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.
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.
Reporting & Data Feeds
Flexible reporting options including daily, weekly, monthly, and live data feeds delivered via SFTP or API for real-time operational insight.
At a Glance
- Founded
- 2024
- Headquarters
- New York, NY, USA
- Employees
- 11-50
- Funding
- USD 13.3M Seed (Oct 2025)
Category & Focus
- Category
- Claims Management
- Insurance Verticals
- Auto Property Warranty Travel Health Liability
- Target Customers
- Carriers, MGAs
Customers
- Axis (major carrier)
- Lloyd's (leading delegated claims administrator)
- Collinson (global insurance and assistance provider)
- Benchmark (MGA)
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Last updated: 2026-05-17