FAQ
More about Claimatic
Frequently Asked Questions
Curious if Claimatic is right for your business?
Why would I want Claimatic instead of “out-of-the-box” triage & assignment?
Aside from a smarter decisioning engine and other benefits, Claimatic allows for unlimited customization with no coding necessary. This means you can ensure your triage and assignment is optimized for your business today and can evolve with you as you grow, without needing to call IT.
How long does it take to implement?
Claimatic can be set up and integrated with your current CMS in under 90 days.
How do you charge and how much is it?
We have a one-time platform/on-boarding fee that covers set-up, implementation, training, and initial rules-building with your team. Then it’s a simple cost per claim.
What benefits should I expect?
Carriers typically experience significant reduction in re-assignments, decreased loss adjustment expense due to improved cycle times, increased resource productivity due to optimal geographic assignments, reduced compliance risk thanks to automatic license checks, improved ability to load balance across vendors, all of which rolls over into the most important metric — measurably happier customers.
What type of APIs do you have and how often do they change?
We use a RESTful API structure. They are fully documented and haven’t required changes in the last six years.
Who does system setup — us or Claimatic?
A bit of both. Your IT team secures a live integration via API, and then the Claims Operations team takes over and works with the Claimatic team to complete initial data loads and assignment setup.
Are you SOC certified?
Yes. Claimatic holds SOC 2 Type II compliance certification and renews it annually.
Can you handle multiple LOBs?
Yes, our platform was designed to be line-of-business agnostic, but the procedure for claims triage/assigning is the same, so you can use this for several claims departments.
What types of CMS systems can you / have you integrated with?
Claimatic is successfully integrated with both market-leading claims management systems as well as custom, “homegrown” applications.
What volume can you handle?
The scalability of the Claimatic platform is flexible enough that we are able to serve smaller insurers with less than 25,000 claims per year while also serving larger carriers with greater than 1 million claims per year.
How do I try out new triage assignment ideas once we’re up and running without impacting operations?
It’s simple! Claimatic provides two environments: staging and production. In the staging environment, you can build out complete new concepts like new segmentation and fully test them in the sandbox simulator with zero impact to production. In production, Claimatic also provides a sandbox to test on-the-fly changes like re-routing all wind/hail claims in a certain geography to the desk rather than the field.
What skills will I need on my team to manage the system post-implementation?
Claimatic recommends a claims operations subject matter expert (SME) who is familiar with the nuances of your business and is close to the demands of the field, a product owner (this is often the SME’s direct manager) to liaise with Claimatic Customer Success and understand key new features, and potentially a Business Analyst depending on the strength of the SME. Claimatic is proud that across all of our customers, managing Claimatic is no one’s full time job because we designed it so that it doesn’t need to be.
Can you integrate with HR systems? Adjuster licensing management providers?
Yes, Claimatic can be integrated via API with your existing HR system and/or license management system to keep resource information up-to-date.
Do you support SSO?
Yes, we support SSO.
