Skip to content
InsureTech · PaperWork and PWCLAIMS Claims Management

Run insurance operations on a single platform.

The PaperWork platform and PWCLAIMS Claims Management run an insurer's daily work with ready-made solutions, from first notice of loss to claim payment, from agency requests to procurement. Policy and claim records stay in the existing core system, while all the work around them runs on PaperWork.

  • 1Claim file
  • 2Agency relations
  • 3Procurement and budget
  • 4Compliance and control
  • 5Management view
Insurance operations radarLive process view
PaperWork
+ PWCLAIMS
One platform
Claim file
Agency
Procurement
Finance
Legal
Compliance
HR and IT
File awaiting expert approval moved to the decision boardOwner and time target assigned · reflected in the management view
Executive summary

PaperWork and PWCLAIMS solve the insurer's work together.

At insurance companies, claims, agency, procurement and support processes usually run on different screens, in emails and in individually built workflows. Because information is scattered, management sees late why a file is waiting, which decision was made on which grounds and where costs arise.

PaperWork gathers this scattered work on a single platform; PWCLAIMS brings the claims process at the heart of insurance ready to use, end to end. The result: files that close faster, claim costs under control and an operation in which every step can be tracked.

Questions management can answer

  • 01Which claim file is waiting, at which step, with whom and why?
  • 02Which evidence and which rule is the claim decision based on?
  • 03How are experts, repair shops and agencies performing, and who is missing targets?
  • 04Where do claims and procurement spending stand against the budget?
  • 05Can the full decision history be shown with one click during an audit?

A claim file's journey on PWCLAIMS

Every step recorded, every wait visible
NotificationDocuments are read with Intelivus and the file is opened
Expert assessmentAn expert is assigned; the report and quote are checked
DecisionClaim approval with rules and authority limits
PaymentThe payment order is linked to the budget and the bank transaction
RecourseCollection tracking and financial reconciliation
ReportingTime, cost and performance on the management dashboard
Benefits

What does it bring to management?

Claim files close faster

Each team sees only its own work list, and pending steps are tracked against time targets. Alerts come while a delay is building up, not at month end.

Claims operations

Claim costs are kept under control

Repair quotes are compared with contract prices and accident photos with the statements in the accident report. Files with a fraud risk go to review before payment.

Finance and claims management

Agency and partner relationships grow stronger

The agency opens its request, follows its status and sees the outcome. Experts, repair shops and lawyers are managed with scorecards; who is missing targets is visible on a single screen.

Sales and agency management

One budget, one financial picture

Procurement, claims and commission costs are recorded in the same budget structure. Spending is compared with the budget at the time of the request, before the invoice arrives.

CFO and planning

Audit-ready at any time

Who decided what, with which evidence and when: everything is recorded. AI suggests, an authorised person approves; every transaction is written to the audit log.

Internal control and compliance

Ready-made solutions, not development

Instead of building separate forms and workflows for each process, solutions prepared for the industry are adapted. Deployment is shorter and the maintenance burden is lighter.

IT and digital transformation
PWCLAIMS Claims Management

Eight work boards, one file view.

A claim file is not managed through a single long workflow. Each specialism works on its own board, and all boards are linked to the same file. The expert team sees only its own work; the claims approver sees only files awaiting a decision.

BOARD 1

Notification and file opening

Notification›Document check›Missing information›Coverage and fault›Owner approval
Claims operations
BOARD 2

Expert assessment

Expert assignment›Report and quote›Revision›Technical check›Repair approval
Expert assessment
BOARD 3

Total loss and salvage

Market value research›Salvage offers›Repair vs. total loss comparison›Authorised approval
Expert assessment
BOARD 4

Decisions and payments

Pre-check›Block resolution›Claim approval›Handover to finance
Claims approval
BOARD 5

Recourse

Basis and counterparty›Claim preparation›Collection tracking›Reconciliation
Recourse and legal
BOARD 6

Fraud investigation

Grounds and scope›Evidence review›Second review›Expert decision
Fraud unit
BOARD 7

Objection and arbitration

Objection record›Deadline review›Additional assessment›Legal approval›Reasoned response
Recourse and legal
BOARD 8

Quality

Finding record›Assessment›Risk link›Effectiveness verification
Quality
File 360: the status of all eight boards on one page. The core system remains the owner of the policy, coverage and outstanding claims reserve records; PWCLAIMS writes the result back to the core system and the ERP. Connections to Tramer, SBM and the expert network are set up with the company's existing services.
AI · INTELIVUS

Reads the document, compares the evidence

When the accident report, ID, driving licence, policy, vehicle registration and photos are uploaded, the document type is recognised, fields are extracted and the photos are compared with the statement in the report. Every value is linked to its source document.

