Claims · Managed operations

Claims management for P&C carriers, run to your KPIs.

FOCUS manages the claims function end to end: lifecycle handling, surge capacity for CAT season, audit-ready compliance, and reporting against shared targets. A 100% U.S.-based team that works as an extension of yours, inside the systems you already run.

80+NPS95%+QA score100%U.S.-based$3B+Premium managed
Managed toResults achieved for FOCUS clients
  • Claims leakage reductionMissed subrogation and inaccurate payments caught before they leave
    70%+
  • Cycle timeKey process cycle-time reduction
    5 days
  • Policyholder retentionIncrease through higher-quality support
    +6%
  • Net Promoter ScoreDouble the industry average
    80+
  • Quality assuranceDocumented controls, ongoing review
    95%+
Shared KPIs, reported on a schedule. Custom KPI tracking and statistical reporting come standard.
The challenge

In-house claims management is more than processing paperwork.

The team faces constant pressure that can overwhelm even the best staff, and firefighting leaves no room for the strategic work leadership actually hired them for.

Sudden volume spikes

Catastrophic (CAT) events cause unpredictable surges in claims, which are difficult to handle with a fixed team.

Inconsistent submissions

Poor-quality data from agents or claimants leads to errors and delays that compound downstream.

Transactional overload

Repetitive tasks like FNOL intake and policy changes create bottlenecks and pull focus from the work that matters.

Talent gaps

Finding and keeping licensed claims and underwriting experts is difficult and expensive, and every vacancy is a service and compliance risk.

The hidden cost

High operational friction burns out the team. Experienced people leave, process improvement stalls, and your best staff spend their expertise on manual, repetitive work instead of on profit. Old, disconnected technology makes it worse: data silos, repeated entry, and no clear view of performance.

The shift

A managed operation, measured on outcomes.

Traditional outsourcing sends simple tasks to offshore teams for cheaper labor and takes on risk to quality, data security, and the brand in exchange. FOCUS manages the entire claims function as an operations partner, with the expertise and scalability that would be too costly and slow to build in-house.

+6%

Better customer retention

Fast, effective service from a U.S.-based team that understands your brand. Policies serviced by FOCUS have seen retention rise by up to 6 percent.

70%+

Less claims leakage

Audit-ready processes and quality monitoring catch the errors that leak money. One client cut claims leakage by more than 70 percent.

5 days

Faster, more profitable growth

A five-day reduction in cycle time for key processes, and an operation that scales with the book instead of ahead of it.

What comprehensive claims management covers

Claims handled with precision, empathy, and accountability.

Tailored to your needs, from first notice to final payment, with compliance and customer satisfaction managed alongside. Claims sits inside a full policy-lifecycle operation, so the work around the claim is covered too.

Claims

End-to-end claims lifecycle

  • FNOL intake and claimant communication
  • Adjuster and vendor coordination
  • Claim payments, reserving, and accounting
  • Litigation and dispute resolution support
Custom KPI tracking, statistical reporting, and QA review across every stage.
Policy

Integrated underwriting and policy support

  • Licensed underwriting support for new business and renewals
  • Risk evaluation and management of endorsements and cancellations
Aligned to your guidelines across the entire policy lifecycle.
Back office

Full-scope back office and financial services

  • Billing, collections, and insurance accounting
  • Statutory accounting and surplus lines tax filings
Highly technical work handled for accuracy and compliance.
Scale on demand
17catastrophic events supported since 1992

Resources scaled when clients needed them most.

Surge capacity for CAT season, without the fixed headcount.

  • Scale up or down as the book demands. CAT events, busy seasons, and new lines are absorbed without hiring full-time staff you then have to carry.
  • No long-term lock-in. FOCUS earns the business every day, so the service model evolves with your market instead of holding you to last year’s plan.
  • Your brand at every touchpoint. Phones answered, correspondence sent, and files worked as your company, under your standards.
Technology

Inside the systems you already run.

FOCUS is system-agnostic and integrates directly into your existing tech stack, so there is no rip-and-replace and no disruptive migration to a proprietary platform. The team already works across the carrier systems, rating and data services, payment, document, and communications tools shown here.

