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From first notice to resolution—without a new core
From first notice to resolution—without a new core
Launch claims quickly and improve cycle time. A guided intake captures the facts, triage rules assign work, and approvals keep reserves and payments controlled, all with audit-ready history.
From first notice to resolution—without a new core
From first notice to resolution—without a new core
Launch claims quickly and improve cycle time. A guided intake captures the facts, triage rules assign work, and approvals keep reserves and payments controlled, all with audit-ready history.
From first notice to resolution—without a new core
From first notice to resolution—without a new core
Launch claims quickly and improve cycle time. A guided intake captures the facts, triage rules assign work, and approvals keep reserves and payments controlled, all with audit-ready history.
Reframe core components you already have
Ticketing becomes the claim, workflows become triage and SLAs, document templates handle statements and authorizations, and e-sign speeds affidavits—no separate claims system to start.
Intake & triage
- Policy lookup, claimant identity, and loss details with photo/video uploads.
- Fraud indicators and catastrophe codes steer reviews and surge staffing.
- Channel-agnostic capture (web, phone, SMS) with automatic dedupe.
Adjusting & reserves
Work orchestration
Inspections, estimates, medicals, and communications tracked as tasks with due dates and SLA timers.
Reserves
Change requests require approvals with reason codes; full audit history is preserved.
Payments & documents
- Partial/final payouts with lienholder handling.
- Letters and statements from templates; e-sign for rapid acknowledgments.
- Secure claimant portal for status and correspondence.
Reporting & leakage control
Cycle time, severity, litigated rate, and subrogation potential dashboards. Exception lists highlight reserve drift and re-open risk before quarter-end.
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