DESKTOP CLAIMS
Desktop Adjusting
Structured remote claim review for organizations that need efficient file development, documentation analysis, follow-up, and resolution support without sacrificing quality or auditability.
BUYER LENS
Know what this service should answer before you scope it.
What field or file facts must be developed so the claim can move forward under the client's authority and guidelines?
Good reasons to start here
- Physical documentation or scope development is needed.
- A remote file needs structured development, review, or follow-up.
- Estimate, inspection, or quality questions need a documented handoff.
What to have defined
- Assignment scope and applicable authority limits.
- Known file documents, loss context, and client instructions.
- Required reporting, estimate, documentation, or escalation rules for the program.
What this should inform
A more complete claim record, inspection record, scope, review, or documented handoff for the client to act on.
ACCOUNTABLE OWNERCarrier, TPA, or authorized claims program owner.CAPABILITIES
Disciplined support built around the matter.
MODLAN scopes each engagement to the authorized assignment, applicable requirements, available evidence, and client objectives. Work is documented for clarity, defensibility, and appropriate downstream review.
Document reviewEstimate and scope reviewRemote follow-upClaim-support documentationChronology developmentQuality-control review
WHEN THIS SERVICE FITS
Built around a defined operational question.
- The file can be developed remotely from existing documentation and authorized follow-up.
- A program needs structured review capacity without a field visit on every file.
- The claim record has gaps that can be resolved through controlled desk activity.
SCOPE
What the engagement can include.
The exact scope is established by the authorized assignment, applicable licensing or professional requirements, and client guidelines.
OPERATING MODEL
Controlled from assignment through handoff.
Intake
Confirm the assigned questions and available file material.
Review
Build an organized view of the record, chronology, scope, and missing information.
Resolve
Perform authorized follow-up and document what was established or remains outstanding.
Return
Provide findings and file status through the approved workflow.
WORK PRODUCT
What the matter can produce.
- Structured file findings
- Chronology or issue summary where appropriate
- Documented follow-up
- Outstanding-item list
CONTROL BOUNDARY
What keeps the work defensible.
- Access is limited to the authorized matter.
- Sensitive data remains in approved systems and secure exchange paths.
- No fixed service level is represented publicly.
- Escalation to field, SIU, or specialist work is documented rather than implied.
SERVICE FAQ
Procurement and operating questions.
Is desktop adjusting only estimate review?
No. It can include broader authorized file development, document analysis, follow-up, and issue resolution.
When does a file move to field handling?
That depends on the assignment, available evidence, client guidelines, and what cannot be resolved remotely.
Can desktop review support SIU?
It can support the claim record, while investigative activity remains a separately controlled function.
Can this integrate with our claim system?
MODLAN is engineering adapter-based workflows for approved carrier and TPA systems rather than requiring duplicate manual entry where integration is available.
WHERE THIS SITS IN MODLAN
TPA / Claims / Adjusting
Develop and administer the claim record under the client’s authority and guidelines.
Explore the operating family →CLAIMS OPERATIONSTechnology relationship
CST or integration services may add approved intelligence or interoperability, but they do not replace claim authority.
View the full MODLAN service ecosystem →HOW THIS SERVICE CAN SCALE
From assignment to enterprise program—without changing who owns the decision.
A defined objective, scope, owner, evidence/data path, and handoff for a specific matter or task.
Recurring or overflow use of the same capability under established client rules, controls, and escalation paths.
The service becomes one governed lane inside a broader multi-service operating model with explicit dependencies.
PROCUREMENT & IMPLEMENTATION
Questions to resolve before this service enters production.
Enterprise delivery depends on the operating context around the service—not merely the capability itself.
PROGRAM FITAdjusting Program
Explore program architecture →See how this capability fits into field, desktop, review, QA, and specialty adjusting operations.
DECISION CONTEXT
This service does not operate in isolation.
The engagement should connect to the correct buyer, adjacent operating layer, and assurance boundary without blurring professional authority or the source of record.
ENTERPRISE JOURNEY
Connect this service to the rest of the operating model.
Move from service selection into the adjacent operational, evidence, integration, assurance, or intelligence layer that the matter actually requires.
MODLAN SYSTEMS
Bring the right people, evidence, and intelligence to the problem.
Contact MODLAN to discuss the authorized scope, geography, timing, and operational requirements for your matter.