Built for Insurance Carriers & MGAs
Resolve claims faster. Reduce leakage. Stop escalation before it starts.
Resolve claims faster. Reduce leakage. Stop escalation before it starts.
Designed for early resolution: FairClaim uses AI to analyze claims, predict fair settlement ranges, and help both sides agree faster — without lawyers, delays, or guesswork.
Designed for early resolution: FairClaim uses AI to analyze claims, predict fair settlement ranges, and help both sides agree faster — without lawyers, delays, or guesswork.
Fair Claim in Numbers
Faster resolutions. Lower loss costs. Smarter claim decisions. Powered by AI-native workflows built for the next era of carrier and MGA operations.
up to
35%
Faster claim resolution
25%
Loss leakage reduction
35%
Fewer attorney escalations
3.1x
Higher adjuster productivity through AI-powered claim analysis, settlement guidance, and consistent evaluation logic.
Fair Claim in Numbers
Faster resolutions. Lower loss costs. Smarter claim decisions. Powered by AI-native workflows built for the next era of carrier and MGA operations.
up to
35%
Faster claim resolution
25%
Loss leakage reduction
35%
Fewer attorney escalations
3.1x
Higher adjuster productivity through AI-powered claim analysis, settlement guidance, and consistent evaluation logic.
Fair Claim in Numbers
Faster resolutions. Lower loss costs. Smarter claim decisions. Powered by AI-native workflows built for the next era of carrier and MGA operations.
up to
35%
Faster claim resolution
25%
Loss leakage reduction
35%
Fewer attorney escalations
3.1x
Higher adjuster productivity through AI-powered claim analysis, settlement guidance, and consistent evaluation logic.
Challenges we solve
Does this sound familiar?
Does this sound familiar?
01
Leakage compounds claim by claim
01
Leakage compounds claim by claim
A few hundred dollars over fair on a single claim is invisible — but multiplied across thousands of claims, it's millions walking out the door every year. Inconsistent decisions, missed defenses, and overlooked liability nuances are the largest controllable cost in your book, and the hardest to see in real time.
02
Attorneys arrive before you have a chance to resolve fairly
Once a claimant retains counsel, claim costs multiply and the negotiation window closes. By the time attorney involvement shows up in your data, the claim has already escalated. Without early warning signals and defensible first offers, your team is managing escalations instead of preventing them.
02
Attorneys arrive before you have a chance to resolve fairly
Once a claimant retains counsel, claim costs multiply and the negotiation window closes. By the time attorney involvement shows up in your data, the claim has already escalated. Without early warning signals and defensible first offers, your team is managing escalations instead of preventing them.
03
Similar claims, different outcomes
03
Similar claims, different outcomes
Two adjusters look at the same fact pattern and reach different conclusions. Reserves miss, market conduct exams get uncomfortable, and new adjusters take years to ramp. Decision quality varies by who's holding the file — not by what the facts say.
Value drivers
What FairClaim delivers
What FairClaim delivers
FairClaim connects to your existing claims infrastructure and transforms it into an AI-powered operational workspace — without replacing your current systems, workflows, or source of truth.
FairClaim connects to your existing claims infrastructure and transforms it into an AI-powered operational workspace — without replacing your current systems, workflows, or source of truth.
From intake to first offer, faster
From intake to first offer, faster
AI ingests claim narratives and generates structured assessments with explainable settlement ranges the moment a file lands — your adjusters start every claim with a complete picture, not a stack of paper.
Cut leakage at the source
Cut leakage at the source
Consistent evaluation logic catches the small overpayments that compound into millions across the book — claim by claim, every claim.
Prevent attorney escalation
Prevent attorney escalation
Fair, transparent first offers backed by explainable AI reasoning reduce the friction that pushes claimants to retain counsel — before escalation becomes inevitable.
One standard across every adjuster
One standard across every adjuster
Consistent decision logic regardless of who's holding the file — less decision variance, more accurate reserves, defensible under market conduct review.
Free adjusters from documentation drag
Free adjusters from documentation drag
AI handles repetitive document review, summarization, and data extraction — your team makes decisions instead of doing data entry.
Settlement decisions you can defend
Settlement decisions you can defend
Every offer comes with explainable AI reasoning — audit-ready documentation and transparent logic adjusters, auditors, and regulators can all trust.
Platform capabilities
How FairClaim works for Insurance Carriers & MGAs
How FairClaim works for Insurance Carriers & MGAs
AI capabilities working across every claim in your book — from intake to settlement, with the explainable reasoning your team, your auditors, and your regulators all need to see.
