Claims Processing SoftwareAutomated Claims Management Platform
Bespoke Solutions: Ever tried squeezing your unique claims process into a rigid off-the-shelf system? We build your claims processing software exactly how you need it to work using Paytia Secureflow, our powerful workflow automation platform.
Claims Management
Custom • Automated • AI-Powered
The Problem with Vertical-Specific Solutions
Here's the problem: most claims software is built for specific industries like insurance or loans. When you have unique requirements, you end up paying through the nose for customizations that never quite fit right. Your team spends months trying to make the system work instead of focusing on what matters—processing claims efficiently.
Expensive Customization
You're basically paying twice—once for software that doesn't fit, then again to make it work
Extended Time to Market
While you wait months for customizations, your competitors are already processing claims
Process Compromises
End up changing how your business works just to make the software happy
Paytia is Different
Here's how we work: you tell us what you need your claims system to do, and we build it exactly that way. No compromises, no "that's not how our system works"—just a solution that fits your business perfectly.
Designed to Fit — Not Forced to Fit
Think of it this way: instead of forcing you to work around software limitations, we create software that works around your business needs. Complex approval chains? No problem. Real-time updates to legacy systems? We've got you covered.
Faster Go-Live
We focus on getting your most important features working first, so you start seeing results while we're still building the rest.
What We Deliver
Here's what you actually get when we build your claims system
Smart Data Collection
Captures all the information you need while automatically handling the compliance headaches. The system knows which data needs special protection and handles it accordingly—no manual tagging required. Works with any currency worldwide.
Your Brand, Your Interface
Everything looks and feels like part of your business. Your team gets interfaces that make sense for how they work, and your customers see your brand throughout.
Plays Well with Others
Connects seamlessly to whatever systems you're already using. Your CRM, accounting software, legacy databases—we make sure everything talks to each other properly. Rock-solid reliability included.
You're in Control
Set up the system exactly how you want it—who can access what, which dashboards people see, and how everything operates day-to-day.
Instant Updates
When something happens in your claims system, other systems know about it immediately. No delays, no batch processing overnight—everything stays in sync.
AI Chat & Voice Bots
Automate tasks and capture payments using intelligent conversational interfaces
Inbound Payment Capture
Securely collect and process incoming payments with real-time validation and compliance
Automated Outbound Payment Setup
Configure and manage automated payment scheduling with full reconciliation tracking
Gift Voucher Management
Complete gift voucher purchase, management, and issuance system with fraud protection
Enterprise Security & Compliance
Built-in security protocols and compliance frameworks that protect your claims data and ensure regulatory adherence
PCI-DSS Level 1
Service Provider certification for payment card data handling
Cyber Essentials Plus
Government-backed cybersecurity accreditation
GDPR Aligned
Full compliance with European data protection regulations
99.9999% Uptime
Enterprise-grade reliability guarantee
Advanced Fraud Protection Features
Real-Time Validation
- BIN (Bank Identification Number) verification checks
- LUHN algorithm validation for card number integrity
- Card type and brand blocking capabilities
Security Protocols
- 3DS2 identity verification for e-commerce transactions
- Content Security Protection against man-in-the-middle attacks
- Comprehensive transaction reporting and audit trails
Intelligent Data Classification & Compliance
PII Data Tagging
Automated identification and classification of Personally Identifiable Information for regulatory compliance and data protection.
- Name and address information
- Social security and identification numbers
- Financial account information
- Communication data (email, phone)
MII Data Tagging
Specialized handling and classification of Medical Information Identification for healthcare claims and HIPAA compliance.
- Medical record numbers and identifiers
- Health insurance information
- Medical diagnosis and treatment codes
- Provider and facility identifiers
Automated Compliance
Real-time enforcement of data protection policies with automated encryption and access controls based on data classification.
