Now in General Availability

The claims
intelligence
system.

Purpose-built for auto PIP. Designed for a world where your models understand insurance, not just language.

47% Faster cycle times
94% Document classification accuracy
3× More subrogation recovered
0 Days to onboard
01
Intake

Make claim intake
self-driving.

FNOL arrives — from a carrier portal, email, or API — and Fulcrum immediately captures structured data, validates coverage, assigns the right adjuster, and opens the file. No manual entry. No missed fields.

  • Multi-channel FNOL ingestion (API, email, portal)
  • Instant coverage verification & policy lookup
  • Intelligent adjuster assignment by load & expertise
  • Automated reserve calculation from FNOL data
New FNOL · AI Pre-fill Active
Live
Fulcrum Claims Management View
Fulcrum · AI Report Builder · Natural Language Queries
Fulcrum AI Report Builder
02
Intelligence

Every decision,
AI-augmented.

Fulcrum's models surface what matters. Fraud signals. Billing anomalies. Subrogation opportunities. Recommended actions. All generated from our proprietary models — not generic LLMs.

  • Fraud risk scoring on every claim
  • Fee schedule anomaly detection
  • AI-generated claim summaries & recommendations
  • Resolution timeline prediction
03
Compliance

Compliance,
automated.

NY's 30-day PIP processing windows, NF-10 denial requirements, EUO tracking — Fulcrum handles the compliance layer so your team doesn't have to remember deadlines.

  • Automated NF-10 denial generation & tracking
  • IME request workflows with scheduling integration
  • SLA deadline alerts before they breach
  • Audit-ready documentation on every action
Fulcrum · MedData Sync · PIP No-Fault Medical Bill Rebilling
Fulcrum MedData Sync — Medical Bill Processing
Fulcrum · Claims Intelligence Dashboard · Live Data
Fulcrum Claims Intelligence Dashboard — Live Analytics
04
Analytics

Understand your
book at a glance.

Real-time PIP dashboards, reserve trend analysis, and AI-generated insights give your leadership team the visibility to make decisions — not just reports to read.

  • Live PIP intelligence dashboard
  • Reserve trend & severity reporting
  • AI-generated operational insights
  • Custom report builder with natural language queries
Model-First

We built our own models.
Because yours should
understand insurance.

Off-the-shelf LLMs don't know the difference between an NF-3 and an NF-10. They've never seen a NY PIP fraud ring pattern. Our models were trained on years of proprietary claims data — and they show it.

Document Intelligence

Trained on thousands of PIP forms — NF-2, NF-3, NF-10, EOR, IME reports. Classifies, extracts, and validates in seconds. 94% accuracy out of the box.

94% accuracy · zero training required

Fraud Detection

Pattern-matching against NY PIP fraud signatures — staged accidents, organized medical provider rings, inflated billing sequences. Surfaces signals human adjusters miss.

Identifies 3× more fraud signals than rule-based systems

Medical Bill Review

Real-time NY fee schedule validation. Flags overbilled service codes, unusual treatment durations, and provider billing patterns before payment is issued.

$180k avg. annual savings per 100 open claims

Claim Summarization

Generates structured summaries of claim activity — coverage findings, treatment history, open actions — in the language insurance professionals actually use.

Saves 35 min per adjuster per claim

Subrogation Intelligence

Identifies subrogation opportunities at FNOL and throughout the claim lifecycle. Flags at-fault evidence, calculates recovery probability, and surfaces to adjusters before closure.

3× more recoveries than manual review

Outcome Prediction

Predicts claim resolution time, final reserve, and litigation probability from day one — giving your actuarial and underwriting teams the data they need, earlier.

82% accuracy on 30-day resolution forecasts
Proprietary data flywheel

Every claim processed on Fulcrum makes our models smarter. Outcome data, adjuster corrections, and fraud confirmations feed back into our training pipeline — creating a compounding advantage that grows with your book.

Security Leadership

Christopher Hoyle

Chief Operating Officer

Christopher oversees the company’s operations and information security, with responsibility for safeguarding sensitive insurance, claimant, and business information. He provides security oversight for the Fulcrum claims-management platform and supporting systems, working with the development team to guide access-control policies, prioritize vulnerability remediation, and strengthen security practices across claims operations.

Founding Design Partner
"NY no-fault is the most demanding auto claims environment in the country — strict timelines, aggressive fraud, among the highest litigation rates nationally. We chose Fulcrum because it was built to that standard from day one."
Aegis One Inc. Licensed NY No-Fault TPA · Founding Design Partner
See how Aegis One operates their book with Fulcrum