AI Claims Triage Platform

Four fewer days of radio silence — on every claim.

ClaimVyne reads your FNOL reports, matches coverage, and routes to the right adjuster with a liability estimate — automatically. P&C carriers processing 50K+ claims annually.

Live Claims Pipeline
Step 01 — FNOL Ingestion
FNOL Report Received
CLM-2024-00447 · Auto · Multi-vehicle
Source: Carrier portal · 09:14 EST
Step 02 — Coverage Match
Policy Matched — 97.3% confidence
POL-CT-881204 · Bodily Injury + Collision
Deductible $500 · Limits $100K/$300K
Step 03 — Liability Estimate
Severity Score: 6.4 / Moderate
Est. reserve: $18,400 · BI likely
SIU flag: No · Subrogation: Possible
Step 04 — Adjuster Assigned
Routed: M. Chen (Auto BI, CT)
Queue position: 3 · SLA: 4hr contact
Dossier pre-populated · Assigned 09:15
4 days
average cycle time reduction
from FNOL to adjuster contact
90%+
FNOL-to-policy match accuracy
across standard P&C formats
Integrated
with major P&C core systems
via REST API + native connectors
The Claims Queue Problem

FNOL lands. Three days of silence follow.

When a claim comes in, your ops team is doing everything right — but manually. Someone reads the FNOL email, pulls the policy, checks coverage, estimates severity, looks up which adjuster is best-qualified, and routes the file. Four steps, three hours per claim, five hundred claims this week.

The policyholder hears nothing for days. The adjuster opens a cold file without context. Claims leakage accumulates in the gap between intake and first contact.

"The first 48 hours after a FNOL is filed are when carriers lose the most control over the claim's trajectory. Manual triage is where cycle time bleeds."

— VP of Claims Operations, regional P&C carrier

Manual Triage Queue — Today
CLM-2024-00441 · Auto
Waiting 72h — Unread
CLM-2024-00442 · Property
Waiting 48h — Policy unclear
CLM-2024-00443 · Liability
Waiting 24h — In review
CLM-2024-00444 · Auto
Waiting 6h — Just received
Avg wait before first adjuster contact: 4.2 days
What ClaimVyne Does

Every FNOL — triaged, matched, and routed in minutes.

Three precision steps replace four hours of manual work — delivered to the adjuster queue before the first cup of coffee goes cold.

FNOL Ingestion

Reads any FNOL format — carrier portal submissions, email, EDI 278, fax-to-text. Parses claim type, incident details, claimant information, and vehicle or property identifiers automatically. No manual data entry.

Coverage Matching

Cross-references the FNOL against your policy administration system in real time. Confirms active coverage, applicable limits, deductibles, and exclusions. Returns a confidence score and flags ambiguous coverage situations for human review.

Adjuster Routing

Assigns to the best-qualified adjuster based on LOB, geography, workload, and claim complexity. Pre-populates the adjuster's dossier with the FNOL data, coverage summary, and an initial liability estimate — so they open a complete file, not a blank page.

The Pipeline in Detail

See exactly what ClaimVyne processes — across every line of business.

