Guidewire · Existing integration

Automate claims expense accuracy with Guidewire and VIP

Carrier contracts and fee schedules contain detailed rules. Applying those rules consistently across large invoice volumes creates significant operational work, and traditional manual audits examine only a sample. On Guidewire (core claims system), the claim record already holds the context this work depends on: claim and exposure context and assignment triggers. Without a connection, that context is re-keyed into each downstream tool and drifts from the claim file.

How VIP solves it

Every invoice in the workflow is validated against the terms in force, and only exceptions need a human. With Guidewire, VIP takes in claim and exposure context and assignment triggers and writes activity and documents and expense and financials back to the claim. Confirm how VIP activity, documents and financial transactions land on the claim and exposure.

Steps

  1. Invoice received
  2. Contract and fee schedule validation
  3. Business-rule validation
  4. Exception identified
  5. Review
  6. Approved amount
  7. Payment
  8. Performance intelligence

What moves between Guidewire and VIP

DataDirectionDetail
Claim and exposure contextGuidewire → VIPClaim number, loss details, coverage and exposure identifiers give VIP the record to attach work to.
Assignment triggersGuidewire → VIPNew or updated exposures start the assignment, inspection or audit workflow in VIP.
Activity and documentsVIP → GuidewireVendor activity, reports, photos and findings post back to the claim file as notes and attachments.
Expense and financialsVIP → GuidewireAudited invoice amounts and approvals write back against the exposure so reserves and payments stay accurate.

Outcomes

Questions and answers

How does Guidewire work with VIP for claims expense accuracy?

Guidewire has an existing integration with VIP. With Guidewire, VIP takes in claim and exposure context and assignment triggers and writes activity and documents and expense and financials back to the claim. Confirm how VIP activity, documents and financial transactions land on the claim and exposure.

What data moves between Guidewire and VIP?

Claim and exposure context; Assignment triggers; Activity and documents; Expense and financials.

Who is claims expense accuracy with Guidewire for?

Claims expense accuracy is built for carrier teams using Guidewire, at the expense stage of the claim.

Guidewire integrationClaims expense accuracy workflow

More Guidewire workflows

Run claims expense accuracy with Guidewire.