Claims management software that puts agents beside your adjusters

Property and casualty claims come in waves, and a single hailstorm can bring a month's claims in a week. Legacy systems and scattered data make it hard to see every claim, spot fraud, and keep policyholders informed.

We build claims management for personal, commercial, and specialty lines on the claims system you run, or on InsureEdge's claims module. It covers first notice, adjusters, claims authority, catastrophe events, payees, and letters.

• Reserves drafted and tracked through the life of the claim
• Supervisor review and approval within authority limits
• Digital payments to claimants, contractors, and lienholders
• Policy actions, such as a non-renewal review, raised from claim data

Claims follow paths you define by line of business, severity, and geography. Each step creates tasks and diary dates, so a follow-up on day 14 happens on day 14.

Adjusters in the field see and update claims on a phone or tablet, and the office sees the same record. When a rule changes, a manager updates it without a release.

Adjusters spend much of the day on paperwork: logging calls, chasing documents, and re-keying estimates. Agents take that work, gather the evidence in one file, and draft the next letter, so the adjuster investigates and decides.

Calls, emails, texts, and portal messages land on the claim, and every party sees the same status. Independent adjusting firms also get case tracking, fee schedules, and invoicing for each carrier client they serve.

Agents check each claim against fraud indicators: duplicate submissions, edited photos, claims soon after a policy starts, and patterns across claimants and providers. A suspicious claim goes to your special investigations unit with the evidence attached.

Honest claims keep moving, because the checks run in the background and only the flagged ones stop.

Life and annuity claims involve long-held policies, death certificates, medical records, and beneficiaries who may be hard to find. Agents check the documents, validate each beneficiary against the policy and its nominations, and set out the payout, whether it's a lump sum or a structured settlement.

Complete, low-risk claims can reach the approval screen ready to pay in one look, and sensitive ones get an examiner's full attention. Every payout waits for a person's approval.

Every action, decision, and approval is time-stamped and tied to a name, so a regulatory exam or an internal audit doesn't need a separate spreadsheet. Managers see cycle times, open reserves, and backlogs by line and region.

We connect through APIs to your policy, billing, and document systems, whether you run Guidewire, Duck Creek, Majesco, Sapiens, Insurity, EIS, OneShield, or InsureEdge.

It takes the intake, assignment, documents, and status updates off your adjusters, so they spend their time on complex and high-exposure claims. It brings policy and billing data into one view and keeps the process the same across lines, even when volume spikes.

Look for first notice of loss on every channel, rules-based routing, reserve management, and supervisor approvals. Add document and communication management, digital payments with controls, reporting, and a portal where claimants check their status.

Insurers spend less on each claim and respond faster during storms and seasonal surges. Policyholders get updates without calling and are paid sooner. Claim data also shows loss patterns early, while there's still time to act.

Yes. We connect to your policy administration, billing, CRM, document, and third-party data systems through APIs. Claims, finance, and underwriting work from the same data instead of parallel spreadsheets.

Yes. We set it up for personal, commercial, specialty, life, annuity, and health claims, each with its own workflows and rules. A new product gets its rules added, without disrupting the lines already running.

Independent adjusters serve many carriers, each with its own rules, forms, and fee schedule. Adjuster software keeps each client's cases, documents, and invoices separate and consistent, so the firm handles more claims without adding office staff.

General claims tools aren't built for policy maturity, beneficiary nominations, or structured payouts. Life insurance claims software holds policy data, beneficiary records, and settlement rules together, so examiners stop cross-checking between systems.

Yes. Every action is logged with a time stamp and a name, and every approval shows who gave it. Auditors can trace a decision, its documents, and its payment without anyone building a report by hand.