CaseFy for Insurance

The claim doesn't end when the notice arrives.

Surveys, documents, tiered approvals, regulatory deadlines — everything that happens after the claim notice needs orchestration. Not more emails.

Free for up to 3 users. No credit card required.

The notice came in. Now what?

The policyholder calls on Monday. Car accident over the weekend. You open the claim in the core system, but the system only records — it doesn't orchestrate. The surveyor needs to be dispatched, the policyholder needs to upload photos and police report, the broker demands status, and the 30-day regulatory deadline has already started.

Two weeks later, nobody knows if the surveyor's report arrived. The adjuster has 47 open emails, three tracking spreadsheets, and a WhatsApp thread with the broker. The policyholder has called five times. The manager asks for status and the answer is: "I need to check."

The $500k claim is running late. Not because someone dropped the ball, but because nobody can see the whole process — from notice to payment.

What if every claim had a complete story — from notice to closure?

From notice to payment. Without losing the thread.

The claim doesn't stop at registration.

Survey, documentation, coverage analysis, tiered approval — every stage has an owner, a deadline, and a status. The process continues with the same clarity as the policy.

Your policyholder follows everything.

Exclusive portal via link. The policyholder sees the status, uploads documents and photos — no account needed, no calling to ask.

Approvals without bottlenecks.

Claim under $10k? Adjuster approves. Over $100k? Board. Formal decisions with justification and deadline — no email, no spreadsheet.

AI that works for the claim.

Agents validate documents, monitor regulatory deadlines, detect fraud, and generate summaries for the manager. Automatically, inside the case.

Where the core system stops, CaseFy starts.

What the core system does well

Policy issuance
Premium and commission calculation
Technical reserves
Actuarial reports
Endorsements and cancellations

What it doesn't do

Orchestrate claims with surveys and multiple participants
Underwriting with technical approval chain
Broker onboarding with regulatory validation
Policyholder portal to track claims
Regulatory compliance with evidence and audit trail
AI that validates documents and detects fraud

In insurance, the core system handles policies. The processes that make operations work live in email, WhatsApp, and regulation spreadsheets.

The shift

Every claim becomes a complete case.

With stages, versioned documents, tiered approvals, policyholder portal, and AI agents — all in one traceable place.

Notice
Opening
Survey
Documents
Analysis
Approval
Payment
Closure

Everything the core system lacks. Everything claims need.

Stages with SLA

30-day regulatory deadline automatically monitored. Progressive alerts before the claim breaches.

Documents + Portal

Policyholder uploads police report and photos via portal. Surveyor uploads report. Zero email.

Tiered decisions

Who approves depends on the value. Adjuster, manager, or board — automatic.

Policyholder portal

Status, documents, and chat — all via link, no login.

AI Agents

Validate documents, monitor deadlines, detect fraud, and summarize for the manager.

Auditable timeline

Who approved that $500k claim? It's in the timeline, with date and time.

Statistics

Loss ratio by line, claims aging, SLA compliance — all in one dashboard.

Stage automations

Report arrived? Coverage analysis is created automatically.

Start in minutes.

01

Build your claims process

Define stages, documents, participants, approval tiers, SLAs, and automations. Use a ready-made template or build from scratch.

02

Open a case for each claim

Each claim gets its own life: documents, surveys, approvals, and timeline.

03

Involve all participants

Policyholder portal, broker portal, surveyor portal — each sees what they need.

04

Let the platform work

Automations move stages, AI validates documents, alerts enforce regulatory deadlines.

Ready-made templates

Start with one click.

Claims Processing

10 stages

From notice to closure. Surveys, approval tiers, regulatory SLA, and AI pre-configured.

Underwriting

10 stages

Risk analysis, committee, pricing, and reinsurance — all orchestrated.

Broker Onboarding

9 stages

Documents, regulatory validation, compliance, and registration in a single flow.

Policy Renewal

9 stages

Treat renewal as a process. Loss ratio analysis, proposal, and issuance.

Regulatory Filing

11 stages

Audit, evidence collection, defense, and filing — with complete audit trail.

Claims Litigation

10 stages

From lawsuit to appeal. Evidence, opinions, and hearings tracked.

Core System vs. CaseFy — side by side.

What operations need
Core System
CaseFy
Orchestrate claims processing
Registration + basic status
Case + Full timeline
Collect policyholder documents
Manual upload or email
Documents + Portal + Forms
Assign and track surveyor
Manual assignment + email
Tasks + External Portal + SLA
Tiered approval
N/A (email)
Formal decisions with justification
Policyholder tracks claim
Basic portal (policy/billing)
Portal via link + Chat
Regulatory deadline (30 days)
Basic alert
SLA + Automations + AI Agent
Fraud detection
Manual analysis
Native AI Agents
Full audit trail
Partial log
Immutable timeline
Complementary, not a replacement

Use with your core system. Not against it.

CaseFy doesn't replace your core system — it complements it. The core system manages policies. When operations need orchestration, CaseFy takes over.

Sistran
Agillitas
TOTVS Seguros
i4pro
Guidewire

Integration via webhooks + Zapier/Make. Native integrations coming soon.

The claim that resolves is the claim nobody let miss its deadline.

Free for up to 3 users. Claims Processing template ready to use.

The right process is already waiting for you.

Start free. No credit card, no migration, no hassle.

Create Free AccountBook a Demo

Free for up to 3 users. Forever.