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Example engagement · Insurance

Claims automation platform for a regional insurer

Replacing an email-and-spreadsheet claims process with a web platform for first notice of loss, document capture, adjuster workflows and automated payouts.

Claims automation platform for a regional insurer
Client
Regional property & casualty insurer
Industry
Insurance
Country
United States
Team
9 specialists
Duration
11 months
Services
Custom software development, System integration, Software testing & QA

Example engagement — client details are anonymized. References available on request under NDA.

Project overview

The insurer handled thousands of property claims a year through shared mailboxes, spreadsheets and a legacy policy system. The goal was a single platform that captures claims online, routes them to the right adjuster and pays approved claims without manual re-keying.

About the client

A regional property and casualty carrier with a few hundred employees, selling home and small-business policies through independent agents.

Business challenge

Claims took too long to acknowledge and settle, policyholders had no visibility into status, and adjusters spent much of their day searching for documents and copying data between systems.

Technical challenges

  • Integrating with a 15-year-old policy administration system that only exposed a SOAP interface
  • Extracting data reliably from photos, PDFs and scanned forms
  • Keeping a complete, tamper-evident audit trail for regulators

Solution delivered

We built a React web application for policyholders, agents and adjusters on top of a Node.js API, with an integration layer that wraps the legacy policy system. Documents are classified and pre-filled using document AI, and approved payments flow automatically to the finance system.

Features

Key features

Online first notice of loss

Guided claim submission with photo upload for policyholders and agents.

Smart triage

Rules-based routing by claim type, value and adjuster workload.

Document AI

Automatic classification and data extraction from uploaded documents.

Adjuster workspace

One screen with policy data, documents, notes and tasks.

Status tracking

Real-time claim status for policyholders by email and portal.

Automated payouts

Approved claims pushed to finance with a full audit trail.

Results

Results and value delivered

  • Single source of truth for every claim
  • Automated triage and assignment
  • Customer self-service status tracking
  • Far less manual data entry for adjusters
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Let’s discuss your project

Tell us what you are building or which roles you need. A Technical Customer Manager replies within one business day.

  1. We reply within 24 hoursWe review your request and get back to you by email.
  2. Discovery callWe discuss goals, scope and timeline — under NDA if you prefer.
  3. Proposal & kickoffTeam, timeline and budget proposal. Work can start within 1–2 weeks.
matteo.costa@fortunearcx.com

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