Insurance Claims and Underwriting

One current view of a claim—not a manual compilation

An insurer tracks claims across adjuster spreadsheets and email, so nobody has one current view of a claim's investigation status, reserve amount, or payment history until someone manually compiles it. Build a claim record that stays current on its own.

A reserve you have to look up isn't a reserve you can manage

When investigation notes, reserve changes, and payment history live in separate adjuster spreadsheets, a claims manager can't answer "where does this stand?" without pinging the assigned adjuster and waiting.

Keep evidence, reserve, and decision on one claim record, so status is always current and reportable across the whole portfolio.

From claim to payment
  1. 1. Claim is opened from a report or FNOL, assigned to an adjuster
  2. 2. Adjuster investigates, collecting evidence and setting a reserve
  3. 3. Findings are reviewed and a coverage decision is made
  4. 4. Approved claims are processed for payment
  5. 5. Claim closes with a full investigation and payment record
Who uses it

Three views of the same claim

Claimant (optional)

Check claim status without calling the adjuster to ask.

Adjuster

Investigate assigned claims, log evidence, and set or adjust reserves.

Claims manager

A cross-claim dashboard, and reserve accuracy and cycle-time reporting.

What the system tracks and automates

Records

Claims, evidence, reserves, decisions, payments.

Automations

Reserve-change tracking, decision-approval routing by claim value, and payment processing on approval.

Custom logic

Claim-type-specific investigation checklists, and reserve-approval thresholds by adjuster authority level.

Platform

Own the application. P2HS runs the platform.

Example build brief

Example prompt
Build an insurance claims management app with claim intake, adjuster assignment and investigation, reserve tracking, coverage decision workflow, and payment processing.

Scenarios to test in your preview

  • A claim must not be paid without a documented coverage decision on file.
  • A reserve change above an adjuster's authority level must require manager approval.
  • Reassigning a claim to another adjuster must carry over its full evidence and reserve history.
FAQ

Common questions about claims management software

Who is this for?

Insurers and third-party administrators managing claims from intake through payment.

Can this handle different claim types?

Yes—define investigation checklists and reserve rules specific to each claim type you handle.

Related platform pages

See how claims management fits into the wider P2HS platform.

Build the claims app that stays current on its own

Describe the workflow. Review the foundation. Launch it on your own domain.