Falnor / Solutions
Claims processing automation with a person on every decision that matters
A claim takes minutes to assess and days to move. Falnor builds a system that gathers the documents, checks the claim against your own rules, and routes anything unusual to a named handler, keeping a full record of why each decision was made.
Book a discovery callWhy claims wait
Most delay is administrative: missing documents, details spread across systems, and handoffs between people who each hold part of the picture.
- Handlers re-key the same facts into several systems.
- Missing information is found late, then chased by email.
- Audit trails are rebuilt by hand when someone asks why.
What the system does with each claim
It prepares the claim so the handler decides faster, and records everything.
Collect and check
It reads the claim and documents, spots what is missing and asks for it early.
Check against your rules
Coverage, limits and thresholds follow rules you approved, with the source of each fact shown.
Hand over the unusual
Large, unusual or disputed claims go to a named handler with the evidence attached.
Update and record
Once decided, it updates the claims system and logs the rule followed and who approved it.
Decisions stay with your handlers
The system starts in shadow, only reading and proposing. It takes routine steps over one at a time once it is right at least 9 times in 10 on your real claims. Anything hard to undo waits for a person.
Works with the software you already use
We build on your own tools instead of asking you to move. Common starting points:
- Salesforce
- Microsoft Dynamics
- SAP
- Zendesk
We work with businesses in the US, the UK and Europe.
Questions people ask
What is claims processing automation?
It is using software to handle the repeatable parts of a claim: collecting documents, checking details, applying rules and routing for a decision.
Does it approve or deny claims on its own?
Not by default. Decisions that matter wait for a named person, and any automatic step is limited to cases the system has proven right on your data.
Is it suitable for regulated work?
The system records what it looked at, which rule it followed and who approved it, and runs on your own systems so data stays where it is. We build with GDPR in mind.
Which claims systems does it work with?
We build on the tools you already use. Tell us what you run on the discovery call.