FNOL Triage Automation

Triage every claim in the first 60 seconds.

Fnolwise connects to your existing claims management system and automates the first-notice-of-loss decision — severity scoring, fraud screening, coverage verification, and adjuster routing — before your staff touches the file.

Guidewire · Duck Creek · Insurity Commercial property & auto

Connects to your existing claims management system

Guidewire ClaimCenter Duck Creek Claims Insurity Claims ISO ClaimSearch ISO PolicyServices
Triage Capabilities

Four decisions made at first notice

Before a claim reaches an adjuster, Fnolwise resolves the four questions that drive cycle time, reserve adequacy, and SIU timeliness.

Severity Scoring

Scores each claim Low / Medium / High / CAT at intake. Informs reserve recommendations before the first adjuster review.

How scoring works →

Fraud Screening

ISO ClaimSearch lookup and pattern matching at first report. SIU referral threshold is carrier-configured.

Screening approach →

Coverage Verification

ISO PolicyServices lookup confirms policy in force and coverage type at intake — before any coverage dispute can develop.

Verification detail →

SIU Routing

Rule-based and pattern-based SIU referral logic. Configurable thresholds per line of business, designed for DOI timeliness requirements.

Routing logic →
How It Works

From intake to routing in three steps

01
FNOL Received

Claim arrives via phone, IVR, web portal, email, or agent submission. ACORD form data normalized to a single structured record.

02
Automated Triage

Coverage confirmed via ISO PolicyServices. Severity scored. Fraud patterns checked against ISO ClaimSearch. Routing decision computed.

03
Adjuster Assignment

Structured triage record written back to Guidewire ClaimCenter, Duck Creek, or Insurity. Adjuster receives a complete intake package, not a raw FNOL.

Full technical walkthrough →
Intake Channels

Every channel. One structured record.

Fnolwise normalizes FNOL data across all submission methods to a single structured intake record — regardless of how the claim arrives.

Phone / IVR

Structured intake from inbound call transcription and IVR session data. ACORD fields extracted from spoken first report.

Web Portal

Claimant-facing portal submissions map directly to ACORD 1/2/4 field structure. No manual re-entry.

Email

Unstructured email FNOL parsed and normalized. Missing required fields flagged for follow-up before triage.

Mobile App

Mobile-submitted photos and incident details ingested alongside form data. Media references passed to estimation workflow.

Agent Submission

Agent-submitted ACORD forms and carrier-portal entries processed through the same triage pipeline as direct claimant submissions.

Electronic EDI

ACORD 1, 2, and 4 electronic data interchange from agency management systems. Structured field mapping without intermediary re-keying.

Intake channel detail →

What carriers and TPAs see in practice

<90s

Average triage decision time from FNOL receipt to CMS write-back

3 CMS

Out-of-the-box connections: Guidewire, Duck Creek, and Insurity

4 channels

Intake channels normalized to one structured record per ACORD standard

Built For

Direct carriers and third-party administrators

P&C Carriers

Claims VPs at regional and national carriers

Fnolwise addresses cycle time reduction, reserve accuracy, CAT surge capacity, and SIU timeliness — the four metrics your claims operation is measured against.

  • Commercial property and auto lines
  • CAT event surge handling
  • Reserve adequacy at FNOL stage
For Carriers →
Third-Party Administrators

TPA operations handling multi-program claims

TPAs operating for self-insured employers or captive programs need triage rules that are configurable per client program — and reporting that goes back to the program sponsor.

  • Multi-client isolation per program
  • Configurable triage rules per sponsor
  • Program sponsor reporting output
For TPAs →
CAT Response

CAT event? Your FNOL volume just multiplied.

When a hurricane, hailstorm, or wildfire drives a 10x claim surge, Fnolwise maintains triage throughput — queue management, geographic clustering, provisional severity scoring with limited early data. Your intake operation doesn't pause because the storm doesn't.

CAT Response capability →

Ready to see how Fnolwise fits into your claims operation?