Claims that resolve faster, and stay human.
TrueClaims runs the entire claims lifecycle on one platform, from first notice to close. Automation handles the routine, so your adjusters can spend their time and judgment on the people behind every claim.
More claims, same goal: take care of every injured worker
Claim volume keeps rising, and manual steps pull adjusters away from the work only a person can do. Notes, reserves, letters, and reports pile up, and the personal attention that defines good claims handling gets squeezed. TrueClaims takes on the routine and keeps the full history in one place, so your team can move quickly without losing the human touch.
One platform, from FROI to close
TrueClaims optimizes the workers’ comp claims lifecycle with the tools to adjudicate claims, automate workflows, build dashboards, schedule reports, process payments, and more, all in a single, integrated platform. Here is what it does.
Automation and business rules
Let the routine run itself, by your rules.
- Auto-generate emails, letters, reports, diaries, and notifications
- Reach out to customers automatically at First Notice
- Auto-reserve on claim opening and closing
- Auto-complete tasks when a claim closes
- Build event-driven and per-user rules with simple toggle switches
- Log diary and note entries automatically in the activity feed
Reporting and dashboards
See performance clearly, across every program.
- Interactive dashboards
- Single-program or cross-program reporting from a multi-program data warehouse
- Recreate legacy reports or build new, ad hoc ones
- Standard reporting and scheduling
- Drill down to the metrics that matter
- Export to Microsoft Excel, Microsoft Word, or PDF
Diaries and task management
Keep every claim’s history in one place.
- My Work: assigned tasks by date, with custom alerts
- Activity Feed: an automated history of everything that happens on a claim
- Mailroom: bulk file upload and drag-and-drop from Outlook
- Schedule tasks and events by claim
- Attach images, documents, and files to any claim record
Integrations
Connect the systems your claims work depends on.
- Bill Review and Pharmacy
- FROI reporting, WCMED, WCIND, and IAIABC
- Medicare reporting (MMS)
- Payment processors and core policy systems
- And many more
Payments
Pay claimants and providers the way they prefer.
- Check, ACH, credit card, prepaid cards, mobile payment, and E-Wallet
- Faster payment times and lower processing costs
- Multiple reserve methods, from simple to complex
Built for the adjusters who live in it
TrueClaims takes the drag out of the tedious parts of claims work, so adjusters spend their time and judgment where experience matters most. Fewer clicks and quick actions. A multi-tab interface that saves your place. On-screen help right where you need it. Export to Excel, Word, or PDF. Even dark mode.
Run claims on its own, or connect the whole system
TrueClaims works as a standalone claims platform, and it connects to TruePolicy™ and TruePortals™ when you are ready. When claims, policy, and customer experience share the same data, nothing gets re-keyed and everyone works from the same source of truth.
Download the TrueClaims Solution Guide
Get the full overview to share with your team, or talk it through with one of our workers’ comp experts.
See TrueClaims in action
Tell us how your claims team works today, and we will tailor a demo to your volume, your workflows, and the experience you want every claimant to have.