Claims Processing Outsourcing for Carriers, MGAs, and Brokers

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 Operating Model.

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.