Overview
ClaimFox is a specialized insurtech company that fulfills requests for copies of insurance claim files on behalf of carriers and third-party administrators. Founded in 2013 and headquartered in Ronkonkoma, New York, ClaimFox handles the administrative and compliance burden of claim file request fulfillment, processing over 40 million pages annually for the nation's top insurance carriers and TPAs.
The company has developed proprietary technology -- the eRequest platform -- to manage, track, and report on claim file requests efficiently and securely. ClaimFox operates 100% remotely and delivers a 48-hour response capability, enabling carriers to meet legal and regulatory deadlines without diverting internal resources.
ClaimFox is integrated with Guidewire ClaimCenter and is a member of Guidewire's PartnerConnect Solution Alliance Program, with its integration listed in the Guidewire Marketplace.
Products & Services
eRequest
Proprietary software platform for centralized tracking and management of all claim file requests. Provides consistent processing workflows, audit trails, and data security controls. Integrates with Guidewire ClaimCenter to automate request routing within a carrier's existing claims environment.
Key Features
- Centralized intake and tracking for all incoming claim file requests
- Audit trails and data security controls
- Real-time reporting and analytics dashboard for request status, volumes, and processing times
- Native Guidewire ClaimCenter integration
Target Users: Insurance carriers, TPAs
ClaimFox Portal
Client-facing access portal enabling requestors and internal teams to manage claim file requests with real-time visibility into request status and processing timelines.
Key Features
- Self-service requestor access
- Status tracking and notifications
- Reporting capabilities
Target Users: Attorneys, claimants, internal claims staff
CLEVER by ClaimFox
Separate service offering providing additional capabilities for claim file request management. Available at cleverbyclaimfox.com.
Target Users: Insurance carriers, TPAs
Claim File Request Fulfillment Service
End-to-end managed service for processing third-party requests for claim file copies, including subpoenas, attorney requests, and regulatory inquiries. ClaimFox handles the full administrative lifecycle -- intake, review, redaction, delivery -- processing 40+ million pages per year with a 48-hour turnaround commitment.
Key Features
- 48-hour response capability
- ISO-certified secure data handling
- HIPAA-compliant processing
- Documented client savings of USD 7.2M annually and 55,920 hours saved
Target Users: Insurance carriers, TPAs
At a Glance
- Founded
- 2013
- Headquarters
- Ronkonkoma, New York, USA
- Employees
- 101-250
- Funding
- Bootstrapped
Category & Focus
- Category
- Claims Technology
- Subcategories
- Claim file request fulfillment document management claims administration
- Insurance Verticals
- P&C Commercial P&C Personal Health
- Target Customers
- Carriers, TPAs
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Last updated: 2026-04-09