For insurance claims operations

AI operations
that actually
work for
claims teams.

Custom workflows, templates, and automation installed for your team. Not another SaaS subscription — a working system that eliminates the admin work eating your day.

Independent Adjusting Firms Small TPAs MGA Claims Teams Defense Firms
AI EXTRACTED
claim summary → ready
AI DRAFTED
reserve rationale → complete
AI WORKFLOW
carrier update → sent

Everything a claims team needs — nothing they don't.

Claim Summaries

AI-generated summaries from file notes, intake data, and carrier communications. Consistent format, every time.

Reserve Rationales

Structured reserve documentation that carriers can read, auditors can trust, and your team can produce in seconds.

Demand Response Drafts

Draft demand letters and settlement responses in your firm's voice. Edit, send, done — not start from scratch every time.

File Note Systems

Standardized note formats that create an auditable record without consuming your afternoon.

Carrier Update Emails

Professional status updates drafted from file data. One click to send, every time.

Diary & Task Workflows

Automated follow-up triggers and task creation so nothing falls through the cracks.

Your team runs on Outlook and good intentions.

Claims operations are drowning in manual work. Not because the people are slow — because the systems weren't built for this volume. Claims get lost. Documentation falls behind. Carriers wait. Burnout follows.

Enterprise software doesn't fit small operations. Generic AI tools don't know a reserve rationale from a litigation summary. That's the gap ClaimOps fills.

20–25% Potential reduction in claims handling cost with AI-native workflows (Bain & Company)
7% Of insurers have achieved scalable AI success — yet 82% are experimenting (Sedgwick, 2026)
$0 Enterprise platforms cost for a 5-person claims shop. That's why most of them run on Word and prayers.
"You're not selling AI. You're selling time back. Documentation that writes itself. Follow-ups that fire on schedule. Claims that move faster because the admin work isn't blocking the work."
01

Small claims teams don't need a platform. They need working templates that survive contact with real files.

02

Insurance people are overwhelmed. They don't want to learn prompts — they want to click a button and have the work done.

03

Recurring revenue compounds in insurance. Five clients at $2k/month is a real business. It doesn't need venture scale to matter.

Your team already knows how to handle claims.
Now they have time to do it.

ClaimOps installs the system. You run the business.