Cut Insurance Claims Outsourcing Costs by 40-60%
Without Sacrificing Quality
Get a dedicated team in South Africa for FNOL, claims review, and empathetic customer care.
HIPAA Compliant | ISO 27001 Security | No Long Contracts
What is Insurance Claims Outsourcing?
Insurance claims outsourcing is the practice of delegating front-end FNOL and policy admin tasks to a specialized offshore team. Usually, outsourcing means saving money but annoying your customers with bad service. We fixed that.
We Speak Your Language: Our teams in South Africa speak clear, native English. Your customers won't know they are talking to an overseas team.
We Know Insurance: We don't just hire "call center agents." We hire staff with financial and admin backgrounds.
We Work Your Hours: Our day overlaps with your day. We get work done while you're online, not just while you sleep.
.
Afrishore operates as an Agile TPA (Third Party Administrator): claims teams are trained to the insurer’s own workflows, decision trees, and brand standards – functioning as an embedded extension of the insurer’s operations rather than a generic contact centre. This model covers the complete claims front-end: first notification of loss (FNOL), document collection and verification, adjuster scheduling and liaison, settlement communication, and policyholder retention during the claims journey. South Africa’s Protection of Personal Information Act (POPIA) is recognised as GDPR-adequate, satisfying data transfer requirements for UK and EU insurers without additional legal frameworks.
We Handle the Busy Work. You Handle the Strategy.
First Notice of Loss (FNOL)
We answer calls, emails, and app alerts 24/7. We get the details right the first time so claims start smoothly.
Claims Review & Prep
We check coverage, review liability, and prepare files. Your licensed adjusters step in only when they need to make a decision.
Policy Admin
Renewals, updates, and paperwork. We handle the repetitive tasks so your team isn't bogged down in data entry.
Happy Customers
We deliver highly-responsive customer service during stressful claims, protecting your brand reputation and elevating the final claimant experience (CX).
FNOL is the most time-sensitive point in the claims journey – a slow or poorly handled first call directly affects policyholder satisfaction scores and, in high-volume personal lines, creates downstream bottlenecks for adjusters. Afrishore FNOL agents are trained to capture complete loss details in a single call using insurer-specific scripts, reducing the need for follow-up contacts and shortening average claims cycle time by 30-40% versus in-house seasonal hiring at equivalent volume.
Start in Just 4 Weeks. No Risk.
Fit & Scope
Confirm front-end claims CX (not licensed adjusting), align outcomes/volumes/tools, and agree to proceed to Discovery.
Discovery & Runbook
Map queues, channels, and edge cases from read-only data and scripts, then publish Runbook v1 (SOPs, checklists, milestones, QA, reporting) for approval.
Compliance & Access
Set up SSO and least-privilege access, finalize recording-consent language, enable redaction and audit logs, and secure a formal compliance sign-off.
Pilot & Go-Live
Stand up a 5-10 FTE pod, route limited volume, operate daily with rapid defect fixes, and confirm KPIs are hit for two consecutive weeks.
Scale & QBR
Increase volume/FTE while holding KPIs, deliver a monthly executive pack, and use a quarterly business review to agree the next 90-day roadmap (automation, new queues, targets).
We Log In to Your Systems. No IT Setup Needed.
You don't need new software. We work directly in your tools (Guidewire, Duck Creek, Salesforce, etc.) via a secure remote connection.
Â
Secure: We look at the data on your screen. Nothing is downloaded.
Safe: Data never leaves your servers.
Simple: If you can give a login to a new employee, you can give one to us.
