that the Ratings VSR can approve or reject. It is not finalized until the RVSR takes action.
AI / analytics pattern
Agentic AI: AI systems that perform tasks or make decisions autonomously with minimal human intervention.
Automation level / stage
a) Pre-deployment – The use case is in a development or acquisition status.
Expected benefit
Smart Rating Recommendation empowers VSRs in the Ratings workflow to leverage AI-generated ratings of select claim and contention types in order to lower processing times for a Rating Decision to be made. This is done by allowing RVSRs to leverage AI analysis of selected claims and contentions, and provide a proposed Rating to the user to confirm or review manually themselves.
Controls / human review
ATO: Not reported; PIA: Not published