Evidence sufficiency
Consistency across sources
Fraud review risk

Illustrative view. Thresholds are set for your organisation. Explore Intelivus →

AI · PWAI AGENTS

Six expert agents, zero automatic payments

  • Notification and verification
  • Coverage and entitlement
  • Evidence and consistency
  • Fraud analysis
  • Damage and cost
  • Operations planning

Agents produce findings and reasoning; coverage eligibility and the claim calculation are determined by rules. The payment decision is always made by an authorised user.

Additional claims budget requestDecisions board + PWXPA budget revision
Total loss and salvage managementTotal Loss and Salvage board
Home expert assessmentNew line of business on the Expert Assessment board
Mediation and external lawyersObjection and Arbitration + PWCLM
Provision releaseBlock resolution on the Decisions board

The top row shows the workflow built separately today; the bottom row shows its equivalent in PWCLAIMS.

Ready-made solutions

Claims management and all claim-related operations on a single platform.

PWCLAIMS works together with the other ready-made solutions on the same platform. The company card, budget, document and permission structures are shared; information created in one solution is not re-entered in another.

Today · built one by one in process management
  • A separate form and approval rule for each workflow
  • Agencies, experts, repair shops and lawyers on different lists
  • Budget check after the invoice arrives
  • Each workflow with its own ERP connection
→
With PaperWork ready-made solutions
  • Workflows, boards and business objects prepared for the industry
  • One company card and scorecard for all business partners
  • Budget reservation at the time of the request
  • ERP mapping on a single definition screen, with existing functions
PWCLAIMS

Claims Management

Eight boards from notification to payment, File 360 and AI.

PWPROC

Procurement

Request, quote, tender, order, receipt and invoice matching.

PWXPA

Enterprise Planning

Budget, payment list, advances, guarantees and reconciliation.

PWSLM

Suppliers and Business Partners

A shared card for suppliers, agencies, experts and lawyers.

Explore →
PWCLM

Contract Management

Templates, negotiation, e-signature, obligations and renewal.

Explore →
PWHR

Human Resources

Onboarding and offboarding, appraisal, overtime, expenses, performance.

PWITSM

IT Service and Asset Management

IT requests, access and permissions, change, asset assignment.

PWCSM

Customer Service

Customer and agency complaints, KVKK (personal data) applications, response tracking.

PWQMS

Quality Management

Procedures, control points, corrective actions.

Explore →
PWGRC

Risk and Internal Audit

Internal control findings, risk register, regulatory calendar.

Explore →
Shared foundationPaperWork BPMCorporate MemoryERP integrationDecision PlaybooksExternal user portalIntelivusPWAI and Agents
Insurance industry analysis

Which process, in which ready-made solution?

Business areas we see at insurance companies and the ready-made solutions that cover them. The core insurance system is not in the table; the ready-made solutions take on the request, approval, payment and control workflows around it.

Business areaProcesses at insurance companiesReady-made solutionNote
ClaimsNotification and file opening · expert assessment (including home) · total loss and salvage · mediation · additional claims budget · closed file audit · provision release · fault determination report queryPWCLAIMSDetails in the eight boards above.
Agency relationsPolicy, quote and endorsement requests · collection and commission objections · passwords and permissions · claim, assistance and recourse requests · MASAK · commission reconciliation · cancellation and refund · cover notes · pre-inspection · health policy transactions and group health transfers · printed documents · agency users and power of attorneyPWSLMPWXPAEach request type is a workflow linked to the agency card; reconciliation in PWXPA.
LegalExternal lawyer expense requests · mandatory mediation · legal partner opinion (bodily injury, disability) · notification deadlines · case cost calculation · legal correspondencePWCLAIMSPWCLMPWSLMLitigation and enforcement management is assessed separately.
Procurement and suppliersRequest, quote, order and additional order · ERP order · goods receipt · e-invoices and invoice errors · vendor record creation and revision · material masterPWPROCPWXPAPWSLMHow the chain works is shown below.
Financial affairsE-invoice approval lists and limits · end-of-day collection check · regulatory reporting calendar · payment and refund instructions · bank status filePWXPAPWGRCThe regulatory calendar is tracked with PWGRC.
Human resourcesOnboarding and offboarding · candidates · 2nd and 6th month appraisals · orientation and training · staff requests · overtime, expenses and travel · effort entry · performancePWHRPWITSMAsset assignment and system access from PWITSM.
Information technologyIT requests (analysis, development, bugs, help, authorisation, user acceptance testing, cost) · permission set and user group changesPWITSMAccess, change, release, work order.
Management and qualityProcedure management · contract management and archive (legal, KVKK and MASAK checks, expiry reminders)PWQMSPWCLMProcedures in PWQMS; contracts and expiry reminders in PWCLM.
Internal control, compliance and customersInternal control findings · customer complaints (including agency service quality and code objections) · KVKK applications · registered email (KEP) and external correspondencePWGRCPWCSMDocuments and KEP in the shared Corporate Memory.
Policy back officePolicy comparison · fixed job setups and operation time windows · data of customers the call centre cannot reach · field-level writing to the core systemPLATFORMPlatform workflows with existing integrations.
External parties work on the same platform. Agencies, external lawyers, mediators, experts and other insurance companies complete their own steps as "external users".
Procurement, budget and contracts

An unbroken chain from request to payment.