- Automatic field-level encryption
- Role-based access controls
- Audit trail generation
- Data retention policy enforcement
Claims Workflow Automation
Streamline every stage of your claims process with intelligent automation and secure payment capture. Powered by Paytia Secureflow, our workflow automation platform enables end-to-end claims processing with PCI-compliant payment integration.
Intake & Initial Assessment
Custom forms capture claim details, supporting documentation, and initial payment information. Real-time validation ensures data accuracy while maintaining security compliance throughout the intake process.
- Multi-step form validation with global currency support
- Automated duplicate claim detection and flagging
- Secure document upload with virus scanning
Smart Data Collection
Forms adapt based on claim type, jurisdiction, and business rules to collect only relevant information.
Secure Payment Processing
End-to-end encrypted payment capture with real-time fraud detection and compliance validation.
Payment & Settlement
Secure payment processing with comprehensive API integration for existing financial systems. Support for both immediate payments and scheduled settlements with full audit trail capabilities.
- Real-time payment validation and processing
- Automated reconciliation with existing accounting systems
- Comprehensive transaction reporting and analytics
Real-World Success Stories
See how businesses across industries have transformed their claims management with Paytia
Housing Management Provider
Implemented a full workflow-driven claims management system with outbound payment automation, reducing processing time by 65% and improving tenant satisfaction.
Solar Energy Company
Securely captures customer bank account details and sets up automated outbound payments with real-time validation, streamlining the entire installation payment process.
Healthcare Network
Deployed secure, voice-assisted payment flows with full compliance and centralized recording, enabling seamless patient billing across multiple locations.
Utilities Provider
Built a self-service IVR payment journey integrated with legacy billing systems, reducing call center volume by 40% while maintaining security compliance.
The Paytia Methodology
Build the Payment Experience Your Business Actually Needs
Claims Management Platform Architecture
Comprehensive workflow system with multi-company support, granular security, and integrated channels
External Customer
Platform Channels
Customised Workflow System
Designed to Fit — Not Forced to Fit
We don't adapt your process to fit our product — we build your product to fit your process. From complex approval flows to real-time data sync, our platform bends to your needs.
Faster Go-Live with Phased Delivery
Milestone-based delivery prioritizing essential services first
Secure, Scalable, Compliant
PCI-DSS compliant architecture with enterprise-grade security
Future-Proof with AI Integration
AI-powered workflows and intelligent automation capabilities
Real-World Implementation
Housing Management Provider: Full workflow-driven claims management system with outbound payment automation
Solar Energy Company: Secure bank account capture with automated outbound payments and real-time validation
Healthcare Network: Voice-assisted payment flows with full compliance and centralized recording
Utilities Provider: Self-service IVR payment journey integrated with legacy billing systems
Pinnacle Group Success Story
Pinnacle Group needed a comprehensive claims management solution that could handle complex approval workflows, automated payment processing, and seamless integration with their existing systems.
Custom Workflow Engine
Multi-stage approval processes with automated routing and notifications
Automated Payment Processing
Secure outbound payments with real-time validation and audit trails
Legacy System Integration
Seamless API integration with existing claims and financial systems
"Paytia delivered exactly what we envisioned - a complete claims management ecosystem that integrates perfectly with our operations. No compromises, just results."
Key Results Delivered
Custom Features Delivered:
- Multi-tenant approval workflows
- Real-time payment validation
- Automated documentation generation
- Custom reporting dashboards
- Mobile-responsive interfaces
Advanced Claims Management Capabilities
Built Your Way — Delivered Fast. No compromises, no excessive development overhead, just a reliable, secure solution tailored for real outcomes.
AI Chat & Voice Bots
Automate tasks and capture payments using intelligent conversational interfaces with natural language processing.
Custom Channels
Enable payments through social media, SMS, live chat, and other customer-preferred platforms with unified processing.
Real-Time Analytics
Comprehensive dashboards with real-time claims tracking, payment status, and performance metrics for better decision making.
