Claims and submissions reach handlers complete and checked.
Insurers receive claims, broker submissions and policy changes through portals, email, post and call notes. The platform reads each one, checks it against the policy and routes it to the right handler. Decisions stay with your handlers and underwriters.
Workload
Each claim arrives in a different shape.
A first notice can be a portal form, a broker email with photos, a scanned letter or a call note. Handlers find the policy, check cover and decide who handles each claim.
Median per claims operation, before go-live.
Median from receipt to assignment, before go-live.
Reassigned after first routing, before go-live.
The processes with the most manual work.
Each runs on the same platform, queue and audit log. Most insurers start with one and add the next once it meets its gate.
- Claims first noticeNew claims are registered, matched to the policy, checked for cover and routed to the right handler.Page in preparation
- Underwriting submissionsBroker submissions are split, classified and summarised into the underwriter’s risk template.Page in preparation
- Policy servicingChange requests are read, checked against the policy terms and applied or routed for approval.Page in preparation
- Medical and repair bill reviewBills and repair estimates are checked line by line against tariffs, cover and the claim.Page in preparation
- Intake and routingClaims, complaints and requests from every channel are checked for completeness and routed to the right team.93% routed without triage
- Invoice processingSupplier invoices are matched to the purchase order and posted to your ERP.84% touchless
- Redaction and disclosureHealth and personal data is removed from files before they go to reinsurers, experts or courts.Page in preparation
- Customer correspondenceSettlement letters and replies are drafted from the claim record and approved by a handler.Page in preparation
The rules your process runs under.
How the platform meets each one. Evidence packs for your auditors are available under NDA.
- Solvency II · Outsourcing
- Audit and access rights, a documented exit plan and an on-premises option for critical processes.
- GDPR · Health data
- Health data is redacted before storage wherever the process does not need it.
- Claims audit
- Every routing and cover check is logged with its inputs and the rule or model version that made it.
Connected to the systems you run.
- Core systems
- Guidewire
- Duck Creek
- Sapiens
- Majesco
- Documents
- OpenText
- Hyland OnBase
- SharePoint
- Channels
- Broker email
- Customer portal
- Post scanning
- Call notes
Talk to
an engineer.
A solutions engineer reviews your processes with you and shows where automation pays off, and where it does not.
Book a call