Top 10 claims workflow automation tools for 2025 + buyer’s checklist
At a glance
Claims operations thrive on speed, accuracy, and compliance.
By connecting every participant (adjuster, client, and vendor) in one orchestrated workflow, teams eliminate manual delays and rework.
With AI-driven automation and real-time collaboration, claims progress efficiently from intake to payout.
Secure platforms like Moxo ensure orchestration with SOC 2 compliance, audit trails, MFA, and SSO protection across every stage of the claims process.
Why modern insurers need intelligent claims workflow automation
Claims management involves multiple parties, complex documentation, and high regulatory oversight. Yet many insurers still manage workflows through spreadsheets and emails, creating inefficiencies and compliance risks.
To meet 2025 expectations for transparency and speed, insurers are adopting claims workflow automation tools that orchestrate the entire process—from FNOL to settlement—by combining people, systems, and AI.
This guide explores the top 10 automation platforms and includes a downloadable buyer’s checklist. It also highlights how Moxo empowers insurers to modernize claims operations through intelligent orchestration and secure collaboration.
Navigating the landscape: 4 categories of claims technology
Before evaluating vendors, it’s important to understand their category fit.
Automation handles tasks; orchestration connects people. For claims operations, that difference determines whether you merely process claims or manage them intelligently.
Buyer’s checklist 2025: 8 core capabilities to evaluate your claims workflow automation tool
1. Designing non-linear claims approvals with flow builder
Claims are non-linear, involving intake, reviews, and multiple sign-offs. Moxo’s Flow Builder lets operations teams design, assign, and automate these steps without code.
Example: A global insurer used Flow Builder to automate its FNOL process—combining document upload, adjuster reviews, and e-sign approvals into a single, traceable flow—cutting manual coordination time in half.
2. Reducing manual work with intelligent data processing and validation
Moxo’s intelligent data processing and validation tools reduce manual effort by automating form filling and document checks. They pre-fill claim fields from uploaded files and flag incomplete submissions automatically, ensuring faster verification and fewer back-and-forth communications between adjusters and clients.
3. Automating triage and secure referrals for fraud review
When anomalies occur (for instance, repeated vendor claims or suspicious payout amounts), Moxo automatically routes them to the SIU queue. Teams collaborate in secure channels with evidence and time-stamped trails—critical for compliance audits.
4. Seamless branching logic for subrogation and recovery
Moxo’s branching logic manages subrogation seamlessly. Once liability is confirmed, it triggers a recovery workflow with the legal or recovery teams, maintaining visibility and documentation in the same workspace.
5. Connecting to existing policy and payment systems
Moxo connects with existing systems through its Integrations Hub, syncing policy data, documents, and payment actions in real time.
Supported tools include Salesforce, Guidewire, SharePoint, DocuSign, and Stripe, reducing double data entry and improving data accuracy across claims.
6. Eliminating friction for external parties with Magic Links
External stakeholders often delay claims due to login friction. With Moxo Magic Links, policyholders, brokers, and vendors access assigned tasks securely—no login required.
Automatic reminders and digest notifications keep everyone aligned, preventing SLA breaches.
7. Essential enterprise security, compliance, and auditability
Security is integral to claims workflows. Moxo includes enterprise-grade controls such as SOC 2 and GDPR compliance, SSO/SAML authentication, MFA, and detailed audit trails for every claim.
Each approval, document, and message is traceable, protecting sensitive data across the entire claim lifecycle.
8. Real-time dashboards for tracking cycle time and leakage
Moxo’s analytics dashboard tracks KPIs such as cycle time, re-open rate, straight-through processing percentage, and leakage by line of business or region.
Managers gain actionable insights to optimize operations and ensure SLA performance.
Snapshot: comparing core feature strengths across the automation market
Shortlist: top 10 claims workflow automation tools of 2025
Moxo stands apart by blending external orchestration, automation, and compliance—a triad that traditional suites and low-code builders rarely achieve.
Your claims automation buyer’s checklist 2025: requirements for modern operations
Implementing the solution: building claims automation in Moxo
Here’s what a complete claims automation setup looks like within Moxo:
Flow Builder: Build claim intake and approval flows using forms, e-signatures, and milestones—all linked in a single sequence.
Controls: Add SLAs and thresholds for escalation (e.g., > $25k to senior adjuster).
Automations: Sync with policy cores and payment systems via Moxo Integrations.
Magic Links: Invite policyholders or vendors through secure, login-free access.
Reporting: Track cycle time, leakage, and SLA breaches.
Governance: Ensure compliance with Moxo Security—SOC 2, GDPR, audit logs, and role-based controls.
How Moxo enables intelligent orchestration
Moxo stands out among claims workflow automation tools by combining no-code process design, secure collaboration, and audit-ready compliance in one platform built for insurers.
With Moxo’s workflow builder, claims teams can automate every step—from FNOL intake and document collection to approvals and settlements—without relying on IT. Automations handle reminders, escalations, and routing based on claim type or value.
Integrations connect Moxo to policy admin, CRM, and payment systems, while client portals give policyholders and adjusters a shared space for updates and uploads.
Performance dashboards track claim cycle times, leakage, and recovery KPIs, and audit trails provide end-to-end traceability.
Moxo helps insurers move from fragmented tools to a unified workflow hub—delivering faster claims, fewer errors, and complete visibility across every case.
Real-world example
A property insurer featured in Moxo’s customer stories automated claims processing with Moxo’s workflow orchestration. The firm reduced manual follow-ups by 75 % and cut cycle time by 50 %.
Another insurance brokerage deployed Moxo’s Magic Links and secure client portal, reducing email volume by 90 % and achieving audit readiness within two weeks.
Both results were achieved using Moxo’s workflows, proving that orchestration delivers measurable ROI.
Streamlined claims are smarter claims
Modern claims transformation is not only about speed—it’s about accountability and compliance. When insurers replace fragmented communication with Moxo’s unified workflows, they gain visibility, control, and trust across every touchpoint.
Moxo’s no-code builder and automation engine enable teams to handle complex claims in one secure hub. Real-time updates, audit-ready records, and SSO/MFA security keep every stakeholder aligned and protected.
Looking to simplify your claims workflows? Experience how Moxo makes orchestration effortless – schedule a demo to see it in action.
FAQs
What is claimed workflow automation?
It’s the use of technology to coordinate claim tasks across systems and stakeholders. Moxo extends this by combining automation and collaboration, in one platform it reduces cycle times and ensuring compliance.
How is Moxo different from claims systems like Guidewire or Duck Creek?
Guidewire manages claim data; Moxo orchestrates the human and system actions surrounding it. Moxo complements core systems through integrations and secure collaboration.
Can Moxo integrate with policy or document systems?
Yes. Moxo Integrations connect with CRMs, DMS, and payment gateways such as Salesforce, SharePoint, and Stripe—ensuring real-time data consistency.
How does Moxo ensure data security and compliance?
Moxo Security provides SOC 2 and GDPR compliance, SSO/SAML authentication, MFA, encryption, and detailed audit logs. These features protect sensitive insurance data across workflows.
What ROI can insurers expect from claims automation?
Customers featured in Moxo’s case studies report 50–75 % faster claim processing, 90% fewer manual follow-ups, and improved audit readiness—all driven by intelligent orchestration.
