Built for Third-Party Administrators
Handle more claims. Fewer bottlenecks. Happier carrier clients.
Handle more claims. Fewer bottlenecks. Happier carrier clients.
FairClaim gives third-party administrators an AI intelligence layer to manage high claim volumes, standardize adjuster decisions, and deliver real-time reporting to insurance partners — without adding headcount.
Fair Claim in Numbers
Faster resolutions. Lower operational costs. Smarter claim decisions. Powered by AI-native workflows designed for the next era of insurance operations.
up to
50%
Faster claim triage
35%
More claims per adjuster
60%
Faster carrier reporting
3.1x
Higher adjuster throughput enabled by AI-powered operational intelligence and automation.
Fair Claim in Numbers
Faster resolutions. Lower operational costs. Smarter claim decisions. Powered by AI-native workflows designed for the next era of insurance operations.
up to
50%
Faster claim triage
35%
More claims per adjuster
60%
Faster carrier reporting
3.1x
Higher adjuster throughput enabled by AI-powered operational intelligence and automation.
Fair Claim in Numbers
Faster resolutions. Lower operational costs. Smarter claim decisions. Powered by AI-native workflows designed for the next era of insurance operations.
up to
50%
Faster claim triage
35%
More claims per adjuster
60%
Faster carrier reporting
3.1x
Higher adjuster throughput enabled by AI-powered operational intelligence and automation.
Challenges we solve
Does this sound familiar?
Does this sound familiar?
01
Claim volume keeps growing — adjuster headcount doesn't
01
Claim volume keeps growing — adjuster headcount doesn't
Every new carrier contract adds volume, but hiring experienced adjusters takes months you don't have. Manual review bottlenecks mean missed carrier SLAs, inconsistent decisions across files, and burnout that drives your most experienced people out the door.
02
Carriers want live portfolio visibility — you're stuck on monthly cycles
Your carrier clients don't want a PDF at the end of the month. They want live access to claim health, reserve movement, and resolution velocity across their book — right now. Every reporting cycle you can't deliver in real time is a competitive opening for a TPA that can.
02
Carriers want live portfolio visibility — you're stuck on monthly cycles
Your carrier clients don't want a PDF at the end of the month. They want live access to claim health, reserve movement, and resolution velocity across their book — right now. Every reporting cycle you can't deliver in real time is a competitive opening for a TPA that can.
03
Every carrier is a different operating model
03
Every carrier is a different operating model
Different coverage structures. Different escalation thresholds. Different reporting formats. Keeping adjusters aligned across every carrier in your book is a constant manual effort — and there's no systematic way to enforce consistency or prove compliance when audits come.
Value drivers
What FairClaim delivers
What FairClaim delivers
The AI intelligence layer TPAs need to scale claim volume, keep carriers happy, and protect adjuster capacity — from first touch to final settlement.
The AI intelligence layer TPAs need to scale claim volume, keep carriers happy, and protect adjuster capacity — from first touch to final settlement.
Start every claim with a complete picture
Start every claim with a complete picture
AI parses intake narratives, surfaces key facts, and generates a structured summary instantly — cutting hours of file review before the real work begins.
One playbook across every carrier
One playbook across every carrier
Consistent evaluation logic and decision quality regardless of carrier rules, coverage structure, or jurisdiction.
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.
Catch high-risk claims before they escalate
Catch high-risk claims before they escalate
Early-warning signals flag the files most likely to inflate, dispute, or attract attorneys — so adjuster attention goes where it matters most.
Real-time carrier reporting
Real-time carrier reporting
Live portfolio dashboards your carrier clients can access directly — no more month-end reporting marathons.
Faster, defensible settlement decisions
Faster, defensible settlement decisions
AI-supported settlement guidance with explainable reasoning your adjusters and carrier auditors can both trust.
Platform capabilities
How FairClaim works for TPAs
How FairClaim works for TPAs
AI capabilities that work the same way across every carrier in your book — consistent intake, defensible decisions, and reporting your carrier clients can actually use.
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
Give carriers more visibility without more overhead
FairClaim helps TPAs deliver clearer reporting, better settlement transparency, and actionable portfolio insights to insurance partners — turning reporting from a cost center into a competitive differentiator.
Modular AI Claim Intelligence Engine
Give carriers more visibility without more overhead
FairClaim helps TPAs deliver clearer reporting, better settlement transparency, and actionable portfolio insights to insurance partners — turning reporting from a cost center into a competitive differentiator.
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.