TPA CLAIMS MANAGEMENT SOFTWARE
Every Client's Playbook, One Claims Platform
You fulfill the promise on your clients' behalf. VCA ClaimsCore runs every client's claims on one platform, with that client's rules already on each claim your handlers open.
Built for TPAs handling programs for carriers and self-insured clients. Every property and casualty line. Not workers' compensation or health benefits.
SET UP ONCE FOR EACH CLIENT
- Authority LimitsHow far each adjuster's reserve authority runs, for each client or program.
- AssignmentClaims routed by client, by loss location or by adjuster workload.
- Fees and TimeTime and expense logged by client, invoiced on each client's fee schedules.
- ReportingThe reports each client expects, built from the claims your handlers work.
THE PROBLEM IT SOLVES
Monday morning. One carrier client wants its reports early. Another tightened an authority limit over the weekend. A third is asking why a reserve moved last Thursday. Each answer has to come in that client's own terms, from the claim.
VCA has served the Lloyd's market for more than a decade. Lloyd's-market reporting is graded, audited, and evidenced with data. A platform that clears it has no trouble with a carrier's audit, an MGA's capacity report, or a TPA client's monthly review. Vanguard Claims, a Lloyd's DCA, reduced its manual data handling by about 40%. More Results →
“With VCA, we're able to show our partners exactly what's happening, when it's happening.”
ONE SYSTEM, MANY CLIENTS
Can one system run a different playbook for every client?
Yes, and for a TPA that is the whole job. Every client you serve works differently: service standards, reporting cadence, approval thresholds. No two of them line up.
How PIB Runs Dozens of Client Rulebooks on One Platform →
ClaimsCore keeps what makes each client different where the work happens: on the client's own profile, which every claim handled for it draws from. Workflows and rules can be set per client, program or policy type, so when an adjuster opens a claim, that client's rules are already on it.
Carrier client B profile
- General Details
- Internal Reps
- Contracts
- SLAs
- Billing Tiers
- Auto Reminders
- Disbursements
- Portal Usage
Every claim handled for the client carries its rates, protocols and instructional documents.
- Loss Types in the Client's TermsEach loss type is set up with its own tabs and fields, in the terminology the client uses.
- License Tracking for Every AdjusterAdjuster license tracking sits in the same platform your handlers work their claims in.
- English, French or SpanishThe ClaimsCore interface runs in English, French or Spanish, for the teams that work your clients' claims.
CLIENT REPORTING
Can it keep up with every client's reporting?
Reporting is where TPA hours go, because every client wants its numbers in its own format on its own schedule.
ClaimsCore runs standard and company-wide reports, custom queries and live dashboards, and Word-based letters and reports fill themselves in, so the report a client wants early comes out of the platform instead of an afternoon in a spreadsheet.
Comparison Across Programs
VCA Insights, an add-on, compares programs, carriers and offices, tracks first-contact and reporting deadlines against thresholds you set, and sends scheduled reports to client stakeholders.
Bordereaux to London
For the delegated claims you administer under a binding authority, the bordereau fills from the same claims as the domestic book.
Claim Data for Clients and Partners
Where a carrier client or program partner runs VCA too, VCA's API framework moves claim data between your two accounts. The same framework connects partner systems.
THE CLIENT'S VIEW
What Your Carrier Clients See
Your carrier clients answer for the claims you handle for them. ClientPortal, added to ClaimsCore, gives each client a branded login to the claims that concern it, and you set who sees what.
They read status, shared notes and the documents you release from the same claim your adjuster works, so a status check no longer needs a call to you. Turn on reserve history and they see who changed each reserve, when and why. They message the adjuster, upload documents and submit new claims themselves.
Overseeing a program someone else administers? The other side of this arrangement has its own page.
On the Portal
- Claim details and status
- Shared notes
- Financials, and reserve history if you turn it on
- Documents you release
- Messages to the adjuster
- New claims they submit
Stays Internal
- Notes marked Internal
- Non-billable time
A TYPICAL TPA PACKAGE
ClaimsCore, and What a TPA Adds to It
A typical TPA package adds InsuredConnect for policyholders, ClientPortal for the carrier and program clients you report to, ClaimsPay for payments, and VCA Insights for reporting across the book. LloydsConnect joins when you administer Lloyd's business, and DataBridge when you want your claims data in your own data warehouse or BI tool, on a schedule you set.
By LineAuto Claims →Property Claims →Property and Casualty Claims →Marine and Cargo Claims →
Typical for TPAsNot Typical for This Seat
- VCA ClaimsCoreWhere every claim is worked. Add ClaimsAI™ and it works inside the claim.
- InsuredConnectPolicyholder self-service
- ClientPortalClients see their claims
- ClaimsPayIssues payments from the claim
- VCA InsightsAnalytics across the book
- PolicyConnectNot typical for this seat
- DataBridgeNot typical for this seat
- LloydsConnectNot typical for this seat
ClaimsCore is complete on its own. Each add-on joins it when the work needs it. ClaimsAI arrives by the end of 2026.
Not Typical for This Seat
FEES AND PAYMENTS
Your Fees, Your Clients' Money
Time and expense are logged against the claim by client, and invoices are built from fee schedules and split across co-insurers where a program calls for it. ClaimsCore records every payment against the reserve it draws on, so each client's reserves, payments and invoices sit on the same claims your handlers work.
