Insurance Risk Services, Inc.

What Insurance Risk Services, Inc. does

Insurance Risk Services, Inc. (IRSi), founded in 1984 and headquartered in Lake Mary, Florida, is a privately held insurance services firm operating as part of Davies North America. The company delivers a full spectrum of insurance inspection, field underwriting, claims management, and risk services to insurers, brokers, managing general agents (MGAs), self-insured corporations, and public entities. Its core offering combines professional services — including third-party claims administration across property & casualty, workers' compensation, transportation, and liability lines, plus actuarial, premium audit, loss control, captive management, and catastrophe response — with proprietary technology platforms. The flagship technology is ClaimPilot, an AI-powered claims management platform launched in 2025 that applies process automation and generative AI to claims documentation and policyholder communications, complemented by the Loss Control 360 client portal and integrations with third-party claims systems (Aim 3.0, W5, AuSum).

The business model is enterprise B2B with a direct field sales motion, custom quote-based pricing, and multi-year contracts. Revenue derives primarily from professional services engagements (claims TPA, consulting, actuarial, audit, staffing/executive search) with a growing subscription/recurring component from technology platforms such as ClaimPilot. Distribution is anchored by a nationwide network of field adjusters, dedicated client service portals, and integrated assignment systems. The company serves highly regulated insurance markets across the US and Canada and is embedded in Davies Group's broader international platform spanning 40+ countries, providing cross-sell leverage and back-office scale that a standalone 51–100 employee operation could not achieve independently.

Strategically, IRSi is positioned as a technology-augmented insurance services provider transitioning portions of its service delivery toward AI-enabled automation. The 2025 launch of ClaimPilot, expansion into InsurTech/startup carrier services, and addition of a UK market entry advisory line for MGAs and brokers indicate a deliberate push to diversify customer mix and embed recurring technology revenue alongside the traditional professional services book.

Name

Insurance Risk Services, Inc.

Website

https://insuranceriskservices.com

Company type

Private

Founded year

1984

Headcount range

51–100 employees

Short description

Insurance Risk Services, Inc. (IRSi) is a Florida-based insurance services firm operating within Davies North America, delivering claims management, field inspection, actuarial, loss control, and risk consulting to insurers, brokers, MGAs, and public entities, supported by the AI-powered ClaimPilot platform and Loss Control 360 portal.

Ownership category

akta.pro rank

Product category

Insurance Claims Management

NAICS

Other Insurance Related Activities (52429)

SIC

Insurance Carriers, Nec (6399)

akta.pro primary industry

Fraud Investigations & Claims Support (Insurance/Financial) (BPAKAEAD)

Keywords

• Insurance inspection services
• Claims management solutions
• Field underwriting support
• Loss control services
• Risk management consulting

Headquarters

HQ city

Lake Mary

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Professional Claims Management Services: Third-party administration and claims management services for property & casualty, workers compensation, transportation, liability, and specialty risk segments. Services include field services, desk services, daily/CAT response, subrogation and recovery, investigation solutions, and excess claims management.
2. Insurance & Risk Services: Actuarial solutions, audit services, premium audit services, loss control services, disability management, long-term care, captive management, and UK market entry support for MGAs and brokers.
3. Technology Solutions: Claims management technology, contact management, customer experience platforms, digital innovation, employee experience, and intelligent automation solutions. Includes software-as-a-service delivery through proprietary platforms like ClaimPilot and Loss Control 360.
4. Consulting Services: Executive search, staffing solutions, forensic accounting, catastrophe services, and specialized consulting for construction, cyber risks, energy, liability losses, litigation, property insurance, specialty risks, and surety bonds.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Insurance Risk Services, Inc. (IRSi) provides a full range of insurance inspection services and field underwriting support for insurers, brokers, MGAs, corporations, and public entities. Operating as part of Davies North America, the company delivers third-party claims administration, actuarial and audit services, loss control, captive management, catastrophe response, and AI-powered claims technology across the insurance value chain.

