ClaimSorted

What ClaimSorted does

ClaimSorted is a tech-enabled Third-Party Administrator (TPA) providing AI-augmented claims management services to insurance carriers and Managing General Agents (MGAs) across the United States, United Kingdom, and European Union. Founded in 2024 by German Mikulski and Pavel Gertsberg and headquartered in New York with regional entities in London (ClaimSorted LTD) and Dublin (ClaimSorted EU), the company combines human claims adjusters with a proprietary platform that includes white-label policyholder eNOL and claims portals, structured claims-assessment workflows, proprietary fraud-detection algorithms, and real-time reporting via API or SFTP. The platform supports commercial and personal property, auto, small commercial, general liability, accident and health (including travel), and warranty lines of business.

The business operates on a B2B managed-services model with quote-based, multi-year enterprise contracts. Customers include Axis, Lloyd's (as a Delegated Claims Administrator), Collinson, Benchmark, and Vertical Insurance, totaling more than 30 carriers and MGAs. ClaimSorted reports operational performance of roughly 3x faster claims cycle times versus market-standard TPAs, claims leakage below 1.2%, and 30-day reopen rates below 1.0%, audited by insurance partners. The company has raised approximately $16.3 million in cumulative venture funding across a $3 million pre-seed round led by Firstminute Capital (October 2024) and a $13.3 million seed round led by Atomico (October 2025), with participation from Eurazeo, Y Combinator, Precursor Ventures, Transpose, and Start Ventures Capital.

The go-to-market is sales-led and consultative, with claims experts designing customized workflows per carrier; the company employs 51-100 people, sells exclusively through direct enterprise field sales, and has earned Lloyd's delegated authority, Insurance Times Award 2025, Claim Excellence Awards 2025, and Outsourced Partner of the Year recognition.

Name

ClaimSorted

Legal name

ClaimSorted Inc.

Website

https://claimsorted.com

Company type

Private

Founded year

2024

Operating status

Operating

Headcount range

51–100 employees

Short description

ClaimSorted is a tech-enabled claims Third-Party Administrator that combines AI-powered automation with expert adjusters to process insurance claims faster and with lower leakage for carriers and MGAs across the US, UK, and EU.

Ownership category

akta.pro rank

Product category

Insurance Claims Management Software

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Claims Adjusting (524291)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Third-Party Administrator (TPA) & Program Administrator Services (FSAJALAF)

akta.pro secondary industries

Claims Management & Digital FNOL Platforms (FSAGAGAC), Assistance & Claims Management Platforms (FNOL, TPA Tech) (THALALAF)

Keywords

• Claims management platform
• Insurance claims processing
• Third-party administration
• AI claims automation
• Insurance fraud detection

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Claims TPA Services: ClaimSorted operates as a Third-Party Administrator (TPA) providing claims management services to insurance companies. The company charges insurers for processing and managing insurance claims on their behalf, offering faster settlement times and reduced operational costs compared to traditional TPAs.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

ClaimSorted operates as a tech-enabled Third-Party Administrator (TPA) providing AI-powered claims management services to insurance carriers and MGAs. The company combines proprietary AI/ML technology with in-house expert claims adjusters to process insurance claims approximately 3x faster than traditional TPAs, reducing operational and indemnity costs while improving policyholder experience. Its platform offers white-label policyholder portals, structured assessment workflows, fraud detection, and real-time reporting via API or SFTP.

Product overview

ClaimSorted is a tech-enabled Claims Third-Party Administrator (TPA) offering a single unified AI-powered claims management platform. The core platform integrates proprietary technology with expert claims talent to deliver faster claims processing (3x speed vs market-standard TPAs), reduced claims leakage (below 1.2%), and lower reopen rates (below 1.0%). The platform provides white-label eNOL (Notice of Loss) and Claims Portal for policyholder experience, automated claims assessment workflows, fraud detection algorithms, and configurable reporting options. It serves 30+ leading MGAs and Carriers across Commercial & Personal Property, Commercial & Personal Auto, Small Commercial, General Liability, Accident & Health (including Travel), and Warranty insurance lines.

Differentiator

Problem solved

Functional benefit

Products and services

• Claims Management Platform A proprietary AI-powered technology platform that combines automation with expert claims adjusters to process insurance claims three times faster than traditional TPAs. Includes white-label eNOL (Notice of Loss), white-label Claims Portal, configurable assessment workflows, fraud detection algorithms, and real-time reporting via SFTP or API. Used by insurance carriers and MGAs across Commercial & Personal Property, Auto, Small Commercial, General Liability, Accident & Health (including Travel), and Warranty lines.

Quantifiable outcome

• Claims settlement speed improved by 3x compared to traditional TPAs
• +3 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature5 records

Scale indicators8 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Sedgwick: The world's largest independent claims management TPA, serving property & casualty, auto, liability, and warranty claims globally. Directly comparable as a third-party claims administrator targeting the same insurance carrier and MGA customer base, though with traditional rather than AI-native technology.
• Crawford & Company: Global claims management and TPA serving insurers across property, casualty, and specialty lines with billions in managed claims annually. Direct competitor as a full-service claims TPA with overlapping line-of-business coverage (property, auto, liability) and similar carrier customer base.
• Snapsheet: Tech-enabled claims management platform providing appraisal and claims TPA services to insurance carriers using AI-powered automation. Closely comparable as an insurtech-disrupter in the claims TPA space with similar technology-led value proposition targeting the same carrier customer base.
• Shift Technology: AI-native insurance technology company offering fraud detection, claims automation, and underwriting solutions to global insurers. Comparable as a competitor building AI-first claims and fraud detection capabilities for the same insurance carrier customers, though with a software-only (vs. services-plus-software) model.
• Charles Taylor Adjusting: Global professional services firm providing claims management, adjusting, and TPA services to insurers across multiple lines including property, aviation, and specialty. Direct peer as a traditional claims TPA with comparable carrier customer base and multi-line claims capability, particularly strong in UK/Lloyd's market.

Emerging players

• Tractable: AI company specializing in visual damage assessment for auto and property insurance claims using computer vision. Comparable as an AI-first claims technology vendor serving similar property and auto insurance lines, though focused on damage estimation rather than full claims TPA workflow.
• FRISS: Insurance fraud detection and risk analytics provider using AI for claim fraud scoring across P&C and health lines. Comparable as a vendor offering AI-based fraud detection capabilities to insurance carriers, overlapping with ClaimSorted's anomaly detection features but focused on fraud-only rather than full claims TPA.

Broad incumbents

• CCC Intelligent Solutions: Large SaaS provider of insurance technology including claims, estimating, and workflow software primarily for auto insurance. Comparable as an established insurtech vendor in the claims management space, though primarily serving auto insurance rather than multi-line claims TPA.
• Guidewire: Leading core insurance platform provider offering claims management, underwriting, and policy administration software to global insurers. Comparable as an established enterprise claims technology platform serving the same insurance carrier customers, though at the core system level rather than as a focused claims TPA.
• Mitchell International: Established provider of claims management technology and solutions primarily for auto insurance and workers' compensation. Comparable as a claims technology vendor serving insurance carriers, though more focused on auto physical damage and casualty rather than the full multi-line TPA proposition.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds2 records

Investors8 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ClaimSorted