Claims Support & Coordination

Keep clients informed and adjusters moving by automating the paper trail that stalls every claim.

440 hrs
All data is based on anonymized FullSpec mapping sessions and proprietary industry research. Learn more
Manual time identified
4
All data is based on anonymized FullSpec mapping sessions and proprietary industry research. Learn more
Companies have mapped
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About This Automation

Claims support and coordination involves receiving claim notifications, extracting data, locating documents, and routing claims to adjusters. Manual handling creates delays, data entry errors, and duplicate work across multiple systems.

Automation reads incoming claims, extracts structured data, retrieves supporting documents, and creates case records automatically. Status updates flow to clients and insurers on schedule, reducing processing time from hours to minutes.

Key features:
Extract claim data automatically from emails and portals into case records
Locate and compile supporting documents from email and cloud storage
Route claims to the right adjuster based on claim type and workload
Send status updates to clients and insurers on a defined schedule
Track claim progress and flag overdue items for follow-up
Flag incomplete or ambiguous claims for human review

Top friction points when done manually

The issues teams report most often with this process

#Friction pointCompanies Report This
1
Manual data extraction
Coordinator manually copies claim details from email into spreadsheet and case system, introducing typos and delays.
80%
2
Document search across systems
Supporting documents are scattered across email, cloud storage, and insurer portals, requiring time-consuming manual searches.
67%
3
Duplicate data entry
Claim information is entered multiple times into case system, tracking spreadsheet, and insurer portal.
53%
4
Manual assignment and routing
Coordinator must decide which adjuster gets each claim and notify them via email or chat.
40%
5
Forgotten follow-ups
Manual calendar reminders are easy to miss, causing delays in client and insurer communication.
26%
DisclaimerAll data is based on anonymized FullSpec mapping sessions and proprietary industry research. Learn more

Automation readiness

How well-suited this process is for automation

Process Pain Score™Manual data entry, document hunting, and duplicate logging consume 55 minutes.
8.9/ 10
AI Fit Rating™Structured email parsing, document search, and rule-based routing are ideal for.
8.7/ 10
Automation Lift Index™Automation reduces per-claim time by 90 percent and eliminates data re-entry.
8.5/ 10
Hidden Overhead™Context switching between email, spreadsheets, and case system adds cognitive.
7.3/ 10

How The Automation Works

The full workflow, from trigger to completion.

1. Claim Email Receivedtrigger

A new claim notification arrives in the inbox or is submitted via the client portal. The automation platform detects the email and extracts the sender, subject, and body.

2. Parse Claim Details

The automation reads the email body and extracts structured data: policyholder name, claim amount, date of loss, claim type, and insurer name. It flags missing or unclear fields.

3. Retrieve Documents from Email and Cloud

The automation downloads attachments from the email and queries cloud storage (Google Drive, OneDrive) for related documents using claim number or policyholder name as the search key.

4. Create Case

A new case record is created with all extracted claim details, linked documents, and insurer contact information. The record is tagged by claim type and insurer.

5. Assign to Adjuster

The automation assigns the case to the appropriate adjuster based on claim type and current workload, and sends a notification with a link to the case.

6. Send Client Confirmation

An automated email is sent to the client confirming receipt of the claim, providing a reference number, and setting expectations for next steps and timeline.

7. Notify Insurer

Claim details and documents are sent to the insurer via email or API, formatted according to insurer requirements, with a summary of what was submitted.

8. Log to Tracking Sheet

A row is added to the master tracking spreadsheet with claim ID, status, dates, and next action, pulling data directly case record.

Most popular tool stack used

— the complete tool combinations companies use
1
52% of companies
2
28% of companies
DisclaimerAll data is based on anonymized FullSpec mapping sessions and proprietary industry research. Learn more

What you get when you map this process

Everything you need to understand, plan, and build your automation.

ROI and business case

What this process costs today and what changes once it's automated.

Launch schedule

What gets built, in what order, and what success looks like once it's live.

Process runbook

How the automation runs day to day, including exceptions and human decision points.

Developer handover pack

Full build spec, logic, and configuration — ready to hand off without a briefing call.

Integration and connections guide

Every tool connection, credential, and data mapping the build needs.

Test and QA plan

Every scenario checked and signed off before the automation goes live.

Recommended for you

Other high-impact processes teams commonly map alongside this one.

Frequently asked questions

Everything you need to know before mapping this process.

The automation flags incomplete or ambiguous claims and routes them to a coordinator for manual review and clarification before proceeding to case creation.

View more FAQs
440 hrs
Time identified
Process pain:8.9/10
Mapped by:4 Companies

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