Modern Claims TPA for Modern Insurance Companies
ClaimSorted is a digital claims TPA that offers a five-star experience to policyholders while helping insurance companies cut operational and indemnity costs.
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How Are We Different?
Faster Claims Turnaround
We settle claims three times faster than traditional TPAs by blending automation with expert claims adjusters
Better Customer Experience
Our team is trained in empathetic support, resulting in outstanding NPS and CSAT scores
Lower Indemnity Spend
We use advanced fraud detection and real-time checks to spot and prevent unnecessary payouts
Data-Driven Insights
We convert raw claims data into actionable insights. This guides your underwriting team to refine coverage and manage risk more effectively
Combining Human Touch with the Latest Technology
Our proprietary claims platform enables our claims adjusters to focus on what truly matters—your policyholders and claims indemnity accuracy. By streamlining and automating routine tasks, we free our team to spend more time assisting your customers and handling complex cases
Policyholder Experience
We create a white-label eNOL that can be fully customized to your brand and program (customers can also submit claims via email and phone). Policyholders also get access to a white-label Claims Portal to track claim statuses, ask questions, and upload additional documents
Claims Assessment
We design workflows around your policy wording, claims philosophy, brand guidelines and tone of voice. Our structured approach to eligibility checks ensures minimal leakage
Fraud Detection and Cost Containment
Our proprietary algorithms flag unusual patterns, document tampering and excessive costs. The system can also flag opportunities for recoveries and subrogation
Reporting
You can choose from a range of reporting options—daily, weekly, monthly, or live data feeds via SFTP or API—so you get insights when you need them
Your Business Is Unique—Your Claims Should Be Too
Many TPAs treat every program the same. We do not. When you partner with us, our claims experts work closely with you to design optimal claim flows that reflect your policy wording, claims philosophy and brand guidelines. This approach makes every claim experience truly unique
Who We Work With
Carriers
Reduce operational costs and optimize indemnity spend
MGAs/MGUs
Offer a seamless, five-star claims experience to your policyholders
Captives
Efficiently manage claims to protect your bottom line and maintain risk control
Property (Residential and Commercial)
Auto (Commercial and Personal)
Small Commercial
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Travel & IMPI
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