DICEUS claims management module
The module covers intake and FNOL, triage and assignment, coverage and reserving, investigation, recoveries, litigation tracking, payments and disbursement, and claim-level reporting. You can configure all functionality to your workflow and connect it to your policy admin, finance, or other systems.
Who it’s for
Our claims management solution is built for teams that are responsible for claims handling but don’t want to be dependent on developers and IT teams to configure their workflows. The companies that need claims processing software include:
Traditional insurers
Carriers who want to replace spreadsheets, shared inboxes, or legacy claims administration software
Third-Party Administrators
TPAs who run claims on behalf of multiple carriers or self-insured clients
Managing General Agents
MGAs with delegated claims authority who need their own system instead of relying on an insurer’s platform
Other teams working with claims
Claims operations, intake/triage teams, adjusters and handlers, payments/finance operations, and legal functions inside any of the teams mentioned above
Are you facing the same problem?
- Adjusters track reserves in Excel and claim status in email threads.
- FNOL comes in by phone, portal, and broker email, and half of it gets changed by hand before a claim even opens.
- It’s unclear which tasks are stuck, which are about to breach SLA, or who owns what.
- Payments and approvals are managed outside the claim record, so finance and claims don’t reconcile appropriately.
- As a TPA/MGA, the company needs its own claims system rather than another portal connected to someone else’s system.
- Every audit turns into chaos where it’s unclear who approved what, and when.
Get every claim, reserve, approval, and payment onto one auditable record, without adding more staff or running a multi-year build.
Core capabilities of DICEUS claims management software
Want to see how DICEUS claims management software works?
Workflow
Intake
Triage and assignment
Coverage, liability, and reserves
Investigation
Payments and recoveries
Closure
Every step is visible on one claim record, with one audit trail – that’s the difference between this and a spreadsheet-plus-email process.
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Key components
The Claims Management Module is made up of three connected components.
- Claims intake. FNOL logging, ingestion review, duplicate matching, validation, and routing. Covers the intake hub, FNOL wizard, loss event and party capture, documents/evidence, validation, and version history.
- Claims handling. Everything that relates to the claim is in one place. Caseboard and coverage are located alongside reserves, recoveries, and reinsurance. Litigation and fraud detection have their own workflows. Tasks keep adjusters focused. Approvals and bulk actions reduce repetitive work.
- Claims payments. Payment creation and approval, payee/vendor management, batch disbursement runs, exceptions handling, payment history, remittance templates, bulk import/export, taxes and fees calculation, and reconciliation with finance.
Use cases: How the module can help you
Carriers
Replace spreadsheet- and email-based claims handling with one system of record; provide claims leadership with a portfolio view without replacing the policy admin or finance system underneath.
TPAs
Get your own platform to run claims for multiple carrier or self-insured clients, with configurable routing, authority thresholds, and reporting per client relationship.
MGAs
Handle delegated claims authority with a claims system you own and configure, not depending on a carrier-provided portal with limited visibility or control.
Built for any line of business
The module is not tied to a single line. Coverages, cause-of-loss and payment code sets, reserve rules, workflows, and authority thresholds are configured per product and line of business. Property and casualty, health, life, specialty, and other lines can run in the same system, each with its own rules, and you can add or change lines without redevelopment.
Integrations
The module is built to work alongside the key systems you already use:
- Policy administration. Coverage, term, and endorsements validate what’s in force and inform liability and reserve decisions.
- Finance / general ledger. Reserve and payment approvals post as transactions; disbursements create finance and bank postings; reconciliation status is visible on the claim.
- Reinsurance. Cession details and recovery monitoring feed claim-level recovery expectations and reconcile claim financials.
- Document management and templates. Acknowledgments, letters, and remittance advice are generated from templates and stored against the claim.
- Organizational structure and approvals. Routing, authority thresholds, and escalation policies are read from your organization and approval configuration.
- Payment methods and banking. Vendor payout methods, disbursement runs, and bank connectors.
Implementation
Because this is a configured product, rollout is scoped around connection and configuration:
Deployment options
We deploy the module the way your organization needs it. The deployment model is agreed during scoping and depends on your infrastructure, data residency, and IT requirements. Whichever option you choose, the functionality and configuration capabilities stay the same.
Security and access control
Claims data is sensitive, so the module is built around controlled access and full traceability:
- Role-based access. Permissions follow your organizational structure and authority thresholds, so people see and approve only what their role allows.
- Full audit trail. Every change, approval, and payment is recorded on the claim with who did it and when.
- Aligned with your requirements. Security and compliance controls are agreed with your IT and security teams during implementation and adapted to your policies and regulatory environment.
