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Claims

We leverage our team’s comprehensive experience across claims management, operations, and technology to deliver end-to-end claims processing capabilities and leading-edge advisory and digital services.

We provide end-to-end operational support, powered by modern, flexible technology and actionable analytics, that spans the processing, management, and adjudication of claims, ensuring superior efficiency and accuracy. Our carrier and MGA clients rely on us to bolster critical claims processes – starting from pre-loss, from the FNOL and intake, acknowledgment, and intelligent segmentation and assignment, through to reserving, disbursing, posting, and reconciling claims payments. Using a proven, scalable right-shoring model, we provide our clients with a global view of claims management while strengthening our regional and local knowledge of claims processes and regulatory requirements, and delivering solutions that match our client’s efficiency and customer service objectives.

Xceedance delivers strategic operations support across the entire claims lifecycle, including digital claim intake and acknowledgement, investigation, evaluation, negotiations, payments and coding, file closure, loss-run management and reporting, legal bill analysis/audits, technical oversight, and adjuster license tracking. In addition, we provide catastrophe response and management services – from pre-event planning to FNOL call handling and adjuster assignments, post-event claims check processing, proof of repairs, and customer satisfaction follow-up.

Our claims services also extend to strategic consulting and advisory, especially as it pertains to partnering with our clients to take them from strategy through to execution and delivery of their claims vision. So, whether you need a 360-degree view of your existing “as is” process or program; an audit of your loss history; a review of your third-party relationships, or an evaluation of your next-generation technology roadmap, we can help improve those operations and reduce your overall claims costs.

Our Offerings

First Notice of Loss

FNOL Intake: voice/web/email/ mail, claim acknowledgement, claim setup, segmentation triage, adjuster assignment and appraiser assignment

Adjudication

Policy and coverage verification, liaising with insured/ broker for missing information, desk adjusting, fraud detection

Settlement

Optimize reserving, validation of invoice or estimates with the approved amount, loss and expense booking, and payments and recovery

Specialized Claims Support

Legal bill review, special investigation unit, total loss title procurement, salvage and subrogation recovery, vendor management, quality assurance/best practice auditing

Additional Claims Support

Claims contact center: 24X7 call/chat/email, contract compliance, metrics and measurement, diary management, loss run reporting, virtual claims assistant, document indexing, mail processing

Claims Technology

Design and deploy custom claims applications and commercial off-the-shelf claims systems, bolster system integration, drive automation, and facilitate data management, analysis and insights

Full-Service Claims TPA

Leveraging the full suite of insurance, technology, and operational capabilities, the Xceedance Claims TPA offers insurers a seamless and comprehensive management experience with real-time operational visibility.

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