The approval matrix, budget overrun rule, currency and ERP mapping are kept on definition screens. When a rule changes, the form or workflow does not.

1
RequestA share of the budget is reservedPWPROC · PWXPA
2
Quote and contractThe selected quote becomes a contractPWCLM
3
OrderThe reservation becomes a commitmentPWPROC
4
InvoiceMatched with the order, delivery and contract pricePWPROC · PWCLM
5
PaymentThe expense is posted and reconciled with the bank transactionPWXPA
PWPROC

Procurement

  • Quote collection, tender, orders with revisions
  • Goods and service receipt, progress payments
  • Three-way matching; differences go to an authorised user
PWXPA

Enterprise Planning

  • Overrun rule: block, warn or send for approval
  • Planning broken down by line of business, channel and product
  • Advances, guarantees, offsetting
PWSLM

Suppliers

  • Application via portal, sanctions screening, qualification
  • Automatically populated supplier scorecard
  • Approved IBAN changes and blocking
PWCLM

Contracts

  • Framework limits decrease with orders
  • Agency, expert, repair shop, reinsurance, lease, confidentiality
  • Renewal dates become tasks
Agency relations · proposed scope

Every request from an agency in a single request record.

We propose setting up agency processes on PWSLM's shared company infrastructure, with an agency-specific business partner card and workflows linked to it. Request categories, unit mappings, standard replies and time targets are definition data; a new request type is added without changing the workflow. Scope and priorities are set together with the insurer's team.

Agency cardPWSLM
Identity
Code and sub-code, region, working group, segment
Authority
Line-of-business authorities, authorisation level, ex gratia limit
Links
Sales and technical units, users, permission sets
Finance
Current account and suspense, IBAN, commission reconciliation (PWXPA)
Contracts
Commission rates, collection authority (PWCLM)
Performance
Production, collection time, complaint justification rate, satisfaction
AgencyExpertRepair shopAssistanceExternal lawyerSuppliers

The same card is used for all business partners, with different roles.

  1. StartThe agency opens a request from the portal, or an employee from the My Work screen.
  2. OwnerAssigned to a pool or a person by region, line of business, working group and category.
  3. ResponseResolve, request a document, get an opinion, put on hold or forward to a unit, with standard replies.
  4. Time and escalationIf the target is exceeded: reminder, notification to the manager, update to the agency.
  5. OutcomeThe agency accepts or reopens; the request closes with a satisfaction survey.

A · PaperWork external company portal

Knowledge base, assistant, request creation and tracking, correspondence and documents. It carries the company's brand; maintenance is handled by PaperWork.

Recommended start

B · Existing agency screen + REST layer

The agency stays on the screen it is used to, while requests run in PaperWork. Identity is resolved from the session on the server side. Option A is still set up for internal teams; both show the same request.

The owner is found from the cardFrom region and line of business, or from working group and category.
Rules in the playbookSLAs, routing and automatic replies are definition data.
Agency authority is dataAuthorisation and the ex gratia limit are fields on the card.
Shared foundation

Five principles that apply to all solutions

01

Business objects

Request, order, claim file, contract: fields and statuses are defined (draft, in approval, final, closed).

02

Workflow and board

Every record moves through a workflow; every team follows its own board.

03

Rules on the definition screen

When thresholds, SLAs or authorities change, code and forms do not.

04

ERP mapping in one place

Every business event is linked to an ERP transaction; success is verified by read-back.

05

AI suggests, people decide

Approval, posting and payment stay with authorised users; every transaction is audited.

From model to your company

Let's map your current workflows to the ready-made solutions together.

Let's review the workflows you run today and prepare a current-state analysis for you:

  • Which workflow corresponds to which ready-made solution?
  • Where are the differences, and which decisions should be made together?
  • Which ERP functions can be reused?
Contact Us

Let’s Make Your Processes Smarter Together!

Let’s explore how PaperWork’s low-code BPM, document management, ERP integration and AI solutions can be used in your organization.

What happens next?
  1. 01

    We find a time that suits you.

  2. 02

    We hold an introductory meeting.

  3. 03

    We run a demo tailored to you.

Request a Free Demo