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Services

For each client, Claimexpert creates a dedicated team composed of claims adjusters and administrative/back-office specialists, with the expertise required to meet specific operational needs. Each team is coordinated by a Team Leader and constantly supervised by management and by the internal control department in order to monitor performance and promptly intervene whenever necessary.

Claims Management Representation

We act as appointed representatives of insurance companies, managing the full claims settlement process on their behalf — from first notification to final settlement — in dealings with claimants, appointed experts, and counterparty insurers. The service ensures operational continuity, procedural compliance and quality control at every stage of the claims lifecycle.

Claims Management

Modular or Full Outsourcing
We provide services covering every stage of the claims management process: claim notification assistance, debtor CARD management support, claim opening, damage assessment, technical and ongoing reserving, classification by claim type (CARD 2-Party, CARD 1-Party, Non-CARD, Large, Fast Settlement), investigation and settlement on the WISE Sinistri platform.

Technical and Ongoing Claims Reserving

Dynamic triage activities aimed at collecting every micro-element necessary for continuous technical assessment. Dedicated professionals provide timely support in the evaluation and management of complex claims through investigation and information-gathering activities, also in collaboration with central complex claims departments.

Back Office & SARC

Post-Settlement Claims Management
Database management, recovery actions, SARC procedures, debtor CARD management and IVASS complaints handling.

Continuous Training & Professional Development

For Administrative Staff and Claims Adjusters
We collaborate with institutional organizations and industry professionals to provide technical and regulatory training programs through internal and external expert trainers.

Run-Off Management

Immediate and cost-effective solutions for the disposal of outstanding claims portfolios and reserve reduction activities. The outsourcing model allows insurance companies to rely on highly specialized professionals for the duration of the assignment without incurring fixed operational costs through a pay-per-use approach.

High-Value Claims Support

Information gathering and technical support activities aimed at the proper evaluation and management of complex and high-value claims.

Litigation Management

Claimexpert operates through an in-house legal department working alongside appointed legal partners. The internal legal team supports all stages of litigation management, from defense preparation and document collection to handling of writs of summons received, settlement evaluation, judgment management and payment supervision.

Complaints Management (standard and IVASS)

Management of insurance complaints in two categories: standard complaints, handled within the contractually and regulatory prescribed timeframes, and IVASS complaints, managed through a dedicated procedure in compliance with supervisory regulations. Periodic reporting and outcome monitoring for the benefit of client companies.

AAS Claims Management

Management of claims subject to the AAS procedure within the CARD system, coordinating the various stages of the procedure. Claimexpert supports client companies in the technical assessment and agreed settlement of claims.

Fraud Prevention Quality Control

and Regulation 44 Compliance
Systematic screening through AIA and BDS database queries; IdentifAI integration for deepfake detection on photographs and video evidence. IVASS compliance under art. 135 CAP and ISVAP Reg. 44/2012. Coordination of private investigators for high-risk cases. The audit process combines technical supervision and professional training activities, including operational checks on claims networks and the identification of corrective and training measures.

Loss Adjusting Network Management

Selection, development, training, contractual management and KPI and performance monitoring of fiduciary loss adjusting networks, including motor and non-motor experts, medical consultants and first and second-level claims hubs.

Internal Audit

Claimexpert operates a dedicated Internal Audit department focused on continuous claims monitoring activities. Under the direct supervision of the Technical Director, the department analyzes claims files and promptly intervenes in the presence of recurring anomalies, verifying reserving accuracy, compliance with operational timelines, claims settlement procedures and litigation-related documentation.

Services for Insurance Intermediaries

Agency Strategic Planning & Management Control

Founded in 2009, Claimexpert is today one of the leading companies in the insurance outsourcing sector, working alongside some of the most prestigious insurance companies operating in Italy.