FNOL Intake
Portal/mobile/agent/hospital/partner intake; photo/video upload and geo‑tagging.
Straight‑through claims from intake to settlement: omni‑channel FNOL, validations & triage, reserving, assessments & survey, provider management, payments & recoveries, subrogation & salvage, and analytics — with full audit and fraud controls.
Portal/mobile/agent/hospital/partner intake; photo/video upload and geo‑tagging.
Eligibility, waiting periods, exclusions, and limits/deductibles checks.
Severity scoring, straight‑through vs adjuster, and SLA queues.
Initial/updated reserves, authority levels, and approvals.
Adjuster assignments, site visits, repair estimates, and approvals.
Hospitals, garages, and partners with tariffs, SLAs, and e‑referrals.
Payee validation, EFT/VA, split payments, and recoveries/subrogation.
Salvage lots/auctions, settlement with buyers, and legal tracking.
Red flags, rules/ML models, case management, and outcomes.
Status tracking, communications, e‑letters, and satisfaction surveys.
TAT, leakage, reserves vs paid, provider performance, and root‑cause.
PAS, billing, payment gateway/VA, DWH/BI, OCR, provider networks, and e‑sign.