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Workflow automation for UK service businesses. Created in the UK.

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  3. Insurance
  4. Claims Settlement Workflow
Insurance

ClaimsSettlementWorkflow
Faster,FairerSettlements

Structure the journey from reserve to payment with configurable approval chains, automated payment processing, and full FCA-compliant audit trails.

Approval ChainsPayment Automation
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Insurance Solutions

Unstructured settlement processes delay payments and increase costs

Settlement is where claims handling meets financial control. Without structured workflows, authority limits are informally managed, payment approvals happen over email, and the audit trail is scattered across systems. This delays payments to policyholders — directly conflicting with FCA Consumer Duty expectations — and increases the risk of overpayment or leakage.

Informal authority management

Handler authority limits are often managed via spreadsheets or tribal knowledge. Breaches are caught late, if at all, creating financial control and compliance risk.

Email-based approvals

Settlement approvals happen in email chains, making them slow, unauditable, and easy to miss — especially when approvers are out of office.

Payment processing delays

Manual payment instruction creation and multi-system data entry mean policyholders wait days between approval and receipt — damaging satisfaction and increasing complaints.

Weak audit trail

Settlement rationale, reserve movements, and approval decisions are captured inconsistently, making it difficult to evidence fair treatment during FCA reviews.

How SwiftCase handles it

Purpose-built capabilities — not generic templates you have to work around.

Configurable authority matrix

Define settlement authority limits by handler grade, claim type, and reserve band. The system enforces limits automatically — no payment can proceed without appropriate sign-off.

Structured approval workflows

Multi-stage approval chains route settlement requests to the right authority level. Approvers can review, amend, or reject within the platform with full rationale capture.

Automated payment processing

Generate payment instructions in the format required by your finance system or payment provider. Support for BACS, faster payments, and cheque runs.

Consumer Duty evidencing

Capture settlement rationale, fair value considerations, and vulnerability flags at point of decision. Produce MI reports demonstrating fair treatment outcomes.

Reserve tracking

Track reserve movements through the claim lifecycle with automatic alerts when reserves breach notification thresholds for reinsurance or excess-of-loss treaties.

Expected outcomes

60%
Faster approval-to-payment cycle
In-platform approvals and automated payment instruction generation reduce the time between settlement decision and policyholder payment.
100%
Authority limit compliance
System-enforced authority matrices mean every settlement payment has the correct level of approval — no exceptions, no workarounds.
35%
Reduction in settlement-related complaints
Faster payments, clearer communication, and consistent decision-making reduce the volume of complaints reaching your FCA reporting threshold.

How it works

01

Settlement prepared

The claims handler documents the settlement rationale, proposed payment amount, and any applicable deductions (excess, contribution, salvage credit). Reserve is reviewed and adjusted.

02

Authority check & routing

The system checks the payment amount against the handler's authority limit. If it exceeds their level, the settlement is routed to the appropriate approver based on the authority matrix.

03

Approval & sign-off

The approver reviews the claim file, settlement rationale, and supporting evidence. They approve, amend, or refer back — all within the workflow with timestamped rationale.

04

Payment processing

On approval, the system generates a payment instruction in the required format and submits it to the finance system or payment provider. The policyholder is notified of the payment.

05

Case closure

Once payment is confirmed, the claim is closed with a complete audit record — settlement rationale, approval chain, payment confirmation, and final reserve position.

Related Insurance workflows

Claims Triage Automation

Feed the settlement workflow with properly triaged and segmented claims, ensuring the right authority levels are engaged from the start.

Learn more

Insurance Complaints Management

Handle settlement-related complaints within a structured FCA-compliant process, with full visibility of the original settlement decision.

Learn more

Insurance Document Generation

Auto-generate settlement letters, payment confirmations, and closure notifications from the claims data.

Learn more

Free tools

Try these tools to assess and improve your operations.

Workflow Mapper

Map your processes visually and export a professional PDF.

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Meeting Cost Calculator

See the true cost of your meetings and find savings.

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BCP Builder

Generate a Business Continuity Plan tailored to your organisation.

Try free

Frequently asked questions

Yes. The authority matrix supports different limits by claim type, peril, line of business, and handler grade. You can also define escalation paths for specific scenarios like bodily injury or third-party claims.

The system supports multiple payment stages per claim — interim payments, part settlements, and final settlements — each with their own approval workflow and running total tracking.

Yes. SwiftCase generates payment instructions compatible with major finance platforms and supports BACS file generation, faster payment APIs, and manual cheque request workflows.

At each stage of the settlement workflow, handlers and approvers are required to provide structured rationale covering the basis of settlement, fair value assessment, and any vulnerability considerations. This data feeds directly into Consumer Duty MI reporting.

Structure your settlement process

See how SwiftCase enforces authority limits, accelerates payments, and provides the audit trail your FCA supervision team needs.

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Insurance Solutions