ClaimSorted

AI-powered claims administration platform (next-generation TPA) that automates FNOL, fraud detection, compliance, and payouts -- helping insurers settle claims 3x faster while reducing costs.

Claims Management Startup USD 13.3M Seed (Oct 2025)

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Overview

ClaimSorted is a tech-enabled claims Third Party Administrator (TPA) founded in 2024 by Pavel Gertsberg (CEO) and German Mikulski (CTO). The company emerged from the founders' direct frustrations with slow, traditional TPA processes encountered during their own insurance operations.

The platform pairs proprietary AI with expert claims talent to deliver an end-to-end claims administration service for insurance companies across auto, property, warranty, travel, health, and liability lines. ClaimSorted's machine learning models automate eligibility checks, fraud detection, compliance verification, and payout decisions -- enabling partner insurers to settle claims three times faster than market-standard TPAs while keeping claims leakage below 1.2% and reopen rates below 1.0%.

ClaimSorted was accepted into Y Combinator's Summer 2024 (S24) batch and serves 30+ leading MGAs and carriers across the US, UK, and EU, including Axis, Lloyd's, Collinson, and Benchmark.

Products & Services

White-Label eNOL (Electronic Notice of Loss)

A fully customizable notice-of-loss portal that policyholders use to initiate claims. Branded to match each customer's specifications and integrated into end-to-end claims workflows.

White-Label Claims Portal

A policyholder-facing portal providing real-time claim status tracking, document upload, and direct communication. Delivers 5-star policyholder satisfaction ratings for partner insurers.

AI-Powered Claims Assessment

Proprietary AI workflows built around policy-specific wording, claims philosophy, and brand guidelines. Structured eligibility checks minimize claims leakage while ensuring consistency across all claim decisions.

Fraud Detection

Machine learning algorithms detect unusual patterns, document tampering, and excessive costs. The system also identifies subrogation and recovery opportunities to further reduce indemnity spend.