Tech-Enabled Claims TPA

Turning Claims Into Your Advantage

We deliver a five-star claims experience to your policyholders while reducing your operational and indemnity costs. We do this by combining the best claims talent in the market with our proprietary technology.

Trusted by 30+ leading MGAs and Carriers

How are we different?

Faster Claims Turnaround

We settle claims three times faster than traditional TPAs by blending automation with expert claims adjusters.

Better Customer Experience

Our team is trained in empathetic support, resulting in outstanding NPS and CSAT scores.

Lower Indemnity Spend

We use advanced fraud detection and real-time checks to spot and prevent unnecessary payouts.

Data-Driven Insights

We convert raw claims data into actionable insights. This guides your underwriting team to refine coverage and manage risk more effectively.

Performance that speaks for itself

Faster Claims Cycle

3x speed

Measured against market-standard
TPA cycle times

Lower Claims Leakage

Below 1.2%

Based on audits
from our insurance partners

Reduced Reopen Rates

Below 1.0%

Based on claims reopened
within 30 days timeframe

We do this by combining human empathy with the latest technology

Our proprietary claims platform enables our claims adjusters to focus on what truly matters, your policyholders and claims indemnity accuracy. By streamlining and automating routine tasks, we free our team to spend more time assisting your customers and handling complex cases.

Policyholder Experience

We create a white-label eNOL that can be fully customized to your brand and program. Policyholders also get access to a white-label Claims Portal to track claim statuses, ask questions, and upload additional documents.

Claims Assessment

We design workflows around your policy wording, claims philosophy, brand guidelines and tone of voice. Our structured approach to eligibility checks ensures minimal leakage.

Fraud Detection

Our proprietary algorithms flag unusual patterns, document tampering and excessive costs. The system can also flag opportunities for recoveries and subrogation.

Reporting ‍

You can choose from a range of reporting options: daily, weekly, monthly, or live data feeds via SFTP or API so you get insights when you need them.

Your Business is unique—your Claims should be too

Many TPAs treat every program the same. We do not. When you partner with us, our claims experts work closely with you to design optimal claim flows that reflect your policy wording, claims philosophy and brand guidelines. This approach makes every claim experience truly unique.

Insurance lines we support

Lines of business we support

Commercial & Personal Property

Commercial & Personal Auto

Small Commercial

General Liability

Accident & Health (including Travel)

Warranty

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We drive value for our customers

"ClaimSorted is 1000x better than our previous TPAs"
Brock Noland, CEO Vertical Insurance
"With ClaimSorted’s exceptional indemnity management, we’ve seen a noticeable decrease in claim payouts. Their meticulous attention to detail is impressive."
Claims Director, UK
“ClaimSorted made the integration process incredibly easy. Their team guided us every step of the way, ensuring a smooth transition.”
Operations Director, USA

While delighting their policyholders

Very happy with the speed of our payout and easy claim process

Anna

Efficient response claim dealt with and paid quickly

Janet

I put a claim in and it took less than a week for a payment, amazing service that’s why I give a 10

James

Sorted out my claim quickly and efficiently

Sarah

Very quick with our claims

Tom

Make claims your advantage today.