Comparison
| Capabilities | DICEUS Claims Management Module | Custom-developed claims platform | Spreadsheets / email / point tools |
| Time to first live claim | After implementation and configuration | Months to years, via development | Immediate, but not a system |
| Audit trail | One audit trail from intake to payment | Depends on scope delivered | Rarely exists |
| Ownership of the roadmap | Shared – product roadmap plus your configuration | Fully yours, fully your cost | N/A |
| Line-of-business flexibility | Configurable via Product/LOB and code sets | Whatever was built | Manual, per file |
| Integration with existing systems | Can be connected core systems, CRMs, GL, and other | Depends on specifications | Manual reconciliation |
| Ongoing maintenance | Vendor-maintained product | Owned by your team | Owned by whoever built the spreadsheet |
| Upfront cost profile | License/subscription | Large upfront development spendings | Low cost, high hidden cost in errors and rework |
Client reviews
Elena Markova
Board Member, UNIQA Ukraine
We were impressed by the depth of the UX analysis they did in terms of our customer’s research, buyer persona creation, user journey mapping, etc. All the information like research findings, for instance, was presented in a clear form (presentations, Miro boards, clear infographics) so it was quite easy to understand what we need to build and why.
Antoaneta Karagyozova
CPSO, Fadata
We are happy with DICEUS’ software implementation services. The team’s workflow is highly effective and professional in all aspects of the engagement. All clearly understand what goals we’d like to reach and do their best to do that as efficiently as possible. Overall, the partnership has been successful.
Phil Reynolds
CEO, BriteCore
The DICEUS team has consistently supported the BriteCore team for many years. Their engineers are well-educated and highly invested in the ongoing quality of the BriteCore platform with sustained relationships that extend over four years. We appreciate everything the DICEUS team brings to the table as a development partner.
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About DICEUS
DICEUS is an insurance technology company providing configurable, implementation-ready platforms for commercial, specialty, and alternative risk insurance operations, including insurers, underwriters, MGAs, captive managers, risk retention groups, and brokers. Its platforms help clients modernize operations, improve underwriting efficiency, automate policy and financial processes, and deliver better digital experiences. Clients can start with the capabilities required for an initial scope and expand over time, while integrating with core systems, data warehouses, CRM, billing, and digital channels. Since 2011, DICEUS has partnered with insurers and brokers including The Baldwin Group, Fairfax Group, WTW, UNIQA, and Vienna Insurance Group, alongside industry partners such as VCIA, Fadata, Insurtech UK, Swiss Insurtech Hub, InsureMO, Claim Technology and technology partners including Microsoft, Google Cloud, and Oracle.
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Related resources
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Frequently asked questions
What should an insurance claims management system include?
At a minimum, a claims management system should cover the full claim lifecycle on one record: FNOL intake, triage and assignment, coverage verification and reserving, investigation, payments, recoveries, and closure. It should also include configurable workflows and authority rules, an audit trail, integrations with policy administration and finance systems, and reporting on cycle time, SLA performance, and reserve adequacy. The DICEUS Claims Management Module covers all of these.
We already have a policy admin system with claims functionality attached. Do we have to replace it?
No. The module can run alongside your policy admin and finance systems; you don’t have to replace them. It reads coverage and policy data from what you already run and posts financial transactions back to your GL.
What is the difference between claims management software and a policy administration system?
A policy administration system manages the policy lifecycle: quoting, issuance, endorsements, and renewals. Claims management software manages what happens after a loss: intake, investigation, reserving, payment, and recovery. The two work together. The claims module reads coverage and policy data from the policy admin system, and both post financial transactions to finance.
Is claims management software the same as claims administration or claims processing software?
The terms are often used interchangeably. In practice, claims management software is the broader term: it covers the whole lifecycle, from FNOL to closure, including reserving, recoveries, litigation, and payments, rather than only the processing of individual transactions.
Which types of insurers is claims management software suitable for?
It is suitable for carriers, TPAs, and MGAs of different sizes and across all lines of business. Routing, authority thresholds, reserve rules, and reporting are configured to your portfolio, so a smaller team and a large carrier use the same product with different configuration.
We built an insurance claims system in-house. Why move off it?
That’s a fair starting point, and plenty of teams get years out of it. The usual trigger to move is when the in-house tool can’t keep up with audit requirements, payment approval routing, or reconciliation with finance. At that point, maintaining it in-house gets more expensive than licensing a product built for exactly this.
We outsource claims handling to a TPA already. Does this still apply to us?
Yes, this is exactly what a TPA licenses to run claims on behalf of the carriers or self-insureds it serves, with per-client configuration.
We already have a customer portal for filing claims. Isn’t that the same thing?
No, a customer-facing portal processes first notices of loss from policyholders, whereas the claims management module does the rest: triage, investigation, payment, and other related tasks. Claim management software and customer portal complement each other. A portal can feed this module instead of competing with it.
Can the module be deployed in the cloud or on-premises?
Yes. We deploy the module in the model that fits your infrastructure, data residency, and IT requirements, and agree on it with you during scoping.
How is claims data protected?
Access is role-based and follows your authority structure. Every action is logged in an audit trail, and security controls are aligned with your IT and compliance requirements during implementation.
How long does implementation take?
The timeline depends on the number of integrations, lines of business, and open claims to migrate. Typically, the implementation takes 2–6 months.
