Benefit decisions that survive an appeal
A social benefits agency whose refusals were regularly appealed, and whose cases could not always show what had been checked.
The situation
A social benefits agency deciding entitlement on evidence the claimant supplies. Its refusals are regularly appealed, and an appeal asks the agency to show what it checked and why.
A refusal was justified by whatever the case officer could remember or reconstruct. Appeals succeeded because the agency could not evidence its own checks, and officers applied eligibility rules with small personal variations.
The rule Ceertia applies
The declared household composition must be consistent with the residence proof and the income evidence.
How it runs
The case arrives from whoever sends it, with the claim forms, identity proof, income evidence, residence proof, household declarations and supporting certificates. Anything missing is flagged on receipt.
Each rule returns a verdict with its evidence: what Ceertia saw, where, and why it concluded. Every verdict is stored with its rule version, source excerpt and timestamp. A use case per benefit type, turning each eligibility criterion into a rule applied the same way to every claim. Household composition is reconciled against the residence proof and income evidence, and every verdict is stored with its source.
Your team keeps the decision, on sourced evidence, with a full audit log.
What changes in the work
- A refusal was justified by whatever the case officer could remember or reconstruct.
- Appeals succeeded because the agency could not evidence its own checks.
- Officers applied eligibility rules with small personal variations.
- Every eligibility check is a rule, applied identically to every claim.
- Each decision stores the rule version and the source excerpt behind it.
- An appeal is answered with the case’s own evidence.
Your team keeps the decision, on sourced evidence, with a full audit log.
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