For claims operations managers and assessors

Prepare each claim for the assessor

Certant reads the submitted documents with the policy wording, lists missing evidence, points to the clauses to inspect and drafts a first response for approval.

The assessor makes every decision about cover.

Claim CL-30771 · Home contents, water damageExample

4 documents received. 2 items of evidence missing. 3 clauses to inspect.

Waiting for assessor approval
The intake pack an assessor opens, in place of a folder of attachments.
The problem

Assessors start by sorting paperwork

A claim arrives as a form, a tradesperson's report, some photographs and a quote. Before the assessor can think about the claim, they work out what's there, what's missing and which parts of the policy wording apply.

The customer can wait days to be told a receipt is needed.

The documents

What Certant reads

The checklist is your own, so the pack asks for the evidence your team already expects.

DocumentWhat it supplies
Submitted documentsThe claim form, reports, photographs, quotes and anything else the customer sent.
Policy wordingThe product disclosure statement for the policy the claim is made under.
Intake checklistYour own list of the evidence each claim type needs.
The result

Open the intake pack

Intake pack, claim CL-30771Example

Received

  • Claim form · pages 1 to 4
  • Plumber's report · 22 Oct 2026
  • Six photographs
  • Quote for carpet replacement

Missing evidence

  • Proof of ownership for the listed items. Intake checklist · item 6
  • The date the leak was first noticed. Claim form · section 3 is blank

Clauses for the assessor to inspect

  • "Escape of liquid"Product disclosure statement · section 5.3 · page 27
  • "Gradual deterioration"Product disclosure statement · section 8.1 · page 44
  • "Proof of loss"Product disclosure statement · section 10.2 · page 52
The pack points to the clauses. It doesn't say whether the claim is covered.
The hand-off

The assessor takes it from there

Certant drafts a first response asking the customer for the missing evidence. The assessor reads the pack, edits the draft if needed and approves it, and the claim is theirs from that point.

Draft responseExample
To
the customer
Draft
"Thank you for lodging your claim. To continue, we need proof of ownership for the items listed and the date you first noticed the leak. An assessor will be in touch once we have these."
Waiting for approval · Assessor
Scope

What setup involves

We set the workflow up against your own claim types, policy wordings and intake checklist, and test it on a set of past claims before you rely on it.

AreaWhat to expect
CoverCertant doesn't decide whether a claim is covered, and it doesn't accept or reject one.
RiskIt produces no fraud score and makes no underwriting recommendation.
PaymentNothing is paid or sent to the customer without an assessor's approval.
Related

Related use cases

Document intake routing

A proposed category and destination team for each incoming document.

See the use case

Member policy answers

Answers for members from your published policies and bylaws, with the clause attached.

See the use case

Invoice exception review

An invoice line beside its order line and agreed rate.

See the use case
See all use cases

Bring a few closed claims

Send us the documents from a few past claims and the policy wording they fell under. We'll show you the intake pack for each.

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