FNOL to adjuster assignment in four steps — measured in minutes.
ClaimVyne runs a structured four-step pipeline on every FNOL. Each step produces a discrete output that feeds the next — no manual handoffs, no queue delays.
FNOL Arrives. ClaimVyne Reads It.
The moment a first notice of loss enters any of your intake channels, ClaimVyne begins parsing. No waiting for a team member to open their inbox. No batch processing at the end of the day.
ClaimVyne handles email FNOLs, portal submissions, EDI files, and fax-to-text conversions — extracting structured claim data: loss type, date, location, involved parties, vehicle or property identifiers, and claimant contact information.
Policy Match. Coverage Confirmed in Real Time.
ClaimVyne queries your policy administration system live — not from a daily export or cached snapshot. It matches the FNOL against active policy records, confirms coverage type, limits, deductibles, and checks for applicable exclusions.
Every match returns a confidence score. High-confidence matches proceed automatically. Ambiguous matches (below your configured threshold) are flagged for supervisor review before routing.
Severity Scored. Reserve Baseline Established.
Before the claim enters an adjuster's queue, ClaimVyne generates a preliminary severity score and an initial reserve estimate — based on LOB, loss type, coverage type, and your carrier's historical claim patterns.
This is a starting point, not a decision. Adjusters retain full override authority. The goal is to eliminate the time spent establishing a reserve from zero — by giving adjusters a structured baseline the moment they open the file.
Adjuster Assigned. Queue Pre-Populated. File Ready.
ClaimVyne selects the best-qualified adjuster for each claim — based on LOB specialization, geographic territory, current queue load, and any carrier-defined assignment rules. The assignment happens automatically, without a supervisor triaging a stack of new claims every morning.
When the adjuster opens the claim, they see a fully pre-populated file: parsed FNOL data, confirmed coverage, severity score, reserve estimate, and any flags. No cold starts.
From FNOL receipt to adjuster assignment: under 5 minutes on a standard claim.
FNOL Parsed
Structured claim data extracted from any intake format
Policy Matched
Coverage confirmed against live PAS with confidence score
Severity Scored
Preliminary reserve estimate and SIU flag generated
Request a pilot. We'll run your FNOLs through the full pipeline.
Bring a sample of your FNOL intake from the past 90 days. We'll demonstrate the pipeline end-to-end — parsing, matching, scoring, and routing — against your actual data.