Certus Claims Handling

What Certus Claims Handling does

Certus Claims Administration LLC is a US third-party administrator (TPA) specializing in cradle-to-grave claims management for liability, construction, excess, and automobile claims across all 50 states. The company concentrates on niche verticals — commercial and residential construction, hospitality, habitational real estate, and retail and recreation — assigning a dedicated specialist (each with 25+ years of experience) to every client account and managing the full lifecycle from intake and investigation through litigation, settlement, and subrogation. Operations are supported by a proprietary claims information system that delivers over 100 standard reports, real-time and "as of" historical reporting, and a 24/7 client portal for account access and self-insured retention fund tracking.

The business monetizes through managed-services TPA fees negotiated via tailored service agreements with insurance carriers and self-insured entities; pricing is contract-based and not publicly disclosed. Distribution is exclusively B2B and relationship-driven: carrier selection is driven by demonstrated adjusting skill, and the company also administers self-insured retention programs with custom trust fund accounting. Certus is registered as an LLC in California, headquartered in Camarillo, and operates as a specialized division of RYZE Claim Solutions.

Name

Certus Claims Handling

Legal name

Certus Claims Administration LLC

Website

https://certusclaims.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

11–50 employees

Short description

Certus Claims Administration is a US third-party claims administrator delivering cradle-to-grave liability, construction, excess, and auto claims management across all 50 states for insurance carriers and self-insured entities, with vertical specialization in construction and hospitality.

Ownership category

akta.pro rank

Product category

Third-Party Claims Administration Services

NAICS

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

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Claims Administration & TPA Services (FNOL, Subrogation, Litigation Mgmt) (TLABANAH)

Keywords

• Claims administration
• Third-party administrator
• Insurance claims handling
• Construction defect claims
• Hospitality claims management

Headquarters

HQ city

Thousand Oaks

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Third-Party Administrator (TPA) Fees: Certus Claims operates as an independent claims administrator earning fees from insurance carriers for claims management services. Services are customized per client through tailored service agreements. The company delivers cradle-to-grave claims management encompassing investigation, adjustment, litigation management, settlement, and subrogation services.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels1 record

Core offering

Certus Claims Administration LLC operates as an independent third-party administrator (TPA) providing cradle-to-grave claims handling for liability, construction, excess, and auto claims across all 50 U.S. states. Services span investigation, adjustment, litigation management, settlement, subrogation, self-insured retention (SIR) fund administration, and risk mitigation advisory, with a specialist assigned to each client account and a proprietary claims information system accessed via an online portal.

Product overview

Certus Claims Handling operates as an independent claims administrator (TPA) delivering customized claims services across all 50 states. The company is a division of RYZE Claim Solutions and offers a unified platform of claims administration services organized by insurance type (General Liability, Construction Defect, Automobile Liability) and industry vertical (Hospitality). The core product portfolio consists of claims adjustment services paired with operational support modules including Claims Reporting, Investigation, Subrogation, Litigation Management, Self-Insured Retentions Management, an Information System for reporting and analytics, and Training & Workshops. All services are delivered through a proprietary claims system accessible via a client portal, with 24/7 reporting availability and specialist assignment within three working days.

Differentiator

Problem solved

Functional benefit

Products and services

• General Liability Claims Administration Claims adjustment services for general liability exposures including bodily injury, personal injury, property damage, guest property, premises damage, medical payments, products and completed operations, liquor liability, advertising, business income and extra expense, garage keepers, umbrella, and excess coverage.
• Construction Defect Claims Handling Claims adjustment for all aspects of construction liability and construction site accidents, including bodily injury, property damage, fire legal liability, medical expenses, and personal and advertising injury, delivered by senior specialists with 25+ years of experience under specialty construction policies.
• Automobile Liability Claims Administration Claims adjustment for automobile liability covering bodily injury, property damage, collision, comprehensive, med pay, no-fault BI and PD, and uninsured/underinsured motorists.
• Hospitality Claims Services Specialized claims administration for hotels, motels, resorts, and casinos covering slips, trips and falls, property theft, valet parking, pool drowning, liquor liability, security incidents, and other hospitality-specific exposures. The Certus team has administered over 27,000 hospitality claims in the US, Virgin Islands, Puerto Rico, and Mexico.
• Self-Insured Retentions Management TPA services for self-insured retention programs, including trust fund establishment and management, with custom claims system modules providing detailed payment reports within and outside retention. Supports zero balance, wire transfers, ACH accounts, and traditional checking accounts.
• Training and Workshops Professional training and consulting services covering in-house procedures, claim supervision, litigation strategies, crisis management, and claim auditing.

Quantifiable outcome

• Over 27,000 hospitality claims successfully administered in the US, Virgin Islands, Puerto Rico, and Mexico
• +3 more outcomes

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• RYZE Claim SolutionscoreStrategic or Co-development PartnerCertus Claims Administration is a division of RYZE Claim Solutions. Certus operates as a specialized unit within the larger RYZE organization, focusing on niche industry claims (construction, hospitality, habitational real estate, retail, recreation) while leveraging the broader RYZE platform and resources.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• ESIS (Chubb): ESIS is the in-house third-party administrator owned by Chubb, providing claims and risk management services to carriers and self-insureds. It competes for the same carrier-outsourced liability and specialty claim files that Certus handles.
• CorVel Corporation: CorVel is a national TPA providing claims management, managed care, and risk services to insurers and employers. While stronger in workers' comp, its liability and auto claims administration overlaps with Certus's service lines.
• Gallagher Bassett Services: Gallagher Bassett is one of the largest U.S. third-party administrators, providing claims management for property, casualty, auto, and workers' compensation. It competes with Certus for carrier-outsourced liability and specialty claims work.
• McLarens: McLarens is an independent global claims services firm handling property, casualty, and specialty claims on behalf of insurers. It competes for outsourced liability and construction defect claims administration.
• TRISTAR Claims Management: TRISTAR is a multi-line claims administrator serving carriers, self-insureds, and public entities across casualty, property, and auto claims. It is a comparable mid-sized TPA competing for similar carrier-outsourced work.
• Sedgwick: Sedgwick is the largest independent third-party claims administrator in North America, handling property, casualty, and liability claims for carriers and self-insureds. It is the most direct scaled competitor to Certus in the TPA market, with broader geographic and line-of-business coverage.
• Crawford & Company: Crawford is a global claims management and TPA firm serving insurance carriers across liability, property, and specialty lines. Its Broadspire division specifically competes for outsourced casualty and liability claims administration similar to Certus's offerings.

Others

• RYZE Claim Solutions: RYZE Claim Solutions is the parent organization of Certus Claims Administration. Certus operates as a specialized division within RYZE, sharing the broader corporate platform and resources.

Broad incumbents

• Helmsman Management Services: Helmsman is the in-house TPA for Liberty Mutual, handling claims for commercial lines customers. It is a broad incumbent with deep carrier backing that competes for carrier-outsourced claims work.

Emerging players

• ClaimQuest: ClaimQuest is a smaller specialty claims administration firm focusing on commercial casualty and liability claims for niche industries. It is comparable to Certus in scale and vertical specialization approach.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/hotelclaims

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

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 Certus Claims Handling