Severity Scoring
Scores each claim Low / Medium / High / CAT at intake. Informs reserve recommendations before the first adjuster review.
How scoring works →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.
Connects to your existing claims management system
Before a claim reaches an adjuster, Fnolwise resolves the four questions that drive cycle time, reserve adequacy, and SIU timeliness.
Scores each claim Low / Medium / High / CAT at intake. Informs reserve recommendations before the first adjuster review.
How scoring works →ISO ClaimSearch lookup and pattern matching at first report. SIU referral threshold is carrier-configured.
Screening approach →ISO PolicyServices lookup confirms policy in force and coverage type at intake — before any coverage dispute can develop.
Verification detail →Rule-based and pattern-based SIU referral logic. Configurable thresholds per line of business, designed for DOI timeliness requirements.
Routing logic →Fnolwise normalizes FNOL data across all submission methods to a single structured intake record — regardless of how the claim arrives.
Structured intake from inbound call transcription and IVR session data. ACORD fields extracted from spoken first report.
Claimant-facing portal submissions map directly to ACORD 1/2/4 field structure. No manual re-entry.
Unstructured email FNOL parsed and normalized. Missing required fields flagged for follow-up before triage.
Mobile-submitted photos and incident details ingested alongside form data. Media references passed to estimation workflow.
Agent-submitted ACORD forms and carrier-portal entries processed through the same triage pipeline as direct claimant submissions.
ACORD 1, 2, and 4 electronic data interchange from agency management systems. Structured field mapping without intermediary re-keying.
Average triage decision time from FNOL receipt to CMS write-back
Out-of-the-box connections: Guidewire, Duck Creek, and Insurity
Intake channels normalized to one structured record per ACORD standard
Fnolwise addresses cycle time reduction, reserve accuracy, CAT surge capacity, and SIU timeliness — the four metrics your claims operation is measured against.
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.
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 →