Plum · GPA / GTL claims

Claims Management System

GPA and GTL claims are high-value death claims where getting the insurer's document checklist right matters a lot — but today that gets tracked by hand across email and spreadsheets, which slows turnaround time. Raising a claim here generates the right insurer checklist automatically, ready to track from day one.

Raise a claim →

How it works

One claim, five steps, one owner at each

Trigger
Claim intimated
HR or the nominee reports a death. The claim is raised and given a claim ID.
Inputs
Insurer checklist generated
The real, insurer-specific document checklist is pulled automatically.
AI judgment
Priority & coverage risk flagged
Claude weighs ageing, TAT, and claimed amount to flag what to chase first.
Human checkHuman approval
Claims handler reviews
Every flag is a suggestion, not an action — a person decides what happens next.
Action
Checklist chased forward
A reminder goes to whoever actually owns the next step — Plum, insurer, or HR/nominee.

Also built today

A real-data view, validated but not public

Validated against an actual FNOL-to-payment claim and 29 others, with pendency ownership (Plum vs. insurer vs. customer) and reminder automation — runs locally only, since it holds real patient data. See BRIEF.md for the full picture, or open /dashboard/real on your own machine.