Claims Processing Outsourcing & FNOL Support for Carriers & MGAs

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.

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.

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

What does outsourced claims processing include?

FNOL intake, validation, status updates, portal uploads, correspondence management, and reporting.

Do you work directly in carrier portals?

Yes. Our teams execute directly in AMS360, Applied Epic, Expert Insured, and carrier claim platforms.

How fast is FNOL processed?

FNOL intake and setup are completed same-day, with typical turnaround in 2–4 hours.

How much can carriers and MGAs save?

Clients typically save 30–40% compared to in-house claims admin staff.

What happens during catastrophe events when volume spikes?

We deploy surge teams and trained backups to ensure SLA compliance, even during CAT events.