Claims operating layer

From claim chaos to clear decisions.

ClaimCircuit turns every claim into a guided workflow — so teams capture evidence, route faster, and keep humans in control.

Book a demo See it in action

Evidence-first workflow
Human-reviewed workflows
Audit-ready history

Claims operations specialist reviewing a dark dashboard

live workspace

CLM-23184 · workspace

assess

✓Intake

✓Verify

3Assess

4Route

5Resolve

Photo evidence · 4 of 8

view all

Claim insights

SeverityMedium
ComplexityStandard
Fraud riskLow

Next best action

Request repair estimate

Human review required

Coverage edge case — flagged for examiner.

awaiting sign-off

ConfidenceHigh

Across live workspaces

AI prepares the work · Humans make the call

Active customer workspaces: 18
Claims processed: 112,405
Evidence items analyzed: 894,112
Draft briefs generated: 91,002
Average intake-to-brief time: 3.4 hrs
Mean time to review to signature: 1.1 hrs

17.2% human override rate. Reflects auditor-marked corrections in complex claims with high document volatility.

Faster routing
Right adjuster, first try.
Evidence visibility
Every fact, every source.
Human control
Drafts prepared, people decide.
Audit trail
Every action, recorded.
Customer updates
Reviewed before they send.

How claims flow

One intelligent loop. Five clear steps.

01
Intake
Capture FNOL and evidence from the start.
02
Verify
Check documents, parties, and policy context.
03
Assess
Review damage, risk signals, and missing items.
04
Route
Send the claim to the right person faster.
Tier 2
05
Resolve
Prepare a brief humans can review and act on.
BriefReady for review

Live workspace

See every claim. Move every decision forward.

Live claim pipeline
Evidence and risk signals
Adjuster workload view
Customer update tracking

workspace · claims · today

example interface

Open

132

SLA at risk

Briefs ready

Claims queue

+ new claim

Claim	Holder	Loss type	Sev	Status
CLM-23184	Alex Morgan	Auto · Collision	Medium	In progress
CLM-23183	Taylor Smith	Property · Water	High	In review
CLM-23182	Jamie Lee	Auto · Theft	Medium	Assessing
CLM-23181	Riley Johnson	Auto · Glass	Low	Intake
CLM-23180	Casey Brown	Property · Fire	High	In review

Adjuster workload

A. Morgan82%
T. Park64%
R. Diaz41%

Drafts awaiting review

FNOL summaryaccepted
Damage tagsawaiting
Settlement briefdraft

Proof from the claim floor

Faster briefs. Decisions still made by people.

Northwoods Insurance GroupMinneapolis, MN · February 2025 to present

Baseline brief generation

42 hours

Intake-to-brief duration

2.1 hours

Scope: 40-member adjusting team, predominantly residential property. ClaimCircuit ingests FNOL data and evidence, then generates a structured brief for human adjuster review and validation.

"The primary friction point was the evidence-gathering phase; adjusters were spending 30% of their day chasing documents. Now that the dossier is pre-assembled for review, we've hit our cycle-time KPIs for the first time in three years."

Marcus Thorne · VP of Claims Operations, Northwoods Insurance Group

Anonymized · September 2024 to present

Tier 1 Residential REIT operating across the Sun Belt

Director of Risk Management

ClaimCircuit acts as the initial review layer, flagging evidence items such as maintenance logs that contradict the claimant narrative.

14%

reduction in settlement leakage — on claims under $10,000, from earlier detection of inconsistencies.

How decisions stay safe

AI prepares the work. Humans make the call.
AI-generated briefs are suggestions for adjuster review, not claim decisions.
No claim is closed, denied, or approved without a registered user's e-signature.

Built for claims teams

Everything around the decision, in one operating layer.

All capabilities

Guided FNOL assistant
Turn first notice details into structured claim files.
Evidence Review
Summarize documents, photos, and uploaded materials.
cited
Damage Vision
Surface visible damage signals for review.
Policy Match
Prepare coverage notes from provided policy context.
Policy #7182-9981Active
Coverage$25,000
Fraud Signal Radar
Flag inconsistencies for human investigation.
Risk: Low
Claim Triage Queue
Route claims by urgency, complexity, and review need.
Q-AQ-BQ-CQ-D
Customer Update Agent
Draft clear updates before customers have to ask.
awaits review
Settlement Brief
Create adjuster-ready summaries with evidence links.
Recommended$7,845
ConfidenceHigh

Software prepares the work. Humans make the call.

Human in the loop
Important claim decisions stay with people.
Evidence-linked outputs
Every recommendation connects back to claim context.
Approval gates
Sensitive actions require review.
Audit trail
Keep a record of actions, edits, and approvals.
Customer-safe communication
Draft updates without exposing internal risk signals.

Build a cleaner claims path.

Start with clearer intake, stronger evidence review, and faster human-reviewed decisions.

Book a demo Explore the platform

From claim chaos to clear decisions.

One intelligent loop. Five clear steps.

See every claim. Move every decision forward.

Faster briefs. Decisions still made by people.

Everything around the decision, in one operating layer.

Guided FNOL assistant

Evidence Review

Damage Vision

Policy Match

Fraud Signal Radar

Claim Triage Queue

Customer Update Agent

Settlement Brief

Software prepares the work. Humans make the call.

Build a cleaner claims path.