FNOL Data
Claim ID
CLM-2024-00447
Type
Auto — Multi-vehicle collision
Loss Date
2024-11-12 · 14:32 EST
Location
I-91 NB, Windsor CT
Reported Via
Carrier Portal
Vehicles
2 (insured + claimant)
Coverage Analysis
Policy
POL-CT-881204
Status
Active · Matched 97.3%
Coverage
Bodily Injury + Collision
Limits
$100K / $300K BI
Deductible
$500 Collision
Severity Score
6.4 / 10 — Moderate
Routing Decision
Assigned To
M. Chen · Auto BI
Status
Assigned
Est. Reserve
$18,400
SLA
4hr contact window
SIU Flag
No
Subrogation
Possible — review
FNOL Data
Claim ID
CLM-2024-00512
Type
Property — Wind/Hail damage
Loss Date
2024-11-08 · Storm event
Property
Residential · New Haven CT
Reported Via
Email FNOL
Coverage Analysis
Policy
POL-CT-112045
Status
Active · Matched 99.1%
Coverage
Dwelling + Other Structures
Severity Score
4.2 / 10 — Low-Moderate
Routing Decision
Assigned To
R. Torres · Property
Status
In Queue — 2
Est. Reserve
$8,200
CAT Event
Yes — Nov 8 storm
FNOL Data
Claim ID
CLM-2024-00531
Type
GL — Slip/Fall commercial
Loss Date
2024-11-15
Venue
Hartford CT — retail
Coverage Analysis
Policy
POL-CT-229801
Status
Active · 95.8%
Coverage
CGL — Products + Premises
Severity Score
7.1 / 10 — High
Routing Decision
Assigned To
D. Park · GL/Liability
Status
Priority Assigned
Est. Reserve
$42,000
SIU Flag
Review Recommended
Works With Your Stack

Designed to integrate with systems you already run.

ClaimVyne connects to your existing policy administration system, claims management platform, and data sources via REST API and purpose-built connectors. No rip-and-replace required.

Guidewire-compatible
Duck Creek-compatible
CoreLink PAS
PolicyBridge
ISO ClaimSearch
EDI 278 / 837
REST API
View all integrations
By Line of Business

Precision triage across every claim type you handle.

Auto Claims

Speed through volume. Route by complexity.

Auto claims represent 60–70% of a typical P&C carrier's FNOL volume. ClaimVyne handles multi-vehicle collisions, single-vehicle losses, and BI claims — parsing CLUE reports, matching vehicle IDs, and flagging subrogation potential automatically.

Auto claims deep dive
Property Claims

CAT events and daily losses — handled at scale.

From single-peril residential to commercial structure losses, ClaimVyne reads property FNOL details, matches dwelling and structure coverages, and routes to the right field adjuster or desk adjuster by claim value and geographic zone.

Property claims deep dive
Liability Claims

GL, CGL, E&O — complex coverage, fast intake.

Liability claims carry the highest severity risk and the most complex coverage questions. ClaimVyne applies your coverage rule library to GL, CGL, and specialty liability FNOLs — flagging high-severity indicators and routing to senior adjusters before the file goes cold.

Liability claims deep dive
What Claims Leaders Say

Built with carrier operations in mind, not around them.

"Before ClaimVyne, we were running a 72-hour average from FNOL to first adjuster contact for auto BI claims. We're now under 18 hours on 80% of our daily intake. The routing quality is the part that surprised me — adjusters are getting claims that actually match their skills."

VP of Claims Operations
Regional P&C carrier, New England

"We evaluated a few triage tools before ClaimVyne. The coverage matching piece is what set it apart — it's not just a text parser, it actually understands what our policy language means in the context of a given FNOL. That's where the real cycle time savings come from."

Director of Claims Automation
Specialty lines insurer, Mid-Atlantic
Built for Carrier Security Requirements

Carrier procurement-ready from day one.

No fabricated certifications — but real security controls designed with carrier data governance requirements in mind.

Data Encrypted in Transit and at Rest

TLS 1.3 for all data in transit. AES-256 encryption at rest. Claim data never stored unencrypted.

Role-Based Access Controls

Granular RBAC tied to your existing identity provider. Adjusters see only claims in their queue. Operations managers see the full pipeline.

Audit Logging for Every Claim Action

Every routing decision, override, and access event is logged and queryable. Built for your compliance and regulatory reporting needs.

Full security overview
Hartford, CT · Founded 2022

We're based in Hartford for a reason. Insurance runs here.

ClaimVyne was built by a team that spent their careers inside P&C carriers and claims technology. We know the difference between a tool built for demos and one built for daily ops. Request a pilot — bring your own FNOL data.