The Claimflint Claims Automation Platform
A purpose-built layer that sits between your carrier core and your adjusters — enriching files, flagging leakage, and closing claims faster.
Three Layers. One Continuous Workflow.
FNOL Intake — Every Channel, One Structured File
First Notice of Loss reaches you through six channels. Claimflint captures, normalizes, and structures every intake — eliminating the manual re-keying that slows most regional carriers.
- Phone (IVR and live agent) with NLP transcript parsing
- Web portal direct submission with real-time policy match
- Mobile photo upload and claimant-facing intake app
- Email/fax OCR extraction with fallback to agent review queue
Claims Intelligence — Enrichment Before the Adjuster Touches It
Before the file reaches an adjuster, Claimflint's Intelligence Layer has already verified coverage, modeled reserves, scored fraud indicators, and identified subrogation potential.
- Policy lookup and coverage verification against carrier core
- Reserve modeling with severity classification
- Fraud-indicator scoring using claim pattern matching
- Subrogation potential flag on third-party liability files
- Total-loss threshold pre-check for auto claims
Core Integration — Bi-directional, Real-time or Batch
Claimflint connects to your existing carrier core as a pass-through enrichment layer — writing structured claim data back to your ClaimCenter, Duck Creek, Sapiens, or Insurity environment.
- Native REST API with OpenAPI 3.0 specification
- Batch connector for mainframe and on-prem cores
- Bi-directional claim status synchronization
- Adjuster assignment and reserve push
- DOI MCAS-ready output format for all jurisdictions
Claim File Flow, End to End
Claim file flow from intake channel to carrier core export
Designed for Regulatory Reality
Claimflint handles claims workflow — not policy decisions. Every compliance feature below is structured to support your adjusters and your DOI reporting obligations, not to replace your E&O controls or your legal function.
NAIC Model 472 prompt-payment rules tracked per state — timing alerts before deadline breach, not after
DOI MCAS data feed-ready output formats — closed-file data export in submission-compliant structure for all jurisdictions
Unfair Claims Settlement Practices Act avoidance controls — SLA monitoring surfaces statute-approaching files before breach
Built with SOC 2 controls in mind — immutable audit trail on every claim action, role-based access, field-level encryption at rest
See the Platform Against Your Own Claims Data
We'll map your current claims workflow and show where Claimflint's enrichment layer reduces cycle time — without replacing your carrier core or your adjusters. We don't replace your adjusters; we automate the file work that keeps them away from the file.