Claim Intake
Multi-channel intake supporting conversational AI, manual forms, voice capture, and document-driven claim creation — all normalized into structured claim data in real time.
Claim Intake
Multi-channel intake supporting conversational AI, manual forms, voice capture, and document-driven claim creation — all normalized into structured claim data in real time.
Settlement Engine
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Settlement Engine
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Document processing
Upload files individually or in bulk. FairClaim automatically scans, classifies, summarizes, and connects evidence across the entire claim lifecycle.
Document processing
Upload files individually or in bulk. FairClaim automatically scans, classifies, summarizes, and connects evidence across the entire claim lifecycle.
Negotiation Management
Claimant rebuttals tracked, new information re-extracted, recalculations recorded — a full audit trail of every back-and-forth on the file.
Negotiation Management
Claimant rebuttals tracked, new information re-extracted, recalculations recorded — a full audit trail of every back-and-forth on the file.
Outcome Simulator
Model offers before making them — acceptance likelihood, escalation risk, and projected outcomes — to enter negotiations informed.
Outcome Simulator
Model offers before making them — acceptance likelihood, escalation risk, and projected outcomes — to enter negotiations informed.
Precedent Research
Internal AI agent searches your claim history and verified external sources for comparable cases, jurisdictional benchmarks, and prior outcomes.
Precedent Research
Internal AI agent searches your claim history and verified external sources for comparable cases, jurisdictional benchmarks, and prior outcomes.
Modules
Seven modules. One reasoning trace.
Seven modules. One reasoning trace.
Each module is a specialist — fine-tuned on its own corpus, scored against its own outcomes, and exposed independently through the API. The planner composes them per file.
Each module is a specialist — fine-tuned on its own corpus, scored against its own outcomes, and exposed independently through the API. The planner composes them per file.
Reduce manual claim review time by up to 70% with AI-powered intake intelligence.
Enterprise-grade by default.
Built for regulated insurance environments. We built FairClaim to clear your security review on the first pass.
White-Label Experience
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Responsible AI
Bias monitoring, human-in-the-loop for settlements, model version control, and reproducibility of AI outputs to meet NAIC AI bulletin and state insurance laws.
Compliance & certifications
HIPAA-compliant data handling with full BAA support, SOC 2 Type II framework, GDPR and CCPA aligned controls, annual third-party penetration testing.
Identity & integrations
SSO (SAML 2.0, OIDC), SCIM provisioning, role-based access control, and REST APIs for Guidewire, Duck Creek, and claims management systems.
Audit & accountability
Immutable activity logs, reasoning trail behind every AI decision, exportable evidence packs for auditors and regulators, market conduct exam-ready documentation.
Enterprise-grade by default.
Built for regulated insurance environments. We built FairClaim to clear your security review on the first pass.
White-Label Experience
Per-tenant encryption keys (AWS KMS / GCP Cloud KMS), VPC-isolated compute, optional dedicated single-tenant deployment for carrier customers.
Responsible AI
Bias monitoring, human-in-the-loop for settlements, model version control, and reproducibility of AI outputs to meet NAIC AI bulletin and state insurance laws.
Compliance & certifications
HIPAA-compliant data handling with full BAA support, SOC 2 Type II framework, GDPR and CCPA aligned controls, annual third-party penetration testing.
Identity & integrations
SSO (SAML 2.0, OIDC), SCIM provisioning, role-based access control, and REST APIs for Guidewire, Duck Creek, and claims management systems.
Audit & accountability
Immutable activity logs, reasoning trail behind every AI decision, exportable evidence packs for auditors and regulators, market conduct exam-ready documentation.
Modular AI Claim Intelligence Engine
Reduce loss costs without slowing your team down
FairClaim gives carriers and MGAs an AI intelligence layer that catches leakage, surfaces escalation risk early, and standardizes settlement decisions across every adjuster — turning claim handling from a cost center into a measurable lever on combined ratio.
Modular AI Claim Intelligence Engine
Reduce loss costs without slowing your team down
FairClaim gives carriers and MGAs an AI intelligence layer that catches leakage, surfaces escalation risk early, and standardizes settlement decisions across every adjuster — turning claim handling from a cost center into a measurable lever on combined ratio.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.
FairClaim
Powered by AI. Designed for real-world insurance workflows.
FairClaim helps insurers, TPAs, and adjusters resolve bodily injury and property damage claims faster — reducing cycle time, operational costs, and escalation risk without replacing existing claim systems.
© 2026 FairClaim. All rights reserved.