Plain answers to the questions carriers, captives, MGAs, and self-insureds ask about third-party claims administration, plus a glossary of the terms behind the file.
A third-party claims administrator (TPA) handles insurance claims on behalf of carriers, captives, MGAs, and self-insured entities. Corgi Claims runs the full file, from first notice of loss through investigation, coverage review, reserves, payments, recovery, and closure, while keeping the work visible to the client.
Corgi Claims is a services-first third-party claims administrator. Licensed adjusters handle property, casualty, auto, workers' compensation, catastrophe, and specialty claims, supported by software that keeps every file, document, reserve, payment, and communication visible and audit-ready.
Corgi Claims handles property and CAT, casualty and liability, auto and transportation, workers' compensation, subrogation and SIU, and claims administration across general liability, premises, liquor, product, professional, cargo, inland marine, and specialty programs.
Corgi Claims supports insurance carriers, managing general agents (MGAs), captives, self-insured entities, Lloyd's and program business, reinsurers, and program administrators that need experienced claims handling with carrier-grade visibility.
Corgi Claims coordinates rapid intake, event triage, and desk or field assignment across a network of adjusters, with event-level reporting that surfaces open inventory, reserves, geographic concentration, and exceptions while a storm or disaster surge develops.
Corgi Claims is a TPA service first. Experienced, licensed adjusters make the coverage, reserve, and settlement decisions. The software supports the team, classifies documents, tracks tasks, and gives carriers visibility, but it does not replace human claims judgment.
When a claim is reported, the platform reviews the file first: it scores severity, flags coverage issues, surfaces missing documents, and spots outliers. Licensed adjusters then start from a reviewed position. Judgment calls, coverage positions, reserves, and large-loss decisions stay with people.
Corgi Claims turns loss notices, emails, and call-center forwards into structured claim files with 24/7 claim setup and multilingual support. Drafts are routed, extracted, and reviewed before becoming live claim files, so bad routing, missing facts, and duplicates are caught before creation.
Carriers get authenticated dashboards showing open inventory, SLA health, aged files, reserve movement, payments, recoveries, net incurred, and geographic concentration, plus claim timelines, documents, notes, and communications, instead of a stale monthly report.
Yes. Corgi Claims keeps subrogation recovery, fraud indicators, background checks, skip tracing, statements, and scene work connected to the claim file, so recovery opportunities and suspicious files stay surfaced rather than sitting in side channels.
Corgi Claims provides claims handling across all 50 U.S. states, tapping a national network of roughly 5,000 adjusters for daily, overflow, and catastrophe assignments.
Book a claims operations review. Bring a full program, a CAT surge, or a backed-up line of business, and the Corgi Claims team will walk through how the operation would handle intake, coverage, reserves, reporting, and recovery.
A firm that handles insurance claims on behalf of carriers, captives, MGAs, or self-insured entities, from intake through closure.
The first report that a loss has occurred. FNOL intake turns that notice into a structured, routed claim file.
The estimated amount set aside to pay a claim. Reserve adequacy and movement are tracked throughout the life of the file.
The process of recovering claim costs from a responsible third party after a claim has been paid.
The function responsible for investigating potential fraud using indicators, background checks, statements, and scene work.
Handling a claim remotely through documents, photos, estimates, and communication, without an on-site field inspection.
A claim arising from a major event such as a hurricane, tornado, hail, fire, earthquake, or flood, usually handled with surge capacity.
An early read on whether and how a policy responds to a loss, based on policy language, exclusions, and endorsements.
A report of an insured's claim history, including status, reserves, payments, and recoveries over a period of time.
The total cost of a claim: paid amounts plus outstanding reserves, less any recoveries such as subrogation or salvage.
Permission granted to a TPA or MGA to set reserves, make payments, and settle claims within defined program limits.
Coverage for lost income and continuing expenses when a covered property loss interrupts normal operations.