How Claims Processing Software Works
Automated claims processing software streamlines the entire claims workflow from intake to settlement, reducing manual effort by 75% and improving accuracy to 95%.
Claim Intake
Multi-channel capture through phone, web, email, or API. Automated data validation and duplicate detection.
Workflow Routing
Intelligent routing based on claim type, amount, and complexity. Automatic assignment to appropriate reviewers.
Review & Approval
Configurable approval workflows with escalation rules. Document management and audit trails.
Payment & Settlement
PCI-compliant payment processing with secure settlement. Automatic reconciliation and reporting.
Automated Claims Processing Benefits
Processing Time Reduction
Reduce manual processing time from 40 hours/week to 10 hours/week—a 75% reduction in processing time for businesses handling 1,000+ claims monthly.
Accuracy Improvement
Automated claims processing software achieves 95% accuracy compared to 70% with manual processing, eliminating costly reworks and errors.
Cost Savings
Save £50,000-£200,000 annually through reduced labor costs, error reduction, compliance cost avoidance, and improved customer retention.
Compliance Built-In
PCI DSS Level 1 compliance, HIPAA compliance for healthcare, and GDPR compliance for data protection—all built into automated claims processing workflows.
Benefits of Automated Claims Processing
Transform your claims processing with automated claims processing software that delivers measurable ROI and operational efficiency.
75% Time Reduction
Automated claims processing software reduces processing time from 40 hours/week to 10 hours/week for 1,000+ claims monthly.
95% Accuracy
Automated validation and routing achieve 95% accuracy vs 70% with manual processing, eliminating costly reworks.
£50k-£200k Savings
Annual cost savings from reduced labor, error reduction, compliance cost avoidance, and improved customer retention.
Industry Applications for Claims Processing Software
Claims processing software is used across multiple industries to automate workflows, reduce costs, and improve customer satisfaction.
Insurance Claims Processing
Property, auto, health, and life insurance claims. Insurance claims processing requires integration with adjusters, contractors, and medical providers.
- • Property damage claims
- • Auto accident claims
- • Health insurance billing
- • Life insurance payouts
Healthcare Claims Management
Medical billing, insurance verification, and pre-authorization. Healthcare claims processing requires HIPAA compliance and EHR integration.
- • Medical billing to insurers
- • Insurance verification
- • Pre-authorization workflows
- • Patient reimbursement
Financial Services Claims
Payment disputes, chargebacks, and fraud claims. Financial claims processing requires PCI DSS compliance and payment network integration.
- • Payment dispute resolution
- • Chargeback processing
- • Fraud claim investigation
- • Account error corrections
Utilities Claims Processing
Service claims, billing disputes, and damage claims. Utility claims processing integrates with utility management systems and field service.
- • Service interruption claims
- • Billing dispute resolution
- • Property damage claims
- • Overpayment refunds
Retail Claims Processing
Warranty claims, returns, and refunds. Retail claims processing integrates with e-commerce platforms and inventory systems.
- • Product warranty claims
- • Return authorization
- • Refund processing
- • Shipping damage claims
Custom Claims Workflows
Paytia Secureflow enables custom claims processing software for any industry or unique business requirements.
- • Custom workflow design
- • Industry-specific features
- • Legacy system integration
- • Rapid deployment (1-8 weeks)
Frequently Asked Questions
Common questions about automated claims processing software and implementation
Related Solutions
Explore other Paytia solutions that work with claims processing
Secureflow Platform
The orchestration platform that powers claims processing with workflow automation, secure data handling, and multi-channel integration.
Learn more →Workflow Automation
Automate business processes with customizable workflows, task routing, and intelligent automation for claims and beyond.
Learn more →Telephone Payments
Secure phone payment processing integrated with claims workflows. PCI-compliant payment capture during customer calls.
Learn more →Ready to Build Your Ideal Claims Management Solution?
Let's build your ideal payment experience — from the ground up. No compromises, no excessive development overhead, just a reliable, secure solution tailored for real outcomes.