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Wilbur

AI-powered claims management platform built on 25+ years of insurance claims expertise

Claims Technology Growth PE-Backed
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Overview

Wilbur is a claims management platform purpose-built for the insurance industry, serving carriers, insurers, MGAs, brokers, TPAs, and supply chain participants. Originally developed as the technology arm of Claim Central Consolidated (founded 2000), Wilbur was separated and recapitalised as an independent software company in 2025. The platform draws on over two decades of operational claims expertise and has processed millions of claims across Australia, the United States, New Zealand, and South Africa.

The core platform combines AI-driven automation with modular workflow orchestration to handle the full claims lifecycle -- from first notification of loss through settlement. A dedicated agentic AI layer called W-o-r-X deploys role-based AI agents (Reader, Checker, Decider, Communicator) that collaborate to automate repetitive tasks while preserving human-in-the-loop oversight. The platform is delivered as SaaS with documented compliance capabilities for Australian regulatory frameworks (CPS230, GICOP, RG271) and integrates with over a dozen named systems via REST APIs.

Wilbur reports 55+ active clients across four countries, with published client outcomes including 40% faster claims cycle time and 60% cost reduction through automation. The company was recognised as a Technology Standout in the Celent 2024 Claims Systems Vendors report and was a finalist for Excellence in Insurtech at the 2024 Finnies Awards (FinTech Australia).

Products & Services

Wilbur Core Platform -- Claims Management

Modular, configurable SaaS platform covering the complete claims lifecycle. Provides autonomous claim intake and triage, document processing and extraction, intelligent task routing and assignment, compliance monitoring with full audit trails, real-time stakeholder notifications, and analytics and reporting. Configurable by customer type -- separate module sets for insurers, MGAs, brokers, and suppliers -- and supports multi-location, multi-geography deployments.

Key Features

  • End-to-end claims workflow from FNOL through settlement
  • Configurable per customer segment (insurer, MGA, broker, supplier)
  • Compliance monitoring with CPS230, GICOP, and RG271 support
  • Full audit trails and real-time stakeholder notifications
  • 12+ named integration connectors

Target Users: Insurers, MGAs, Brokers, TPAs, Suppliers

W-o-r-X -- Digital Workforce Platform

Agentic AI layer that automates repetitive claims workflows using specialised AI agents working in concert. Built on a multi-model architecture via AWS Bedrock. Provides explainable AI with transparent decision-making and full audit trails.

Key Features

  • The Reader -- document analysis and data extraction
  • The Checker -- policy validation and compliance verification
  • The Decider -- claims approval/denial decision logic
  • The Communicator -- automated stakeholder updates and notifications
  • Capacity expansion allowing teams to handle significantly higher claim volumes without additional headcount

Target Users: Claims teams at insurers, TPAs, and MGAs seeking automation of high-volume repetitive tasks

Predictive Intelligence Module

AI-powered analytics for fraud pattern detection, compliance monitoring, risk scoring, and anomaly detection. Integrated with Azure Data Lake for BI visualisation and Databricks for large-scale data processing.

Key Features

  • Fraud pattern detection and anomaly scoring
  • Compliance monitoring and risk scoring
  • Azure Data Lake and Databricks integration for BI

Target Users: Claims analytics and fraud management teams

Intelligent Orchestration

Real-time coordination layer managing workflow routing across all claims stakeholders. Includes automated notifications, dynamic workflow optimisation, and data synchronisation between connected systems.

Key Features

  • Real-time multi-stakeholder workflow coordination
  • Automated notifications and dynamic routing
  • Data synchronisation across integrated systems

Target Users: Claims operations and technology teams

At a Glance

Founded
2018
Headquarters
Sydney, New South Wales, Australia
Employees
51-200
Funding
PE-Backed

Category & Focus

Category
Claims Technology
Subcategories
Claims Automation FNOL Fraud Detection Workflow Orchestration AI Agents
Insurance Verticals
P&C Personal P&C Commercial Specialty/E&S
Target Customers
Carriers, MGAs/MGUs, Brokers, TPAs

Customers

  • Steadfast Claim Solutions
  • Blue Zebra Insurance
  • 360 Underwriting Solutions
  • Hollard
  • Liberty Mutual
  • Assurant
  • Stillwater Insurance
  • Hartford
  • California Casualty
  • Guardian Insurance
  • Allstate Underwriting
  • Strata Community Insurance
  • Coverforce
  • Austbrokers Comsure
  • Howden
  • Eberl Claims Service (exclusive US licensing partner)
  • KBA Group, MUB Group, ETS, ClaimX, Rothbury, Covi Insurance, Classic Cover, MarketLane, Millennium

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Last updated: 2026-06-19