Get True
For TPAs

Workers’ comp claims software built for a TPA’s volume.

TrueClaims™ is a standalone workers’ comp claims platform. It carries the routine on its own, logs every action in one activity feed, and gives your clients real transparency, so adjusters spend the day on people instead of paperwork.

The Stakes

Volume, service levels, and clients watching.

A third-party administrator is judged on things it cannot always control and always has to hit anyway. Claim volume arrives when it arrives. Service levels are written into the contract. Clients want to see progress without asking, and the compliance bar does not move for a busy week. When claims run on manual steps and dated tools, the adjuster’s day fills with the parts of the job that do not need an adjuster.

The strain shows up in the places clients notice. First contact slips. Reserves get set late. A status request turns into an afternoon of gathering. Adding people is the only lever left, and margin is what pays for it.

How True Fits

A claims platform that runs on its own

TrueClaims is a standalone claims platform, so a TPA can adopt it without changing everything else it runs. It carries the routine without being asked. The claim opens, the reserve is set, and the first outreach goes out automatically. Business rules run on simple toggle switches your team controls, with no ticket to IT and no release to wait for. One activity feed logs the full history of every claim, so the record of who did what and when is always current. When you are ready to give clients a window in, TruePortals™ adds custom-branded self-service.

What Changes

What changes for your operation

1

Adjusters spend the day on people

Auto-reserving on open and close and automatic first-notice outreach take the routine off the desk, so experience goes where it is worth the most.

2

Rules change without a ticket

Business rules run on toggles your team sets, so a client-specific requirement is a setting rather than a development project.

3

Every claim has one history

A single activity feed logs every action, so audits, client questions, and file reviews all start from the same record.

4

Clients see for themselves

Optional custom-branded portals let clients and claimants check status, upload documents, and get answers without a status call.

5

Compliance and state reporting stay clean

FROI and state reporting, IAIABC, and Medicare integrations run from the same claim record your adjusters work in.

At a Glance

What a TPA runs on TrueClaims

Auto-reserving on open and close, with automatic first-notice outreach
Business rules built on simple toggle switches, with no ticket to IT
One activity feed that logs every action on a claim
Deep integrations: bill review and pharmacy, FROI and state reporting, IAIABC, and Medicare
Payments claimants and providers prefer, from check to mobile wallet
Optional custom-branded portals so clients and claimants can self-serve
Why True

Built for workers’ comp claims, and only that

TrueClaims was built by people who have spent their careers in workers’ comp, so the automation lands where the work actually is. The platform is independently audited to SOC 2 Type II for security, two years running. Implementation is expert-led, and support comes from comp people for as long as you are a customer.

Questions

Questions TPAs ask

Do we have to take the whole platform?
No. TrueClaims runs as a standalone claims platform. Portals can be added when clients want a window in, and policy administration is there if your business ever needs it.
Can rules differ by client?
Yes. Business rules run on toggle switches your team controls, so a client with its own requirements is configured rather than coded.
How does True handle state reporting?
FROI and state reporting, IAIABC, and Medicare integrations run from the same claim record adjusters work in, so filings are built on current data.
How do claimants get paid?
Through the payment methods claimants and providers prefer, from check to mobile wallet, recorded against the claim as it happens.

See TrueClaims on your book of claims

Tell us your volume, your service levels, and where the day gets eaten. We will show you the parts of TrueClaims that map to the way your operation runs.

Not a TPA?