- Payments Through ClaimsPayClaimsPay, an add-on, issues the payment. Through VCA's partnership with Vitesse, announced September 16, 2026, a payment approved in VCA is issued without re-keying payment details between systems.How ClaimsPay Works →
- Your Ledger and Finance ToolsVCA runs the claims layer and posts insurance-ready claim financials to your general ledger or ERP over its API framework. Claim financials also go to Intuit QuickBooks, Sage or Bill.com.Every Integration →
- Subrogation and SalvageSubrogation and salvage recoveries are tracked from the recovery agent and key dates to funds received, and each one posts against the reserve it offsets.
WHY VCA
Why TPAs Choose VCA
For a TPA, each reason is a renewal question: whether the vendor knows the work your handlers do, how quickly a new program can be running, and how much of what you run has to change.
- Depth of Claims ExpertiseWe know claims from every seat we work with, and a TPA's desk is one of the busiest: many clients, each with its own authority, reporting and fees, worked by one team. An adjuster built VCA around the claim, and VCA has been building claims software for more than 20 years.Why VCA →
- Speed of ImplementationDiscovery comes first, so nothing is configured until the work is understood. Then you are live in weeks, and each new program is set up on the platform you already run.
- Capital EfficiencyThe claims layer goes in beside the ledger and finance tools you already run, with no suite to rip out. ClaimsCore is complete on its own, and each add-on joins when a client needs what it does.
Questions TPAs Ask
What should a TPA look for in claims management software?
One platform that holds each client's authority limits, assignment rules, fee schedules and service standards and applies them on every claim, a view for each client that you control, and a vendor that maps how your claims move before it configures anything. In VCA ClaimsCore each client has its own profile and rules, ClientPortal adds the client view, and every VCA implementation starts with discovery.
Can each client have its own authority limits, assignment and billing?
Yes. In VCA ClaimsCore, authority limits are configured per client or per program, claims can be assigned by client, and time and expense are tracked against the claim by client and invoiced on fee schedules. Each client has its own profile, and its rates, protocols and instructional documents carry into every claim handled for it.
Do our carrier clients get their own view?
Yes, with ClientPortal, an add-on to ClaimsCore. Each client gets a branded login to the claims that concern it, and you decide who sees what, by company, by claim and by tab.
Who decides which claims each client's portal users see?
You do. Portal access in ClientPortal, an add-on to VCA ClaimsCore, is granted per client representative and set by company, by claim and by tab, so each client's users see the claims you open to them. Notes marked Internal and non-billable time stay off the portal, and a document or report shows there only when it is flagged for it.
Can VCA produce Lloyd's bordereaux for our delegated authority programs?
Yes. You enter the Unique Market Reference one time, and from then on each claim written under it populates the bordereau as the work happens, whether the business is individual-risk or subscription market.
What happens when we win a new program?
You set up a new client on the platform you already run, in the no-code admin console of VCA ClaimsCore, starting from how that client wants its claims handled. Its profile is set up once, and your handlers work its claims in the same system as every other client.
Can we track each client's service standards?
Yes. Each client's SLAs and auto reminders sit on its own profile in VCA ClaimsCore, rules trigger messages and notes on the claim, reminders and calendar entries are generated automatically, and a live status monitor shows where claims stand. VCA Insights, an add-on to ClaimsCore, tracks caseloads, first-contact and reporting deadlines and file progression against thresholds you set, filtered by carrier, program and team.
Can we handle recoveries and litigated claims?
Recoveries, yes: VCA ClaimsCore tracks subrogation and salvage recoveries, from the recovery agent, status and key dates to funds received and disbursed, and posts each recovery against the reserve it offsets, with the net recovery shown on the claim. For litigated claims, Litigation and Defence flags mark the claims that need special handling and make them searchable, defense counsel and other attorneys are attached to the claim as contacts, and payments to attorneys are recorded on the claim.
Can we handle a CAT surge for a program client?
VCA ClaimsCore supports CAT work on the claim: each claim's loss details carry a Cat Code and Treaty Year, assignment rules route claims by loss location and adjuster workload, and a CAT claim team is set up for surge assignment and search. Ask VCA to walk your surge intake on a claim like yours.
How long does it take a TPA to go live on VCA?
Every implementation starts with discovery: VCA maps how your claims actually move, including each client's authority levels and reporting obligations, before anything is configured. A Standard License deployment configured to your workflows is live in 3 to 4 weeks. A TPA bringing several clients or programs side by side, migrated claim history or integrations is usually an Enterprise License deployment, at 8 to 16 weeks. Your band is scoped at quote.
Do our open and historical claims come with us?
Yes. Every VCA implementation has a data migration phase, and your open and historical claims move into VCA ClaimsCore during it.
Can we get our claims data out?
Yes, with DataBridge, an add-on to VCA ClaimsCore. It delivers your claims data into infrastructure you own, your own data warehouse or BI tool, as incremental extracts on a schedule you set, as often as hourly, with no API connectors for your team to build or maintain. What happens to your data at the end of an agreement, in what format, by when and at what cost, belongs in the agreement itself. Ask for it in writing, as you should of any claims vendor.
Who supports our team after go-live?
VCA client services, at clientservices@vcasoftware.com, once your claims are live. Configuration keeps evolving after go-live on one rule: configure what matches the work, skip the rest, add later. Support hours and response times belong in your agreement; ask to see them there.
Does VCA offer claims services as well as software?
No. VCA builds and supports claims management software, for TPAs and the other operations it serves. It has no adjusting arm, no TPA division and no claims services business of its own. Being a pure claims company, with no services arm competing with the people it serves, lets VCA stay on their side of the table.
Bring us a claim where the promise was hard to keep
Tell us which client's reporting eats the most hours and whose authority schedule changes most often, and we'll show you both set up on a claim like yours.
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