One calm place for every claim.
Your team opens ClaimNexus and sees exactly where things stand: what is due, what needs a decision, and what the assistant already handled. Deadlines are computed from the rules, so nothing slips through. The judgment calls stay with your people.
What you get
Automated administrative workflows for service forward teams. You keep the judgment and the relationships; ClaimNexus carries the busywork.
Automate the repeatable
Forms, deadlines, evidence, and follow-ups run on autopilot, so nothing slips and no one spends the day chasing paper.
You stay in control
No black-box decisions on your files. Every meaningful output is reviewable, attributable, and yours to approve before it goes out.
Built around your team
From intake to reporting, workflows map to how your people already work, instead of a generic tool you bend yourself around.
Everyone in the loop
Status, next steps, and deadlines stay visible to the people and clients who need them, so updates never get stuck in an inbox.
Connect your stack. Keep your data in Canada.
ClaimNexus fits into the tools you already run and the identity systems your IT team already trusts. You stay in control of access, and your claim data never leaves the country.
A clean REST API & webhooks
Push claims in, pull status out, and get notified the moment a deadline or decision changes. Your systems and ClaimNexus stay in sync without copy-paste.
Bring your own AI, over MCP
Connect your own assistants and agents through the Model Context Protocol. They read scoped claim context securely, so the answers stay grounded in your real files.
Plugs into how you already work
Connect the tools your team lives in — HRIS and payroll, document storage, e-sign, and Slack or Teams for notifications. Nothing has to move homes.
Built HIPAA-aligned and SOC 2 Type II ready from day one. We name our protections plainly and never overstate them.
SSO with SAML & SCIM
Your IT team brings their own identity provider and manages access in one place.
MFA enforced
Multi-factor is required for privileged roles. No optional back doors.
Append-only audit log
Every material action is recorded and attributable. You can always answer "who did what, when."
Your data stays in Canada
Storage and processing are hosted on Canadian infrastructure, with PIPEDA-aware handling.
Encrypted end to end
AES-256 at rest, TLS 1.3 in transit. Sensitive fields get an extra envelope of encryption.
Scoped by org & role
Every record is fenced to its organization. People see only the claims they should.
Who it's for
Service forward teams
Businesses carrying recurring administrative load who want clarity across their work, not another disconnected tool.
Advisors & operators
Brokers, paralegals, and advisory firms that need structured review, defensible documentation, and faster triage across their book.
Operations & risk
Teams modernizing their administrative and case workflows who want real automation with a human in the loop.
How we work
Plain language, honest scope
We are clear about what automation handles and what still needs your judgment. No overpromising.
You stay in charge
ClaimNexus drafts, organizes, and surfaces what needs attention. You approve, negotiate, and sign.
Built in Canada
ClaimNexus Inc. is a federal Canadian corporation, Toronto based, building automated workflow systems for service forward teams.
“Claims work is mostly chasing paper and watching dates. The people doing it are good at the hard part, the judgment, and stuck doing the part a computer should handle. We built ClaimNexus to take the busywork off their plate and keep them in the loop, not out of it.”
Questions, answered plainly.
No. ClaimNexus organizes the work, tracks the dates, and drafts the documents. A licensed person on your side reviews and signs anything material. We are clear about what the software computes versus what still needs human judgment.