VIP Claims Operations

The work surrounding a claim. Connected.

Manage providers, contracts, billing, invoices, payments and operational performance through one connected operating layer.

From the carrier to the service provider to the independent professional, VIP connects the workflows surrounding the claim — with triage at first notice to identify risk and prevent claims from escalating into legal exposure.

Get a demoExplore Claims Operations
13.1% → 9.3%invoice falloutObserved pilot result
24 → 17.5 dayspayment cycleObserved pilot result
Carrier Pilot 001
60-day live carrier pilotFour claims service providersThousands of invoices

Works with your claims environment — not against it.

FNOL intelligence

Triage early. Prevent avoidable escalation.

VIP brings verified evidence, history and risk signals together at first notice so teams can identify exposure, route the claim correctly and intervene before a claim or legal issue escalates.

01

Triage

Review evidence, claim history and third-party data as the claim enters the operation.

02

Identify risk

Surface complexity, exposure and warning signals before delays and costs increase.

03

Route

Direct the claim to the right team, provider and workflow using verified context.

04

Prevent escalation

Act earlier to help prevent avoidable claim or legal escalation.

Ask Benny™ Illustrative
The ecosystem

One claim. An entire ecosystem around it.

Every claim starts with triage — evidence, history and risk signals reviewed before work is assigned. From there, VIP connects each step of the operational ecosystem around it.

CLAIMVIP connects itCarrierService ProviderIndependent Professional
  1. Triage
  2. Agree
  3. Assign
  4. Work
  5. Bill
  6. Review
  7. Pay
  8. Measure
  9. Improve

VIP does not manage only one part of the claim. It connects the operational ecosystem surrounding it.

Three experiences, one system

One system. Different views of the same claim.

Control the ecosystem surrounding the claim.

Manage provider relationships, agreements, fee schedules, billing, invoices, payments, compliance and performance — without replacing your core claims system.

  1. Onboard provider
  2. Set agreement
  3. Assign work
  4. Review invoice
  5. Approve
  6. Pay
  7. Measure
Provider ManagementContract ManagementAgreementsFee SchedulesBilling RulesInvoice WorkflowsInvoice ReviewAutomated Invoice AuditingApproval WorkflowsPayment StatusExpense AnalyticsProvider PerformanceOperational ReportingIntegrations & APIs
VIP risk assessment screen for claim CL-88214 showing an elevated risk score of 72 and flagged potential risks, routed to the complex claims team
The flywheel

From agreement to payment.

Every step feeds the next — and what you learn at the end changes how the next agreement is configured.

01

Connect

Connect carriers, providers and professionals.

02

Configure

Establish agreements, fee schedules, billing rules and permissions.

03

Work

Services and claims activity occur through connected workflows.

04

Bill

Invoices are generated against the applicable agreements and rates.

05

Validate

VIP checks invoices against configured billing requirements.

06

Review

Exceptions are surfaced while compliant invoices keep moving.

07

Pay

Track payment status and use supported settlement and cash-flow workflows.

08

Measure

Operational activity becomes usable intelligence.

09

Improve

Improve future agreements, rates, provider decisions and workflows.

Improve feeds back into Configure
Operations and intelligence

Operations create the data. Intelligence makes it valuable.

VIP Claims Operations

Do

ManageConfigureAssignWorkBillReviewApprovePay
rateIQ™

Know

BenchmarkCompareAnalyzeForecastIdentifyMeasureOptimize
Ask Benny™

Ask

Ask questions across the VIP environment and turn connected data into usable answers.

Explore IntelligencerateIQ™ by VIP
One connected ecosystem

Carriers, service providers and independent professionals — the same connected claim.

Get a demoSee how VIP fits together
Key facts
What it is
The operating layer for the work around a claim — assignments, service providers, triage and escalation.
Who it's for
Carriers, independent adjusting firms and the service providers working their claims.
Connects to
Guidewire ClaimCenter, Snapsheet, Cotality and proprietary claims systems.
How it works
Claim data comes in once; assignments, documentation and status flow between every party on the claim.
Connected systems

Systems that feed VIP Claims Operations

SnapsheetEstimate totals, line items, photo sets and appraisal status attach to the matching claim.GuidewireClaim and FNOL data from ClaimCenter starts assignments and service-provider work.CotalityProperty data and estimate detail sit next to the rest of the claim record.
FAQ
What does VIP Claims Operations do?

Runs the work around a claim: assignments, service providers, documentation, triage and escalation, from FNOL to close.

Does VIP replace my claims system?

No. VIP keeps your claims system as the system of record and connects the operational work that happens around it.

Which systems does VIP Claims Operations connect to?

Guidewire ClaimCenter, Snapsheet and Cotality today, plus proprietary or legacy claims systems through VIP's integration layer.