Plexos Property & Casualty Claims Services

Plexos provides claims services for both man-made and natural catastrophic loss events including Hurricanes, Tornados, Hailstorms, Earthquakes, Floods, Wildfires, Environmental disasters, and other P&C claims programs. Our staff is uniquely positioned to respond immediately following a catastrophic event and we have processed over $20 billion in claims for such events. Our firm which includes seasoned response and recovery staff, also responds to disasters throughout the country within 24 hours of notice including FEMA disaster recovery projects. This experience carries over to our P&C claims services where we use the same strategies to rapidly deploy insurance adjusters, file examiners, claims handlers and all back-office support and IT systems immediately upon notice. Our model allows us to rapidly scale and we have provided hundreds of personnel for individual assignments to immediately start the claims life cycle process. Our claims experience includes:

  • Hurricane Katrina
  • Hurricane Ike
  • Hurricane Gustov
  • Hurricane Rita
  • BP Deepwater Horizon Oil Spill
  • Superstorm Sandy
  • Hurricane Isaac
  • South Carolina Storms / Flooding
  • Missouri Storms / Flooding
  • Louisiana Storms / Flooding
  • Hurricane Matthew
  • Hurricane Harvey
  • Hurricane Irma
  • Hurricane Maria
  • Hurricane Florence
  • Hurricane Michael
  • Mississippi River Flooding, Louisiana

with claims located in:

  • Louisiana
  • Mississippi
  • Alabama
  • Arkansas
  • Texas
  • Florida
  • South Carolina
  • North Carolina
  • Missouri
  • New York
  • New Jersey
  • Puerto Rico
  • the U.S. Virgin Islands

Claims Services

Our approach is designed to immediately deploy and assist in claims services with specialized teams to meet the demands of each assignment.

Our services include:

  • Third-party administration
  • Property and auto appraisal
  • Third party liability
  • Underwriting evaluation
  • Desk adjusting
  • File examinations
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With each assignment, we focus on shortening the claims life cycle and increasing the quality of our claims through a robust PMP certified project delivery and quality assurance and control process. Our program support, back office, and analytics platforms optimize the claims process including:

  • Multiple claims intake platforms (online, hotline, call center, etc)
  • Intake facilities including mobile facilities where needed to assist claimants in providing information
  • Online portal for claimants to submit information complete with DocuSign ® and document management
  • Online reporting and metrics for Client stakeholders and operations personnel to improve claims performance
  • Use of client-specific online and tablet based claims software packages and integration of data as needed

Technology

Plexos utilizes client-centric and industry standard software and hardware solutions throughout the claims process to include:

  • Xactimate® Estimating Software
  • Mitchell® Estimating Software
  • Client provided online and tablet-based systems
  • Customized program management software for rapid project delivery
  • Data integration through API, xml, json, csv and other integration techniques
  • Online Tableau® and Microsoft® BI reporting

Service Levels

Reducing the claim life cycle is a cornerstone to our approach. As such we strive to:

  • Establish a hotline and online claims submittal platform within 24 hours of notice to proceed (NTP)
  • Establish a regional office as required within 1 week of NTP
  • Send a claim acknowledgement letter within 24 hours of NTP
  • Conduct outreach to policy holders within 24 hours of NTP
  • Generate estimates within the same day as the inspection

Other Services

In addition to traditional claims services, we have been called upon to assist with our clients with:

  • Website
  • IT Systems and Infrastructure
  • IT Help Desk
  • Cyber Security
  • Internal and External Fraud, Waste, and Abuse
  • Audit
  • Reporting and Business Intelligence