Product overview

Insurance Risk Services, Inc. operates as part of Davies North America, offering a platform-plus-modules architecture combining proprietary technology products with specialized insurance services. The core offering includes ClaimPilot (AI-powered claims management platform) and Loss Control 360 (client portal), supported by specialized service modules covering claims management (Property & Casualty, Workers' Compensation, Transportation, Liability), insurance services (Actuarial Solutions, Premium Audit, Loss Control, Captive Management), forensic accounting, and catastrophe response. The company delivers integrated solutions across the insurance value chain with technology-enabled automation and AI capabilities.

Differentiator

Problem solved

Functional benefit

Products and services

• ClaimPilot AI-powered claims management platform that transforms the claims journey with state-of-the-art artificial intelligence, streamlined processes, and reduced operational bottlenecks. Designed for insurers, brokers, MGAs, and claims handlers to elevate policyholder experience.
• Loss Control 360 Digital client portal for loss control services enabling policyholders to manage insurance policies, submit risk assessments, and access loss control resources through a web-based interface.
• Claims Management Services Full-service claims management solutions for insurers, brokers, MGAs, corporations, and public entities delivering quality customer service and improved underwriting performance through efficient claims process management across property & casualty, workers compensation, transportation, liability, and specialty lines.
• Workers' Compensation TPA Third-party administration services for workers' compensation claims including medical management, return-to-work programs, and cost containment.
• Bill Review Services Medical bill review and repricing services for workers' compensation claims to control costs and ensure compliance with fee schedules.
• Premium Audit Services Premium audit services for accurate premium calculation based on actual business operations, payroll data, and classification codes.
• Loss Control Services Risk assessment and loss prevention services helping policyholders identify hazards, implement safety programs, and reduce insurance claims.
• Captive Management Management services for captive insurance programs including governance, compliance, and financial reporting.
• Catastrophe Services Specialized claims and forensic accounting services deployed during catastrophic events for rapid response and accurate loss assessment.
• InsurTech & Startup Solutions Claims processing solutions tailored for insurtech companies and startup insurers, offering scalable and technology-enabled services.
• Property & Casualty Actuarial Services Actuarial consulting services for property and casualty insurance covering risk assessment, pricing models, and financial projections.

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability3 records

Feature4 records

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• ESIS (Chubb): Risk management and claims management services business serving large commercial accounts. Directly comparable to IRSi's enterprise claims management and loss control services.
• Mitchell International: Provider of claims technology, auto physical damage, and workers' comp bill review solutions. Comparable to IRSi's bill review, intelligent automation, and claims workflow technology components.
• TRISTAR Insurance Group: Third-party administrator focused on claims management, managed care, and risk services for insurers and self-insureds. Comparable to IRSi's workers' comp TPA, bill review, and claims services modules.
• Sedgwick: Largest independent TPA in North America providing claims management, loss adjusting, and risk services across P&C, workers' comp, and specialty lines. Directly comparable to IRSi's core claims TPA and field services business.
• McLarens: Global claims management and loss adjusting firm with strong field services and large loss expertise. Comparable to IRSi's field services, large loss, and daily/CAT response capabilities.
• Crawford & Company: Global claims management and third-party administration firm serving insurers, brokers, and corporates across property, casualty, and specialty lines. Closely matches IRSi's full-service claims TPA model.

Broad incumbents

• Verisk: Major data analytics and risk assessment provider for the insurance industry. Comparable to IRSi's actuarial, premium audit, and analytics components but operates at significantly larger scale across the broader insurance ecosystem.
• CCC Intelligent Solutions: AI and cloud-based technology provider for the property and casualty insurance economy, including auto claims and casualty workflows. Comparable to IRSi's transportation, auto, and AI-driven claims automation capabilities.
• Guidewire Software: Leading insurance core system and claims platform provider. Comparable to IRSi's ClaimPilot and claims management technology offering, though serves insurers directly rather than as a TPA.

Emerging players

• Snapsheet: Digital claims management platform focused on auto physical damage and appraisal via mobile and AI. Comparable to IRSi's AI-driven ClaimPilot ambitions but operating as a narrower insurtech-native challenger.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/insurance-risk-services-inc.

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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 Insurance Risk Services, Inc.