Let Claude have access to everything, have it run a local environment as close to production as possible (Docker with the real dependencies, not some locally installed finnicky Postgres), and tell it to thoroughly test all its work and make sure it is set up to do that.
Paste in ticket, get 95% of the way to the end.
I will add the caveat that this is only with the code. The overhead of communication has not improved at all beyond pasting code review comments into Claude to get replies.
What I really need is something to listen in at meetings for my name, summarize what was asked, and suggest an answer based on the codebase.