FNOL intake
New claims logged, categorized and routed — by phone, email, portal or form.
Insurance claims processing — intake, data capture, adjudication support, status follow-up and reporting — with trained specialists and clean cycle metrics.
Claims processing breaks down across many small steps — FNOL intake, document capture, coverage checks, adjudication support, status follow-up, payment coordination. When each step is owned by a different team or system, claims get stuck: aging grows, customers chase, and cycle time balloons.
Opervics runs insurance claims processing as a managed function — intake, data capture, adjudication support, status follow-up and reporting — with trained specialists and clean, per-claim visibility.
New claims logged, categorized and routed — by phone, email, portal or form.
Claim documents and fields captured accurately into your claims system.
Coverage checks, policy verification and pre-adjudication review support.
Pending claims followed up until resolution — no silent aging.
Claim captures and updates QA'd — accuracy tracked and trended.
Volume, cycle time, accuracy, aging buckets and backlog trend.
These are the same operational issues we see across clients — and the same ones our process is designed to remove.
New claims arrive faster than the team can work them.
Claims sit in review — customers chase status repeatedly.
Wrong field values cause rework and delays downstream.
Claims fall between teams — nobody owns the next step.
Reporting is aggregate — nobody knows which claim types slow down.
Seasonal or catastrophic events overwhelm internal capacity.
Every service inherits the same baseline security posture, then adds service-specific controls on top.
Access, change management, monitoring and incident response aligned to SOC 2.
PII handling, redaction and access controls defined with your team.
Role-based access to claims systems and documents — scoped and audited.
Volume, cycle time, accuracy and aging reported weekly.
FNOL intake, data capture, indexing, adjudication support, status follow-up, QA and reporting.
Auto, property, workers' compensation, commercial, specialty and MGA claims.
Guidewire, Duck Creek, Salesforce Financial Services, custom claims platforms, document management and portals.
Yes — seasonal, weather-event and catastrophic claims surges are common scope.
Volume, cycle time, accuracy rate, aging buckets and backlog trend — reported weekly.
Per claim, per FTE, or a monthly retainer — agreed upfront.
A short conversation is usually enough to scope the volume and propose a starting point.