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Claims Technology
Insurance claims used to be where speed, transparency, and satisfaction went to die. Not anymore.
Modern claims technology is helping insurers ditch outdated processes, reduce manual work, and finally deliver the kind of experience customers expect. The best carriers are already tapping into these solutions to streamline claims, cut costs, and win loyalty.
Insurance claims automation plays a major role in this transformation, letting smart insurers process claims faster, detect fraud more easily, and remove friction from every part of the claims process. In fact, if you’re looking at top claims technology companies, the ones that stand out are focused on making adjusters more efficient at their jobs and customers more confident in their insurer of choice.
In this article, we’ll break down: what is claims technology, what tools are out there, and what ambitious insurers can do with them.
What solutions are available in claims technology?
Claims technology (or “claim tech,” as some might call it) refers to digital tools and platforms that insurers use to handle claims faster, smarter, and with fewer headaches. Think automation, fraud detection, AI-powered decisions, and self-service portals.
Some modern claims technology examples include:
AI models that flag potential fraud before it bleeds your loss ratio.
Chatbots and mobile portals that let policyholders check status updates (and skip the annoying hold music).
Straight-through processing for simple claims, so a small, run-of-the-mill claim doesn’t require six emails and a fax machine.
Further, claim technology LinkedIn buzz is everywhere, and thought leaders are very interested in claims technology and what insurers can accomplish with it. Forward-thinking pros on LinkedIn are talking about automated FNOL, low-code integrations, and how coretech like EIS OneSuite™ helps insurers leapfrog the competition. Spoiler: the conversation is moving past “digitize” and into “optimize.”
What is the role of a claims technician?
Claims technology can take care of a lot, so what is a claims technician there for?
Even though technology can do much of the claims processing work, a claims technician (or claims adjuster) is the human behind the scenes making sure claims doesn’t vanish into the void. They review claims, verify coverage, assess damages and fraud risks, communicate with customers when automation can’t handle the nuance, and ensure the outcomes of final decisions.
Their job has gotten a lot easier with the right tools, but some human oversight is still essential: especially when a complex situation calls for human empathy, not just machine-driven efficiency.
Further, different types of adjusters benefit differently from claims technology. Different “types” of adjusters could be named all day, depending on line of business and how different insurers run their claims operations. However, for the sake of example, what are 4 types of claims adjusters, and how do they benefit from claims technology?
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- Staff Adjusters – Employed by insurance companies directly. These adjusters benefit from deep integration into internal systems, meaning claims technology can automate routine tasks and instantly surface key data from across the organization.
- Independent Adjusters – Contractors hired for specific claims. These adjusters benefit from mobile-friendly tools and cloud-based platforms that allow them to plug into a carrier’s systems quickly and work efficiently from the field.
- Public Adjusters – Work for the policyholder, not the carrier. These adjusters rely on claims technology to access transparent claim histories and documentation, helping them advocate more effectively and thoroughly on behalf of insured individuals.
- Catastrophe Adjusters – Handle high volumes during disasters (hurricanes, wildfires, etc.). These adjusters uniquely benefit from automated triage and real-time analytics to prioritize claims, allocate resources, and speed up resolution under pressure.
No matter the type, adjusters are all under pressure to close claims quickly and accurately, which is why these tools are so advantageous for them.
What software do claims adjusters use? Ones that tame the chaos of their jobs.
What apps do insurance adjusters use?
Claims adjusters today don’t just carry around clipboards for pen and paper data collection; they’re armed with software that puts a digital command center in their pocket. The range of tools available is vast and increasingly sophisticated: GPS, telematics, virtual inspection tools, customer-facing portals, and more.
But at the core, what adjusters really need is relief from chaos. They want tools that work together, work fast, and work from anywhere.
Here’s what most adjusters rely on to make that happen:
- Claims management platforms to oversee the full lifecycle, from FNOL to payout, with everything in one place.
- Photo and video assessment tools to capture and review evidence without scheduling multiple on-site visits.
- Fraud detection solutions powered by machine learning (like EIS ClaimGuard™) to identify suspicious patterns early and flag high-risk claims.
- Mobile apps to collect field data, sync updates in real time, and reduce redundant admin work.
- Analytics dashboards that turn claim data into insights, so adjusters know where bottlenecks are and how to clear them up.
These apps and software tools aren’t just conveniences; they’re how adjusters meet modern expectations for speed, accuracy, and transparency in claims.
