ClaimsFlow AI integrates directly with Crawford & Company workflows. AI-powered triage, automated compliance, Crawford-format reporting, and white-label branding — purpose-built for TPA operations at scale.
Every feature was built to solve a real pain point that TPA adjusters face daily.
Manual claim triage takes hours
AI Predictive Triage scores and prioritizes every claim in seconds with 7-dimension analysis
Adjusters spend 40% of time on paperwork
AI-generated letters, summaries, and compliance documents eliminate manual writing
Claims leakage goes undetected
AI Leakage Detector audits every claim for overpayments, missed recoveries, and reserve inadequacy
No real-time visibility into team performance
Team Analytics Dashboard gives managers instant KPIs, leaderboards, and exportable reports
Inconsistent processes across adjusters
Workflow Automation + Client Instructions ensure every adjuster follows carrier-specific rules
Difficult to prove compliance to clients
Complete audit trail, SLA tracking, QA reviews, and Crawford-format exports ready for reporting
Everything Broadspire needs, already built and ready to deploy.
One-click export in Crawford & Company reporting format with 30+ fields including reserve tracking, payment ledger, SLA compliance, and fraud indicators.
Broadspire manages claims for dozens of carriers. ClaimsFlow stores per-carrier handling instructions so adjusters always follow the right rules.
Deploy ClaimsFlow with Broadspire branding — custom logo, colors, and company name. Your adjusters see your brand, not ours.
Managers can show leadership exactly what the team accomplished: claims closed, revenue generated, SLA compliance, and individual performance scores.
Configurable settlement authority limits by role. Settlements exceeding authority auto-route to supervisors for approval — complete paper trail.
Every claim is automatically scored for fraud risk across 7 dimensions. High-risk claims are flagged for SIU review with detailed reasoning.
Real-time regulatory compliance tracking, adjuster scoring, claims aging analysis, and configurable SLA thresholds with escalation alerts.
Pre-built checklists for 6 inspection types (roof, water, fire, auto, slip & fall, general) with AI-generated scope of work reports.
No more manually reformatting reports. ClaimsFlow exports your claims data in Crawford & Company standard format with 30+ fields:
Crawford Reference No., Internal Claim No., Client Name, ...
CRW-CLM-2026-001, CLM-2026-001, Broadspire, ...
CRW-CLM-2026-002, CLM-2026-002, Broadspire, ...
... + 28 more columns per row
Available in Settings → Export → Crawford Format
Start with a pilot team and scale across the organization.
Start with a pilot team of 5-10 adjusters. See measurable results within 30 days. No long-term commitment required.
703.986.9411 — Ask for Derrick Jones