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Claims Compliance

State-Specific Diary Tracking That Enforces Compliance Automatically

Stop tracking deadlines manually. Let the system enforce them.

Every state has mandatory contact and response requirements for insurance claims. Missing these deadlines creates bad faith exposure, regulatory risk, and litigation vulnerability. ECode Pro calculates every required diary action at claim creation and enforces deadlines automatically — no adjuster has to remember anything.

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Claims Compliance — How It Works

State-specific requirements calculated and applied at claim creation automatically

Alerts fire 48 hours and 24 hours before every deadline to adjuster and supervisor

Overdue entries escalated to supervisor automatically — nothing stays invisible

Compliance rate tracked and reported in real time across the entire portfolio

Every diary entry immutable after submission — defensible audit trail

The Problem

Adjusters Are Individually Responsible for Tracking Dozens of Deadlines Across Every Claim They Handle

State deadlines not applied at claim creation — added manually later if remembered

Missed diary entries discovered during regulatory audits rather than prevented

No systematic record of what contact was made and when

Supervisors unable to monitor compliance without reviewing every file

One missed deadline on a significant claim creating bad faith exposure

The ECode Pro Solution

What ECode Pro Does Instead

State-specific requirements calculated and applied at claim creation automatically

Alerts fire 48 hours and 24 hours before every deadline to adjuster and supervisor

Overdue entries escalated to supervisor automatically — nothing stays invisible

Compliance rate tracked and reported in real time across the entire portfolio

Every diary entry immutable after submission — defensible audit trail

Feature Details

Everything Included

State Requirement Database

ECode Pro maintains built-in diary requirement rules for every state with unfair claims practices statutes. Requirements are applied based on the loss state at claim creation. Our team monitors regulatory changes and updates requirements as states amend their rules.

Automatic Deadline Calculation

Required contact dates, reserve review dates, and coverage decision deadlines are calculated at claim creation and displayed on the adjuster dashboard. No manual entry required.

48-Hour and 24-Hour Alerts

Every upcoming diary deadline triggers automated alerts at 48 hours and 24 hours before due — sent simultaneously to the adjuster, team lead, and supervisor. Nobody is caught off guard by an approaching deadline.

Structured Entry Format

Each diary entry captures: contact type, party contacted, method, outcome, and next required action. Structured data enables compliance reporting rather than free-text notes that cannot be systematically analyzed.

Automatic Supervisor Escalation

When a diary entry passes its due date without completion, ECode Pro escalates to the supervisor automatically. The missed entry is flagged in the compliance dashboard until addressed with documentation.

Compliance Rate Reporting

Diary compliance rates by adjuster, carrier, claim type, and date range are available as live dashboard metrics and exportable reports — ready for carrier audits and regulatory examinations.

We had a carrier audit ask for diary compliance documentation on 120 files going back 18 months. I pulled the report in four minutes. The auditor said it was the most complete compliance package they had seen all year.

Denise K.

VP Claims Operations

Results

What Organizations Experience

Diary compliance rate improved from 74% to 98.2% in 60 days

Supervisor compliance review time dropped from 4 hours to 30 minutes per week

Zero compliance findings on carrier audits after implementation

Bad faith exposure from missed deadlines eliminated

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Frequently Asked Questions

ECode Pro has built-in rule sets for every state with unfair claims practices regulations. The loss state is captured at FNOL and requirements are applied automatically. Our team monitors and updates rules as regulations change.

Yes. Carriers can have stricter requirements than state minimums. Carrier-specific diary rules are layered on top of state requirements — the more demanding standard always applies.

Late entries are accepted with a timestamped record of when they were completed. The late completion is logged in the compliance report. Patterns of late entries are surfaced in the adjuster performance scorecard.

See Diary Tracking in a Live Demo

Book 30 minutes and see how ECode Pro handles your claims operation end to end.

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