Claims Management Software

We design, build, and integrate claims systems for insurers and TPAs: intake through settlement, with automation where it pays and adjusters kept in control.
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Definition

What is claims management software?

Claims management software runs a claim from first notice of loss to settlement: FNOL intake, triage and assignment, adjudication workflows, reserves, payments, subrogation, vendor and litigation management, and reporting across all of it. This service covers the design, build, modernization, and integration of those systems for insurers and TPAs. It starts with an honest call on whether to build, configure, or extend the system you already run, and it keeps adjusters in control of the decisions that need judgment.

Services

What claims management software services are included?

Claims platform build and modernization
FNOL and intake
Workflow and straight-through processing
Integrations
Claims data and reporting
Migration from legacy claims systems

Claims platform build and modernization

New claims platforms and rebuilds of aging ones: case management, adjudication workflows, reserves, and payments designed around your lines of business. When configuring a vendor system beats building, we say so and put costs on both paths.

Insurance software development

FNOL and intake

Omnichannel FNOL that takes a claim from web, phone, email, and broker feeds into one structured record, with document and photo ingestion from day one. Clean intake data makes every downstream step faster.

Workflow and straight-through processing

Adjudication workflows with straight-through processing where rules decide safely: low-value, single-party claims settle in hours, and complex ones route to adjusters with the file already assembled. We automate where rules are stable and keep people on the judgment calls.

Automation consulting

Integrations

Connections to every system a claim touches: policy administration for coverage checks, billing, payment rails for disbursement, fraud scoring, and document management. Adjusters stop rekeying data between screens.

Claims data and reporting

Claims data models and reporting that actuaries, reinsurers, and regulators can use: loss runs, reserve development, cycle times, and leakage indicators from one governed source.

Insurance case study

Migration from legacy claims systems

Migration off legacy claims systems in reconciled stages: closed claims archived and retrievable, open claims moved with reserves and histories intact, and both systems reconciled before the old one turns off.

01

Map the process, then pick the path

We inventory how claims move today: volumes by line, decision points, handoffs, and where files wait. Then costs go on paper for build, configure, and extend, and you get a written recommendation before any code is written.

02

Draw the line on automation

Some claims should never be auto-adjudicated: injury claims, coverage disputes, suspected fraud, and anything headed for litigation. We write those exclusions down with your adjusters, so straight-through processing takes the routine volume and people keep the calls that need judgment.

03

Build in slices, prove in parallel

Working software ships in short cycles, and the new system runs beside the old one on live claim volumes until outputs reconcile: claim counts, reserves, and payments tie out before anything cuts over.

04

Hand over a system your team runs

Documentation, runbooks, admin training, and a support window with named engineers. The engagement ends when your team operates and extends the system without us.

contact us

Planning a claims system build?

Speak with BD Emerson about the claims volume you handle, the core it has to live with, and whether building is the right call at all.

Our Advantage

Why BD Emerson for claims software

Senior engineers end to end

The team that scopes your claims system is the team that builds it. Senior engineers handle intake, workflow, and integration work directly, so context survives from discovery to cutover.

Independent on build vs configure

We resell no claims software and take no vendor commissions, so the build vs configure call is honest. When a vendor platform wins on cost, we recommend it and help you configure it.

Compliance is part of the build

Claims data carries PII and often PHI, so access controls, encryption, and audit trails ship with the software rather than getting retrofitted. When you need a SOC 2 examination, our licensed CPA attest arm performs it.

How We Work

How we deliver a claims system

One delivery model runs every claims engagement, from a focused intake build to a full platform replacement. Each step produces artifacts you keep, so even a stopped project leaves you with a process inventory, a cost model, and a design.
Reviews

What our customers say

Great consulting firms for scaling security, compliance, and appsec.

Outstanding partner in Technical and Cyber Due Diligence

Appsec maturity and application hardening.

BD Emerson helped us simplfiy our compliance management.

BD Emerson did such a phenomenal job. What started as privacy support quickly became a full partnership across compliance, engineering, and even business operations. They’re embedded with our team. They understand our product. They move fast. They’re simply invaluable.

Adam Ben Jacobs

CTO @ OneStep GPS

Great consulting firms for scaling security, compliance, and appsec.

Outstanding partner in Technical and Cyber Due Diligence

Appsec maturity and application hardening.

BD Emerson helped us simplfiy our compliance management.

BD Emerson did such a phenomenal job. What started as privacy support quickly became a full partnership across compliance, engineering, and even business operations. They’re embedded with our team. They understand our product. They move fast. They’re simply invaluable.

Adam Ben Jacobs

CTO @ OneStep GPS

We had a hard time finding the right company to partner with in support of our compliance journey. Some vendors sell the idea that they do the work, but then you end up doing everything. The ambiguity is what killed our last project. BD Emerson’s team has such great technical knowledge and understands the standard so well that they made us comfortable with moving fast. This has led to us closing major enterprise customers that were previously out of reach because of security and compliance.

Tom Watkins

CEO @ AMI AssetTrack

Lead an enterprise initiative to overhaul the organization's technology stack from ecommerce, corporate tech, and corporate security.

Supported ISO 42001 exercise and served as internal auditor.

Rubrik's privacy and compliance team began with the backbone of BD Emerson. BD Emerson supported building out the privacy program, GRC (ISO 27001, SOC 2, CMMC, FedRAMP), and the appsec function.

