Use Cases
Built for the whole claims operation.
The packet intake problem looks the same across the industry. Claimloom is configured to the context you're working in — carrier scale, TPA multi-program complexity, or independent adjuster throughput.
Select your role
Insurance Carriers
High-volume intake at carrier scale
Property, casualty, and health carriers running thousands of claims per month gain a consistent first-pass filter that catches gaps before they reach the adjuster queue. Configurable check rules per line of business.
Carriers
Third-Party Administrators
Consistent checks across client programs
TPAs managing multiple carrier relationships can configure check logic per program — one platform, separate rule sets, unified reporting. No rebuilding the wheel for each client.
TPAs
Independent Adjusters
Start every assignment ready to work
Independent adjuster firms eliminate the back-and-forth that erodes the first hour of every complex assignment. The packet is ready — or you know exactly what's missing — before you open the file.
Adjusters
Shared across all use cases
Regardless of how your claims operation is structured, the core capability is the same.
40+ checks per packet
Document presence, date consistency, invoice reconciliation, provider credential format, and signature verification — all in one pass.
Under 60 seconds
From packet ingestion to structured flag summary. No queue, no batch delay — the check runs synchronously on arrival.
Configurable rules
Operations and Enterprise tiers allow check rule customization per claim type. What's required for an auto collision differs from a health claim.
Fits your current intake
REST API or email drop. No rip-and-replace of existing systems — Claimloom fits into the packet intake step you already have.