What is an insurance technology company?
We’re glad you asked. 😅
An insurance technology company creates software and services that make insurance run smoother — whether across underwriting, policy admin, billing, customer experience, or claims.
Some specialize in claims automation and analytics. Others offer full-stack platforms.
If you’re looking for best claims technology companies, analyst guides like Celent’s reports are a great starting point. In its 2024 rankings, EIS was named a standout for claims tech, including:
- ClaimCore® – full-lifecycle claims management
- ClaimGuard™ – automation and fraud detection powered by machine learning
(Here are links to the Celent mentions if you want to see the receipts.😉)
What software do adjusters use?
Wait, didn’t we cover this already?
Sort of. But this section zooms in on the types of tools claims adjusters love to talk about in places like LinkedIn and Reddit — where some people would say the real tech reviews happen, amongst peers.
Insurtech claim technology LinkedIn posts often spotlight:
- Fast setup: Adjusters need tools they can start using ASAP, not ones that’ll take months on end to get working correctly.
- Seamless integrations: No more toggling between five screens to log one update.
- Smart automation: FNOL routing, fraud scoring, and case prioritization.
In short, the best claims tech removes friction, rather than adding to it. EIS ClaimSmart™, for example, combines ClaimPulseTM (streamlining FNOL data for event-driven automations) and ClaimGuardTM (intelligent risk scoring) to make workflows smarter, not messier.
Top claims technology companies 🏆
Let’s round it out with the big players: a list of claims technology companies worth knowing.
- EIS – Cloud-native, modular, and a favorite among Celent analysts. ClaimCore and ClaimSmart tackle both automation and leakage like pros.
- Guidewire, Duck Creek, CCC Intelligent Solutions, Snapsheet, Shift Technology, Salesforce Industries, Majseco, ClaimVantage, and Cognizant, among others
Each has strengths, but here’s the secret: Most still rely on stitching together tools on top of “modern legacy” cores… or they’re not full-suite solutions that allow you to evolve your business into one fully cohesive, efficient insurance machine.
EIS OneSuite™ was built from the ground up for a connected, modular, event-driven future. We’re not duct-taping digital onto analog bones—we’re replacing the bones entirely.
Conclusion
Claims technology isn’t a buzzword anymore. It’s a competitive necessity.
From FNOL to fraud detection to customer comms, the right tools deliver faster outcomes, lower costs, and better experiences for everyone involved.
Want to see it in action?
Learn more about what makes EIS stand out in claims technology.
And while you’re at it, rethink your claims stack. It might be the biggest lever you haven’t pulled yet.
Claims Technology - FAQs
A: Claims technology can streamline processes, improve accuracy, and enhance customer satisfaction. Key benefits include:
- Increased efficiency through automation of claims processing
- Better data management and analytics for informed decision-making
- Enhanced customer experience with faster claim resolutions
- Improved compliance and risk management capabilities
A: To assess the need for an upgrade, consider the following:
- Evaluate current claims processing speed and accuracy
- Identify any customer complaints or delays
- Analyze your existing technology for integration limitations
- Assess the scalability of your current system for future growth
A: When choosing a claims management system, prioritize these features:
- User-friendly interface for easy navigation
- Integration capabilities with existing software
- Real-time reporting and analytics tools
- Mobile access for remote claims management
- Robust security measures to protect sensitive data
A: Claims technology can enhance absence management by:
- Streamlining data sharing between claims and HR systems
- Improving tracking of employee absences related to claims
- Providing analytics on absence trends and their impact on claims
- Facilitating compliance with leave policies and regulations
A: Data analytics is crucial in claims technology as it:
- Identifies patterns and trends to improve decision-making
- Enhances risk assessment and fraud detection
- Enables performance benchmarking against industry standards
- Supports proactive claims management strategies
A: Implementing claims technology may encounter challenges such as:
- Resistance to change from employees
- Integration issues with existing systems
- Data migration complexities
- Training needs for staff to effectively use new tools
A: Claims technology enhances customer communication by:
- Providing real-time updates on claim status
- Offering multiple communication channels (e.g., chat, email)
- Automating notification systems for important milestones
- Facilitating personalized communication based on customer needs
- Increased use of artificial intelligence and machine learning
- Greater emphasis on data security and privacy
- Expansion of mobile technology for claims accessibility
- Integration of IoT for real-time data collection and analysis