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Claims Processing Outsourcing for Carriers, MGAs, and Brokers

Claims are where insurers earn or lose customer trust. Every delay or error in FNOL or claims servicing creates friction and risk. Selectsys delivers end-to-end claims processing outsourcing, embedding teams directly in AMS360, Applied Epic, Expert Insured, and carrier portals. From intake to settlement support, our SLA-backed process ensures accuracy, speed, and compliance.

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What We Handle in Claims Processing

  • FNOL Intake & Setup – collect claim details via email, portals, and phone notes, then set up in AMS/carrier portals.
  • Validation & Documentation – confirm policy details, coverage, and claim eligibility.
  • Status Updates – track, log, and communicate claim progress.
  • Portal Uploads – upload and manage claims documentation within carrier platforms.
  • Correspondence Management – handle emails, notices, and attachments tied to open claims.
  • Audit & Reporting – provide visibility into claims SLAs, backlogs, and resolution metrics.

Claims workflows plug into the analytics and control tower elements of the Value Flywheel.

Why Carriers and MGAs Outsource Claims Support

  • Lower cost – save 30–40% on claims admin vs in-house.
  • Faster intake – FNOL logged and routed same-day, typically within 2–4 hours.
  • Error reduction – dual QA review minimizes compliance issues.
  • Scalable staffing – surge coverage during catastrophes or seasonal peaks.
  • Transparent reporting – dashboards track every open claim and SLA performance.

How Selectsys Is Different

  • AI-powered FNOL – GPT + OCR triage claim submissions and pre-fill forms.
  • Embedded execution – work done inside AMS360, Applied Epic, Expert Insured, and carrier portals.
  • No-Charge SLA – trained backups cover absences; you never pay for downtime.
  • SLA-backed delivery – FNOL and routine claims tasks turned around in 2–4 hours.
  • Outcome-based pricing – predictable monthly or workflow-based fees.

Who We Support

  • Carriers – reduce backlog and compliance risk in claims departments.
  • MGAs & Wholesalers – scale claims support without inflating headcount.
  • Retail Brokers & Agencies – offload FNOL and claims tracking tasks.
  • Insurtechs – build claims automation workflows with human QA.

Use Case Examples

  • A carrier reduced FNOL turnaround from 3 days to 24 hours by embedding Selectsys claims teams.
  • An MGA eliminated a 2-week claims backlog by outsourcing setup and status tracking.
  • A retail broker improved client retention by automating claims updates and communications.

FAQs

FNOL intake, validation, status updates, portal uploads, correspondence management, and reporting.
Yes. Our teams execute directly in AMS360, Applied Epic, Expert Insured, and carrier claim platforms.
FNOL intake and setup are completed same-day, with typical turnaround in 2–4 hours.
Clients typically save 30–40% compared to in-house claims admin staff.
We deploy surge teams and trained backups to ensure SLA compliance, even during CAT events.

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For a clear view of how claim processing relates to underwriting and policy servicing, the operating model page maps the full end-to-end workflow.

If you want a quick reference for any of the terminology mentioned on this page, you can review the Glossary for clear definitions and context.

Ready to streamline claims processing and FNOL?

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How This Service Connects to the Core Platform

This service operates within the Selectsys five module insurance infrastructure. Operational execution is fully aligned with the technology backbone.

  • RQB — Rating and bind infrastructure for commercial and specialty lines.
  • Expert Insured — Policy lifecycle system managing issuance, endorsements, and renewals.
  • Premium Accounting — Insurance native accounting for agency bill, direct bill, trust, and reconciliation.
  • CoverPay — Installment billing and payment collection infrastructure using your own merchant account.
  • Insurance BPO — Embedded teams executing submissions, underwriting support, servicing, and compliance.

Operational services are most effective when integrated directly with the core platform modules.

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