Systems iO

Claims

Connect first notification, claims information, handling and communication in a workflow with clear ownership and authority.

Talk to us about a workflowExplore the detail
From notification to the next right action.
Notification & documents
Policy & claim information
Understand. Triage. Assign. Progress.
Handling rulesSpecialist referralCustomer updates
Defined decision and settlement authority
A connected handling and communication record

Illustrative claims workflow — automation depends on evidence, authority and agreed scope.

Move the claim forward with the right information.

Claims work brings together a changing account of an event, policy information, documents and conversations. When those pieces sit in separate inboxes and systems, handlers spend time reconstructing the case and customers struggle to understand what happens next.

We connect intake, triage, handling and communication around a coherent operational record. The aim is to progress routine work reliably, bring exceptions to the right specialist and keep decisions and actions traceable throughout the claim.

Make first notification the start of a connected process

We capture the information needed to open the claim and connect incoming documents and messages to the right policy and claim record from the start.

Where AI helps, we use it to classify and summarise material while keeping the original evidence visible and any uncertainty clear for the handler.

Triage the work and make ownership clear

We route each claim based on the information available, the handling rules and the expertise needed next, with clear ownership of the next action.

As the case develops, the workflow can reassess what happens next, while people stay responsible for judgement, referrals and exceptions.

Set the boundaries for straight-through processing

We identify the parts of the claims process that can be handled automatically, with clear rules around when the system can act and when a person needs to be involved.

Coverage, liability and settlement decisions stay within defined authority, with the evidence and approvals needed to keep each outcome traceable.

Connect the handling record to communication and MI

We connect claim activity with customer communications and the management information needed to see what is happening across the process.

That gives handlers a clearer view of outstanding work, helps customers receive updates that reflect the real status of the claim, and makes delays easier to spot and address.

Fit the product and the delivery to the operation

ClaimsTracker brings correspondence, documents, workflow and management information into one connected view across the claims lifecycle.

We configure and integrate it around the operation, connecting the systems already in place and adding the right level of automation, control and ongoing support where it adds value.

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Connected thinking. Relevant evidence.

Automate Operations

We bring the whole process together, connecting systems and people so work moves more smoothly from start to finish.

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Improve Decision-Making

Bring the right information and guidance into the workflow so teams can make better decisions with more confidence.

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Connect Fragmented Systems

We review how the service is performing with the people closest to the operation, then use that insight to decide where change will have the most value.

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ClaimsTracker

Bringing AI-powered ingestion, claims triage and rules-based automation together with correspondence, documents, audit and management information.

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Start with your operation

What would you change first?

Tell us where work slows down, where systems disconnect, or where your people could do more.

Talk to us about a workflow