Income protection claims in one file

From sickness notification to return to work. Claimant, claims assessor, doctor and rehabilitation specialist work in the same file. The portal and the agents free up time for the assessor.

The agents do the paperwork. The people do the contact.

The work sits between the claimant, the doctor and the employer

Inside the insurer the process runs. The work sits in what arrives before, between and after, by email and attachment.

  • Medical evidence is slow

    Assessments wait for a GP report or an occupational health opinion. Every week of waiting is a week of benefit and a week further from return to work.

  • The assessor is stuck in documents

    Fit notes, payslips and reports arrive by email. Retyping, linking to the right claim, chasing what is missing.

  • Return to work waits for a report

    The vocational rehabilitation specialist, the occupational health provider and the employer each work in their own environment. The report hangs on the wrong email thread and the review slips.

  • Consumer Duty raises the bar

    Good outcomes have to be shown, not assumed. A claimant who hears nothing for days, or gets a decision without a clear next step, is a complaint waiting to happen.

A human always decides on benefit and return to work. Claim360 does the work around it, so the assessor has time for the conversation with the claimant.

From fifteen lines to one hub

Six parties in an income protection file, and every party can talk to every other: 15 lines. Today almost all of that traffic is bilateral, by email, letter and phone.

Today
15 possible communication lines email, post, phone, loose attachments, reminders, lost versions
With Claim360
6 lines, one truth one file, permissions per role, deadlines monitored, benefits written back to the core system, audit trail

Claimant · claims assessor · GP · occupational health · vocational rehabilitation · employer or adviser

Without a self-service portal and an orchestration layer underneath, AI at scale in income protection is not possible. Claim360 connects the chain: every chain partner connects through a direct API on Claim360, or Claim360 connects to that party. Only then can AI work on every file, and only then does the assessor truly get control and the time to focus on the claimant.

How we use AI

Connect once, work with everyone

Whoever connects to Claim360 works with everyone who is connected. Insurers, advisers, doctors and rehabilitation partners in the same file.

  • Connect once

    Every party connects to Claim360 once and from that moment works with every insurer running Claim360. No separate portals, no bilateral integrations.

  • A workplace for advisers and rehabilitation

    Advisers, rehabilitation specialists and occupational health providers get a complete workplace: files, tasks, deadlines, messages and documents. Medical only for those with the rights.

  • Control over your partners and the chain

    You see per partner what is running: cycle time, open deadlines, chasers and the benefit per file. Access per role, every action logged, revocable at once.

Click through Megan's journey

Self-service is not a form on a website. It is a file that explains itself, from sickness notification to return to work. Click a step.

  • Self-service Megan does it herself, when it suits her. No queue.
  • Trust Every step shows what is happening and what comes next.
  • High data quality Fields instead of attachments, everything checked on arrival.
  • Knowing where you stand Percentage, benefit and next step, without calling.
  • Control of the chain Adviser, doctor and rehabilitation specialist in the same file, each with their own rights.
Self-service

Notifying without a policy number, in nine steps

Tuesday morning, a quarter of an hour, in fields. What Megan enters is read and checked in the background. Nothing has to be retyped later.

Screen 1 of 8

Three layers, one income protection file

Your core system stays. Claim360 connects the chain and lets deadlines, tasks and benefits run by themselves; the portal brings the data in properly; and only then does AI work.

The build

AI

  • the user's permissions
  • every question logged

Your model, a partner's or our Claimassistent, through Claim360 as the gateway. Reads, checks and prepares; a human always decides on the benefit.

Self-service portal

  • fields instead of attachments
  • per role

Azori, in your brand. Claimant, adviser, doctor, rehabilitation specialist and assessor in the same file; everyone sees what their role needs. Runs on Claim360.

Claim360: orchestration and workflow automation

  • deadlines, tasks, benefits
  • roles and permissions
  • direct API per chain partner
  • writing back to the core

This is where the intelligence sits. Deadlines, tasks, documents and benefits run by themselves; roles, permissions and triggers across the core system; what has to go back, goes back to the core.

Your core system

Keylane Axon, Novulo, CCS, UBench, Guidewire and Anva or another: it stays. Claim360 connects to it and writes back. See the integrations

No AI at scale without a portal and an orchestration layer. Only with one file and one truth can AI work on every file and does the assessor get the time for the claimant.

See our AI solutions

Start small and at the base: self-service first

One portal for short absence, next to what you have. Then the chain, then AI. First pilot live in 8 to 12 weeks.

  1. Step 1

    notification and portal

    Start with a pilot

    The claimant notifies in fields and follows the file. Only new short absence, one stream, running within weeks. Baseline alongside.

  2. Step 2

    adviser, doctor and rehabilitation

    Add the chain

    The same parties in the same file, permissions per role, medical only for those who may. You can stop at any time, the data stays yours.

  3. Step 3

    basics in order

    AI and beyond

    Summary, triage and draft reply through the MCP gateway, with your own models. A human always decides on the benefit.

The core

We automate the paperwork around the file, so your assessors keep time for the claimant. AI on a file it can read, independent of your system.

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