One client’s move to the AWS cloud went from a three-to-six-month plan to a one-week migration. For carriers that want a new core, the InFOCUS platform is built for fast deployment with open APIs.

AWS migration completed in one week
Get to know the InFOCUS platform
IVANS
ISO
LexisNexis
DocuSign
Solera
360Value
MapRisk
InvoiceCloud
Authorize.net
Tranzpay
Pitney Bowes
National Flood Services
Wright Flood
Mueller
i4
JLT
Towers Watson
LiveChat

A selection of the platforms FOCUS teams work in today. Yours is welcome.

“Will we lose control of compliance?”

Audit-readiness built into every process.

FOCUS handles the high-stakes compliance work, including DFS complaints and annual Yellow Book filings, with documentation that is ready for regulators. Quality monitoring reduces the errors that become leakage, so compliance moves from a cost line to a source of profit.

Over 70% reduction in claims leakage for one client
“Is our data secure?”

A 100% U.S.-based team protects quality, security, and brand.

More than 300 U.S.-based professionals, including bilingual staff, understand the domestic market and its regulators. Onshore handling means stronger data security and cleaner compliance with U.S. rules, and every interaction reflects your brand’s values.

300+ U.S.-based professionals
Chapter 05 · Claims

Who owns the claim?

A state rating director and a carrier operations executive answer the same question from opposite sides of the file.

Andy Case, Mississippi Insurance Department

Who owns the claim?

Andy CaseDirector of Property and Casualty Rating, Mississippi Insurance Department
Toni Logan, American Integrity Insurance

The moat is human.

Toni LoganSenior Vice President, American Integrity Insurance
Download the report Complimentary. Delivered by email.
The tangible results of a true partnership

The best way to measure a partnership is by its results.

25+Years in P&C operations
6M+Policies managed, last 5 years
$3B+Premium under management
3.5M+Tasks completed annually
300+U.S.-based team members
75+Licensed insurance professionals
Metric categoryKey performance indicatorResult achieved with FOCUS
Customer and retentionNet Promoter Score80+ (double the industry average)
Policyholder retention increase through higher-quality support+6%
ProfitabilityClaims leakage reductionOver 70%
Operational efficiencyKey process cycle-time reduction5 days
Cloud migration timeMonths to 1 week
QualityQuality assurance score95%+
Scale and experienceCatastrophic (CAT) events supported since 199217
Premium under management$3 billion+

Results achieved for FOCUS clients. Figures vary by line, state, and volume.

Questions

Outsourcing claims management, answered.

Straight answers to what carriers and MGAs ask first.

What is the difference between claims processing and claims management?

Claims processing is the servicing workflow: FNOL intake, claimant communication, coordination, payments, and reporting. Claims management is the whole function run as a managed operation, with shared KPIs, surge capacity, compliance handling, and integrated underwriting and back-office support around it. FOCUS offers both.

Does outsourcing claims management hurt customer service?

With a U.S.-based team that understands your brand, service improves. FOCUS holds an NPS of 80+, double the industry average, and policies serviced by FOCUS have seen retention rise by up to 6 percent.

How does FOCUS handle CAT surges?

The model scales up or down as needed for CAT events and busy seasons without adding full-time staff on your side. FOCUS has supported 17 catastrophic events since 1992, scaling resources when clients needed them most.

Will we have to migrate systems?

FOCUS is system-agnostic and works inside your existing tech stack, so there is no rip-and-replace. One client’s AWS cloud migration went from a three-to-six-month plan to one week. For carriers that want a new core, the InFOCUS platform is available with open APIs.

How is compliance handled?

Audit-readiness is built into every process. FOCUS manages DFS complaints and annual Yellow Book filings with regulator-ready documentation, and quality monitoring has cut claims leakage by more than 70 percent for one client.

Get started

Lead the transformation. Let FOCUS run the claims.

Free your internal teams for high-value work with a dedicated, U.S.-based operations partner. A 30-minute conversation maps the FOCUS claims model to your lines, states, and volumes.

Get started Or call833-347-8344