Stability suffering under strain
The coastal insurance market can be volatile, influenced by factors such as catastrophic weather patterns, regulatory changes, and economic conditions — all of which place enormous strain on your profitability and stability. When a major storm or hail event triggers a surge of roofing claims, insurers face a difficult balancing act: moving quickly enough to serve distressed policyholders while keeping a sharp eye out for the opportunistic fraud that inevitably follows catastrophic events.
Built to get genuine claimants on the path to faster recovery
Clearspeed is purpose-built for exactly this challenge, helping insurers quickly and accurately process large volumes of weather-related claims from the moment of first notice of loss. Clearspeed delivers instant scale through automated questionnaires that provide fast, accurate, and objective risk assessment; flagging suspicious roofing claims for closer review while routing low-risk ones straight through for fast settlement.
The result is a smarter triage process that gets the right claims into the right hands faster, reducing costly secondary investigations, improving loss ratios, ensuring that genuine policyholders get the prompt, empathetic response they deserve, and extending viability of writing in the Florida market.
With Clearspeed, get faster, more accurate insights into:
- Opportunistic fraud indicators
- Prior damage concealment
- Policyholder intent assessment
- Claim abandonment risk scoring
- Pre-existing damage disclosure
- Exaggerated claim value screening
- False or misleading information checks
- Duplicate claim detection
- Contractor-solicited claim detection
- Deductible waiver scheme identification
- Assignment of benefits abuse
- Third-party submission flags
Fully automated for scalable, real-time delivery
Point-in-time indicators specific to the individual
Proactively identify risk before paying storm damage and roofing claims
Extend viability of writing policies in coastal and high-risk markets
Easy insertion into existing workflows
The Clearspeed voice-based risk assessment process starts with individuals being presented with the clearspeed questionnaire on any voice-enabled device. Clearspeed analyzes the individual’s vocal response to the desired question set, quickly identifying and scoring indicators associated with risk. These point-in-time, individualized results are then returned via API or available with the Clearspeed web app. This insight is used to inform next steps in the vetting or investigation process.
Client Story: Plugging the hole on roofing claim fraud losses
Our Florida-based client was struggling with fraud concerns relating to contractor interference on roofing claims (replacement and repair). In some cases, the suspected fraud was related to exaggerated claims value; in other cases, there was a suspicion that the contractors were offering to waive deductibles, sometimes in exchange for being able to submit the claim on behalf of the policyholder.
Outcomes
Clearspeed helped this insurer confidently triage storm damage claims by clearing low-risk cases and focusing resources where risk was detected. This streamlined the claims experience for most customers while helping combat increased opportunistic fraud more effectively.
- 41% of claims were scored as low risk and immediately cleared for payment, avoiding extended processing costs and potential investigations
- 5% of claimants immediately abandoned their claims, eliminating the need for additional investigation time and cost
- 54% of claims showed indicators of risk and were swiftly routed to an adjuster along with question-level risk details
Discover how Clearspeed can help you improve the policyholder experience across your coastal book of business.
Learn more at www.clearspeed.com
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