The only claims platform built from the ground up around AI. AI-powered FNOL extraction. Intelligent triage. Full lifecycle handling with event-sourced audit. Copilot intelligence from day one.
Designed for specialty insurance · MGAs · Reinsurance · Lloyd's syndicates
Context.Claims processes FNOL from any source. AI extracts structured data from emails and Acord forms. Portal submissions flow straight through. Every submission scored for extraction confidence.
Every new claim is scored against five triage criteria. AI suggests the right handler based on workload, expertise, and authority limits. You approve or override in one click.
From FNOL to closure, every claim lives in a single workspace. Coverage assessment, reserve tracking, payment processing, communications, and documents. All in one place, all event-sourced.
Context.Claims embeds an AI Copilot across every screen. Daily briefings, reserve movement analysis, overdue alerts, similar claim lookups, and settlement benchmarking. All in natural language.
The Copilot sidebar is available on every screen. Ask questions in natural language about your claims portfolio, handler performance, or specific claim details.
Context.Claims embeds structured workflows for every resolution path. Authority checks, approval chains, mandatory checklists, and finance exports. Every decision auditable. Every step enforced.
Payment Request: CLM-2026-0042
Amount: $350,000 (Indemnity)
Payee: Henderson Manufacturing
Method: Wire Transfer
Authority Check:
✓ Handler authority ($500K limit)
✓ Coverage confirmed
✓ Reserve sufficient ($250K → $0)
✓ Documents complete
✓ Sanctions re-check CLEAR
Approval: Self-approve (within limit)
Status: Ready to processDenial Review: CLM-2026-0039
⚠ Human-in-the-loop required
Coverage Opinion: 85% confidence
Reason: Exclusion applies
Legal Ref: Section 4.2(b)
Litigation Risk: Moderate
Similar Denials: 12 precedents
Approval Required:
Handler → Recommends
Head of Claims → Approves
Reserve Release: $180,000Closure Checklist: CLM-2026-0035
✓ All payments processed
✓ Outstanding reserve cleared
✓ All documents received
✓ No pending communications
✓ Coverage decision recorded
✓ Finance export completed
✓ Salvage/recovery assessed
Total Paid: $180,000
Reserve Acc: 90% (within 10%)
Days to Close: 24 (avg: 42)Context.Claims is built on event sourcing. Every claim action, from FNOL intake to final closure, is stored as an immutable event. No overwrites. No silent edits. Full audit trail from day one.
ClaimRegistered 14 Mar 09:12 TriageCompleted 14 Mar 09:18 HandlerAssigned 14 Mar 09:22 ReserveSet 14 Mar 10:05 $350,000 CoverageConfirmed 14 Mar 14:30 PaymentApproved 15 Mar 11:42 $350,000 PaymentProcessed 15 Mar 11:45 ClaimClosed 17 Mar 09:00
Claim CLM-2026-0042 - Henderson Manufacturing
8 events recorded over 3 days
Handler: Sarah Chen (authority: $500K)
Payment: Self-approved (within limit)
Reserve accuracy: 100% (set once, paid exact)
Every layer of Context.Claims, from domain logic to data persistence, is built with auditability and governance as first-class concerns.
Certification programme in progress
Most claims systems bolt AI on as an afterthought. Context.Claims was designed from the ground up around event sourcing and AI, so every claim action is auditable and every decision is enriched with context.
Pricing
Every deployment is scoped to your claim volume, workflow complexity, and governance requirements. Contact us for a tailored pricing walkthrough.
Best for smaller specialty teams managing claims manually today
For growing MGAs and insurers scaling claims operations across teams
For multi-entity programmes with complex compliance and audit needs
Schedule a 30-minute walkthrough tailored to your claims operation.