ClaimSorted GTM brain

category

market profile

• text: Insurance carriers and MGAs outsource claims handling to third-party administrators while retaining accountability for policyholder experience and claim costs.
• text: Slow resolution, inconsistent service and claims leakage create demand for a technology-enabled alternative to traditional TPAs.

personas

• title: Chief Claims Officer
  pains:

  • Long claim cycles and inconsistent adjuster decisions increase indemnity costs.
  • A legacy TPA may provide insufficient visibility or ownership of cases.
• title: MGA operations leader
  pains:

  • Launching or scaling a book requires claims capacity without building an in-house team.
  • Claims partners need to maintain the MGA's policyholder experience and reporting standards.
• title: Head of Customer Experience at an insurer
  pains:

  • Customers chase updates and repeat their story through handoffs.
  • Poor claim handling can undermine trust and retention.

icp

• text: Insurance carriers and MGAs seeking delegated, end-to-end claims administration.
• text: Insurers with portfolios in the US, UK or Europe and sufficient claims volume to require specialist handlers and operational reporting.

message pillars

• text: Outsource claims while protecting customer trust.
• text: Combine automation with experienced claims professionals.
• text: Give each claim a single accountable owner.

objections

• objection: Will AI make unfair or inaccurate claim decisions?
  response: Review the role of specialist human handlers, decision controls and audit process for the relevant line of business.
• objection: Will outsourcing damage our customer relationships?
  response: Evaluate proactive communication, handler ownership and service-level commitments against a sample portfolio.
• objection: Can the team handle our jurisdictions and specialty claims?
  response: Confirm licenses, adjuster expertise, capacity and escalation procedures for the specific portfolio.

competitors

• name: Reserv
  why: Technology-enabled claims administration provider in the P&C claims market.
• name: Veltha
  why: AI-native TPA focused initially on workers' compensation.

influencers

• name: Pavel Gertsberg
  url: https://www.scoutinsurtech.com/post/scout-insurtech-interview-with-claimsorted
  why: Founder and CEO discusses insurer claims outsourcing and the company's approach.

keywords

• insurance claims TPA
• outsourced claims administration
• AI claims handling
• MGA claims administrator
• insurance claims automation
• claims adjuster outsourcing

voice

• Plainspoken and empathetic
• Accountable and service-led
• Outcome-focused

signals

• text: Carrier or MGA is replacing a TPA after slow resolution, poor customer satisfaction or escalating claim costs.
• text: An MGA is launching a new insurance portfolio and needs delegated claims capacity.

hiring

• Account Executive
• AI Engineer
• Claims Handler, Auto (Bodily Injury), as listed in search results; verify current availability.

pricing

motion

channels

• Direct sales
• LinkedIn
• Insurance industry press
• Partnerships

confidence

Founders

• name: Pavel Gertsberg
  title: Founder/CEO
  role: CEO
  bio: Before starting ClaimSorted, Pavel built a pet insurance company, Fluffy, which he scaled to over 20,000 customers working with some of the largest insurers. Before starting his insurance company, Pavel worked as a Head of Growth building marketing, sales and product functions in SaaS and InsurTech companies.
• name: German Mikulski
  title: Founder/CTO
  role: CTO
  bio: Co-Founder and CTO at ClaimSorted. Previously founded Fluffy, a pet insurance company, automating ~70% of back-office processes with AI. Formerly at Deutsche Bank, where he developed systems processing over $100 million in transactions