Every claim is a client relationship moment

AI-assisted claims operations for TPAs

Titan helps TPAs manage high-volume claims operations with AI-assisted file review, workflow automation, SOP enforcement, client reporting, and portfolio-level claims intelligence.

See How It Works Why Claims Teams Choose Titan →
TPA claims operations team reviewing claim files, dashboards, and client reports

TPAs win when they handle claims consistently, efficiently, and transparently.

Every client expects fast resolution, strong file quality, accurate reporting, and disciplined claim handling. When review, follow-up, documentation, and quality checks depend on manual processes, TPAs could lose time, risk inconsistency, and struggle to prove the value they create for clients.

High-Volume File Review

Adjusters spend hours gathering context, reviewing documents, checking notes, and preparing files before they can move claims forward.

Inconsistent Handling

Different clients, claim types, and internal procedures make it difficult to enforce SOPs consistently across teams and programs.

Client Reporting Pressure

Clients want to understand claim status, performance, trends, and cost drivers, but traditional reporting can make it hard to deliver clear insights quickly.

Hard-to-Prove Value

Fraud signals, recovery opportunities, cost savings, and quality improvements can be difficult to show when nuanced insights are buried across files, notes, and documents.

How Titan helps TPAs run stronger claims operations

From file review and SOP enforcement to workflow routing, client reporting, and trend analysis, Titan helps TPAs improve claim quality, reduce manual work, and demonstrate value to clients.

AI-Assisted Claim Handling

Review files faster. Standardize claim quality.

Titan reviews claim files, summarizes key facts, identifies missing information, and prepares next steps for adjuster review. Your team keeps control over coverage, liability, settlement, and escalation decisions.

Summarize the full claim file.
Titan pulls together documents, notes, emails, photos, invoices, policy language, and prior claim context so adjusters can understand the file faster.
Enforce client-specific SOPs.
Titan helps apply client procedures, claim handling guidelines, required reviews, and escalation rules so teams handle claims consistently across programs.
Detect missing information early.
Titan reviews claim files for missing documentation, conflicting statements, incomplete fields, and relevant internal procedures before adjusters finalize next steps.
Claim file review UI with summarized documents and client SOP checklist for TPA operations

Client Reporting, Quality, and Claims Intelligence

Show clients the value your team creates.

Titan helps TPAs surface claim trends, cost drivers, fraud signals, recovery opportunities, and quality insights across client programs.

Client-ready reporting.
Give clients clearer visibility into claim status, cycle time, workload, reserves, recoveries, quality indicators, and emerging trends.
Fraud, recovery, and cost insights.
Analyze claim files, notes, vendors, loss descriptions, and historical patterns to surface suspicious trends, recovery opportunities, and cost-saving signals.
Quality and performance oversight.
Monitor SOP adherence, file quality, workload, bottlenecks, escalation risk, and claim outcomes across adjusters, teams, and client programs.
Claims analytics and client reporting dashboard with fraud signals and trend detection across TPA client programs

Purpose-built for high-volume TPA claims operations

Titan combines modern claims technology with AI-assisted automation, helping TPAs improve file quality, standardize handling, strengthen client reporting, and prove measurable value across claims programs.

Built for high-volume claims

Support teams handling large claim volumes across clients, programs, lines of business, and internal workflows.

AI-assisted, human-controlled

Titan summarizes files, flags missing information, applies SOPs, and prepares next steps while adjusters remain in control of decisions.

Client value, clearly reported

Surface trends, savings opportunities, fraud signals, recoveries, and quality improvements that help TPAs strengthen client relationships.

Common questions

How does Titan help TPAs serve their clients better?
Titan helps TPAs improve file quality, standardize claim handling, surface claim trends, and produce clearer client reporting. Teams can show clients where they reduced manual work, identified missing information, surfaced fraud or recovery signals, and improved visibility across the claims operation.
Can Titan support different client SOPs and workflows?
Yes. Titan can be configured around client-specific workflows, required fields, escalation rules, approval steps, reporting needs, and claim handling guidelines. This helps you apply consistent procedures while still adapting to each client program.
How does AI fit into the adjuster workflow?
Titan embeds AI into the claim workflow to help adjusters review files, summarize context, identify missing information, compare documents, draft communications, and prepare next steps. The AI assists with analysis and workflow execution, while adjusters remain in control of coverage, liability, settlement, and escalation decisions.
Can Titan integrate with our existing claims systems?
Yes. Titan can work alongside existing claims systems, document stores, email, finance systems, data warehouses, and reporting tools. During implementation, we map the systems, data flows, and workflows needed to support your TPA claims operation.
What does security and compliance look like?
Titan is aligned with the SOC 2 Type II framework and industry best practices across our infrastructure. We support SAML SSO, role-based access, full audit logs over user actions, encryption in transit and at rest, and granular data lifecycle controls. See the Trust page for more detail.

Run stronger claims operations with Titan

See how TPAs use Titan to reduce manual review, enforce SOPs, improve client reporting, and surface claim insights across programs.

Book a TPA Claims Demo