Claim intake:
Notification of claims via all channels and in all methods, driven by configurable responsive questionnaire.
Jurisdiction:
Automatically validates claim details against policy terms, AML and blacklist databases, performs sub-claim segmentation, and assigns cases to the appropriate handler without manual intervention.
Survey / Evaluation:
Rules-driven workflow for assessing claims, enabling surveys, SIU reviews, litigation processes, and other tasks at either the claim or sub-claim level. Automatic calculations on claim indemnity.
Recovery:
Rules-based initiation of subrogation and salvage processes, and seamlessly integrated with the Reinsurance module for efficient RI recovery operations.
Settlement:
Disburse claims as lump sums or recurring payments, with advanced payment options, and automatically close claim files upon final clearance.
Reserving:
Algorithm-driven initial reserve setting, with both automatic and manual updates at granular levels to ensure precise booking of claim indemnities and expenses.
Claim intake via all channels
Regardless of online from customer, through agent, emails, call centers or over the counter, our Claim Administration module create a true omni-channel experience to make claims easy.
SeaInsure handles claims with no manual touch leveraging STP capabilities on the platform
Straight-through claim processing
Powered by business rules, AI, and seamless integration with policy, AML, blacklist, reinsurance, and payment modules, claim module segments claims, and fully automate standard claims with no / low manual touch, accelerating settlement times, reduces operational costs, and improves customer satisfaction.
Online engagement with external parties
All communications - pending document follow-ups, reminders, claim status updates, and correspondences - are handled online in a mutual, collaborative way.
Seamless integration and/or batch processing of TPA files, and real-time interactions with garages, hospitals, surveyors, lawyers and all partners during claim processing.
InsurerMate | Marketplace
AI-ready to make claim smarter
By enabling claim AI agents InsurerMate AI middle office, you are connected to all mainstream LLMs, further automating claim lifecycle and improve efficiency of claim officers.
Besides, our partners provides AI expert engines for certain types of claims, such as medical and motor.
Rich claim APIs available
Out-of-the-box APIs - from omni-channel claims notfication to claim evaluation and recovery, as well as TPAs, and external services - ready to enable rapid integration and seamless ecosystem connectivity.
Add-ons
AI Middle Office
Unleash the full power of your stack: seamlessly orchestrate native AI with every API to build end-to-end intelligent automation.
Partner Solutions
Explore plug-in solutions from our partners.
