InsurOps Light

A claim isn't just paying.
It's orchestrating.

From claim notice to indemnity payment — orchestrate every survey, document, approval and regulatory deadline with policyholder portal, surveyor portal and AI agents.

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

Your system manages policies. CaseFy orchestrates operations.

The core system stops here.

After policy issuance and premium calculation, your claims operations enter no man's land.

What the core system does well

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

What the core system does NOT do

Orchestrate claims with surveys and multiple participants
Underwriting with technical approval chain
Broker onboarding with regulatory validation
Policyholder portal to track claims
SUSEP 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.

Sound familiar?

The policyholder called 5 times and nobody knows if the surveyor's report arrived.

Claims Adjuster

The broker demands claim status and the adjuster is drowning in emails.

Claims Manager

15% of claims exceed the 30-day regulatory deadline.

COO

The regulator audited us and it took 3 weeks to gather evidence.

Compliance Officer
The solution

Every claim becomes an orchestrated case.

A case is the complete lifecycle of the regulation — with documents, surveys, tiered approvals, regulatory deadlines and policyholder portal.

Notice
Opening
Survey
Documents
Analysis
Approval
Payment
Closure
Sistema Core
CaseFy

Everything the core system lacks. Everything claims need.

Stages with SLA

30-day regulatory deadline automatically monitored at every claim stage.

Documents + Portal

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

Decisions (Approval Tiers)

Claim < $10k = adjuster. > $100k = board. Automatic.

AI Agents

Doc Reviewer validates documents. Deadline Guard monitors deadlines. Fraud Detector detects fraud. Summarizer summarizes for managers.

Auditable Timeline

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

External Portal

Policyholder, broker and surveyor — each with their real-time view.

Automations

Report arrived? Coverage analysis is created automatically.

Statistics

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

4 steps to orchestrate insurance operations

01

Create your claims template

Define stages, documents, participants, approval tiers, SLAs and automations.

02

Open a case for each claim

Each claim becomes a case with docs, surveys, approvals, timeline.

03

Involve all participants

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

04

Let AI work

Agents validate documents, monitor regulatory deadlines, detect fraud and generate summaries.

Ready-made templates

6 templates for insurance operations

Claims Regulation

10 stages

Notice, opening, survey, document collection, coverage analysis, calculation, technical approval, tier approval, payment and closure.

Complex Risk Underwriting

10 stages

Proposal, risk analysis, pre-survey, technical opinion, underwriting committee, pricing, reinsurance, approval, issuance and completed.

Broker Onboarding

9 stages

Request, documents, regulatory validation, commercial analysis, compliance, training, registration, first deal and active.

Portfolio Renewal

9 stages

Identification, loss ratio analysis, proposal, broker delivery, negotiation, approval, issuance, communication and renewed.

Regulatory Compliance

11 stages

Receipt, analysis, evidence collection, defense, legal review, approval, filing, follow-up, decision, appeal and closure.

Claims Litigation

10 stages

Lawsuit receipt, original claim analysis, evidence, legal opinion, strategy, follow-up, hearing, decision, appeal/settlement and closure.

Numbers that matter

10-15 days
Regulation time
vs 25-45 days current
< 2%
Claims past regulatory deadline
vs 15-25% current
20min/day
Chasing documents
vs 3-4h/day current
5 min
Evidence for regulators
vs 2-4 weeks current

CaseFy vs. Traditional Core System

Need
Traditional Core System
CaseFy
Orchestrate claims regulation
Registration + basic status
Cases + Stages + Tasks + Automations
Collect policyholder documents
Manual upload or email
Documents + Forms + External Portal
Assign and track surveyor
Manual assignment + email
Tasks + External Portal + SLA
Tiered approval
Not available (email)
Decisions + Value-based Automations
Policyholder tracks claim
Basic portal (policy/billing)
External Portal + Chat
Regulatory deadline (30 days)
Basic alert
SLA + Automations + AI Agent
Fraud detection
Manual analysis
AI Agents + Timeline
Regulatory compliance
Partial activity log
Immutable timeline + Decisions
Regulatory Compliance

Built for the most regulated market

30-Day Regulatory Deadline

Automatic SLA with progressive alerts (15d, 25d, 28d) + Deadline Guard agent.

Regulation Traceability

Immutable timeline records every decision, document and action with author and timestamp.

Data Protection

90+ granular permissions protect sensitive policyholder data.

Audit Evidence

Timeline + documents + decisions: everything in one place, exportable in minutes.

Segregation of Duties

Who proposes ≠ who analyzes ≠ who approves. Automations enforce the chain.

AI Anti-fraud

AI agent compares claim with patterns: recurrence, timing, value vs. sum insured.

Complementary, not a replacement

Use it with your core system. Not against it.

CaseFy doesn't replace your core system. CaseFy orchestrates claims, underwriting and compliance operations that core systems don't cover.

Sistran
Agillitas
TOTVS Seguros
i4pro
Guidewire

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

Insurance operations need more than a core system.

Start free with the Claims Regulation template. No credit card, no migration.

Free up to 3 users. Ready-to-use templates.