ClaimFox

Claim file request fulfillment for insurance carriers and TPAs

Claims Technology Established Bootstrapped

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