Claims processing workflow software

Q: What is claims processing workflow software?

Software that coordinates the intake, assignment, review, approval, evidence collection, payment authorization, and audit history behind every claim, so each claim moves through the same governed steps.

Q: Does Process Street replace a core claims system like Guidewire or Duck Creek?

No. Core claims systems remain the system of record for policy data, claim records, and payments. Process Street is the workflow control layer around that system, managing tasks, approvals, evidence, and audit history that core platforms do not handle on their own.

Q: Who should own a claims processing workflow?

Ownership usually sits with claims operations, compliance, audit, or SIU leadership. Process Street lets each function own its specific steps without losing central control of the workflow.

Q: What evidence should a claims workflow collect?

A strong workflow captures FNOL data, coverage decisions, adjuster notes, photos and statements, third-party reports, approval history, payment authorization, and any exception handling required for internal audit and regulator review.

Q: Can Process Street handle approvals across claims, compliance, and finance?

Yes. Process Street supports assigned tasks, conditional routing, due dates, role-based approvals, comments, and evidence capture across departments.

Q: How is this different from project management software?

Project management tools track ad hoc work. Claims processing needs repeatable steps, controlled handoffs, audit history, and governed procedures. Process Street is built for that operational execution layer.

Move every claim through the same governed steps from first notice through payment authorization, with assigned ownership, approvals, evidence collection, and a full audit trail your team and auditors can both rely on.

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Claims operations manager kneeling beside labeled workflow tiles for claims processing steps.

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Controlled Claims Workflows

Run claims work as a controlled workflow, not a shared inbox

Claims work crosses intake, adjusters, special investigations, compliance, finance, and payments. When the process lives in email threads and shared folders, claims stall, evidence goes missing, and audits surface gaps. Process Street gives each step an owner, due date, approval path, and audit trail so every claim moves through the same governed workflow from first notice through closure.

A governed claims processing workflow with review and approval checkpoints.

Where Process Street fits in the claims workflow

Ops

Build claims workflows that assign tasks, collect evidence, route approvals, and track every claim from intake through closure with clear ownership at every step.

Learn more about Ops

Docs

Keep claims procedures, coverage rules, and approval standards governed in one place so adjusters and reviewers always work from the current version, not yesterday's PDF.

Learn more about Docs

Cora

Use AI oversight to flag stalled claims, missing evidence, and process drift before delays turn into SLA misses, regulator questions, or audit findings.

Learn more about Cora