We needed a partner who could move quickly, without sacrificing precision. BD Emerson brought the expertise, structure, and speed we were looking for. Their team became an extension of ours, embedding themselves across the organization, guiding us step by step, and giving us confidence in areas we hadn’t tackled before. The internal audit they conducted was so detailed that even the external auditors called it out. Achieving ISO 27001 with zero nonconformities says everything you need to know about the quality of the partnership.

Walid Souilem

CTO @ FGI Worldwide

We had a hard time finding the right company to partner with in support of our compliance journey. Some vendors sell the idea that they do the work, but then you end up doing everything. The ambiguity is what killed our last project. BD Emerson’s team has such great technical knowledge and understands the standard so well that they made us comfortable with moving fast. This has led to us closing major enterprise customers that were previously out of reach because of security and compliance.

Tom Watkins

CEO @ AMI AssetTrack

Lead an enterprise initiative to overhaul the organization's technology stack from ecommerce, corporate tech, and corporate security.

Supported ISO 42001 exercise and served as internal auditor.

Rubrik's privacy and compliance team began with the backbone of BD Emerson. BD Emerson supported building out the privacy program, GRC (ISO 27001, SOC 2, CMMC, FedRAMP), and the appsec function.

We needed a partner who could move quickly, without sacrificing precision. BD Emerson brought the expertise, structure, and speed we were looking for. Their team became an extension of ours, embedding themselves across the organization, guiding us step by step, and giving us confidence in areas we hadn’t tackled before. The internal audit they conducted was so detailed that even the external auditors called it out. Achieving ISO 27001 with zero nonconformities says everything you need to know about the quality of the partnership.

Walid Souilem

CTO @ FGI Worldwide

BD Emerson didn’t just help us meet our compliance goals; they integrated security and privacy into the core of our operations. I highly recommend BD Emerson to anyone seeking SOC 2 or GDPR compliance, or simply looking to enhance their security team and boost customer trust in their product and services. Their dedication and expertise have been invaluable to our success.

Padraig Reilly

CEO, Boxcore

BD Emerson understood our business requirements and worked side-by-side with us. The policies and controls we developed together not only meet compliance standards but improve how we operate day to day.

Matt Meierdierks

IT Manager, Lincoln Industries

From day one, BD Emerson brought urgency, clarity, and a sharp understanding of what truly matters to our business — earning and keeping customer trust. They went beyond helping us meet compliance requirements; they helped build a foundation for secure, scalable growth. That kind of partnership is rare.

Jason Marker

CEO @ LifeLenz

BD Emerson didn’t just help us pass an audit—they helped us build a sustainable culture of security.

Alexey Indeev

CTO Spare

BD Emerson was essential in helping our company navigate the daunting process of leveling up our security infrastructure. BD Emerson’s impressive expertise and confidence throughout the process helped our team exceed HIPAA and SOC 2 Type 1 standards quickly, distilling what can be an overwhelming process into a streamlined, organized effort. From day one they began adding value and getting us on course. With their help we delivered on a massive security overhaul with both extreme efficiency and thorough attention to details. Because of BD Emerson’s support, we’ve increased our clients’ trust in Titan Intake and the life-changing work it accomplishes for those seeking specialist referrals.

Patrick Bruce

CEO, Titan Intake

BD Emerson didn’t just help us meet our compliance goals; they integrated security and privacy into the core of our operations. I highly recommend BD Emerson to anyone seeking SOC 2 or GDPR compliance, or simply looking to enhance their security team and boost customer trust in their product and services. Their dedication and expertise have been invaluable to our success.

Padraig Reilly

CEO, Boxcore

BD Emerson understood our business requirements and worked side-by-side with us. The policies and controls we developed together not only meet compliance standards but improve how we operate day to day.

Matt Meierdierks

IT Manager, Lincoln Industries

From day one, BD Emerson brought urgency, clarity, and a sharp understanding of what truly matters to our business — earning and keeping customer trust. They went beyond helping us meet compliance requirements; they helped build a foundation for secure, scalable growth. That kind of partnership is rare.

Jason Marker

CEO @ LifeLenz

BD Emerson didn’t just help us pass an audit—they helped us build a sustainable culture of security.

Alexey Indeev

CTO Spare

BD Emerson was essential in helping our company navigate the daunting process of leveling up our security infrastructure. BD Emerson’s impressive expertise and confidence throughout the process helped our team exceed HIPAA and SOC 2 Type 1 standards quickly, distilling what can be an overwhelming process into a streamlined, organized effort. From day one they began adding value and getting us on course. With their help we delivered on a massive security overhaul with both extreme efficiency and thorough attention to details. Because of BD Emerson’s support, we’ve increased our clients’ trust in Titan Intake and the life-changing work it accomplishes for those seeking specialist referrals.

Patrick Bruce

CEO, Titan Intake

Certificates

Our accreditations

At BD Emerson, we believe that our team's extensive certifications not only set us apart but also ensure that we provide the highest level of service to our clients.
FAQ

Frequently asked questions

Should we build a claims platform or configure a vendor system?

How do you migrate open claims safely?

Where does straight-through processing pay off, and where does it hurt?

How long does a claims system build take?

How do you secure claims data?

Do you work with existing vendor claims platforms?

What does the handover include?

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