Overview
ClaimSorted is a technology-enabled third-party claims administrator for insurers and insurance programs. It combines claims professionals with proprietary workflows, policyholder portals and reporting infrastructure.
What ClaimSorted does
ClaimSorted manages the work between a policyholder reporting a loss and the insurer resolving the claim. Its service includes a branded notification-of-loss experience and a portal where policyholders can check status, ask questions and provide additional documents.
The team configures handling workflows around the policy wording, claims philosophy and customer’s brand. Its algorithms support checks for unusual patterns, document tampering, excessive costs and opportunities for recovery or subrogation. Claims professionals remain part of the handling operation.
Insurers and managing general agents can receive scheduled reports or live data feeds through SFTP or API. The proposition is an outsourced claims operation with a connected technology layer, rather than a software license that requires the insurer to supply the entire handling team.
Differentiation
Compared with claims software
ClaimSorted supplies claims-handling personnel as well as its technology. The engagement covers an operating service rather than just the system used by an internal team.
Compared with a manual TPA process
Its portals, configured workflows and reporting feeds connect policyholders, handlers and the insurer through the claim rather than relying only on periodic status updates.
