Your Best Adjusters Are Overloaded and Your Least Experienced Ones Are Underutilized — Because Nobody Can See the Full Picture
Manual claim assignment is one of the most time-consuming and error-prone processes in claims management. A new claim comes in. Someone decides who to assign it to, usually based on who they know is available — not who actually has capacity. The same three adjusters get the complex files because they are trusted. New adjusters sit at 60 percent utilization while veterans are at 120 percent.
The result is predictable: your best adjusters burn out, your developing adjusters do not grow fast enough, and claims fall behind because no one caught the utilization imbalance before it became a performance problem.
ECode Pro's assignment engine makes assignment decisions based on objective data — expertise match, current claim count, performance history, license state, and carrier-specific requirements — and surfaces the right adjuster for every claim without anyone having to check a spreadsheet.
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Every Feature You Need
No add-ons. No hidden tiers. Everything below included with every ECode Pro subscription.
Auto-Assignment Engine
New claims are routed automatically based on adjuster expertise tags, current claim count versus target capacity, license state for the loss location, and carrier-specific adjuster preference lists. The right adjuster gets the claim without anyone having to think about it.
Real-Time Utilization Dashboard
Supervisors see exactly how many active claims each adjuster is carrying, their utilization percentage versus target capacity, and which adjusters have bandwidth for new assignments — all updated in real time as claims open and close.
Manual Override
Supervisors can override any auto-assignment with a single click and reassign a claim to a different adjuster. The reason for reassignment is logged. Auto-assignment rules continue to apply to new incoming claims.
CAT Surge Scaling
During catastrophic events, the assignment engine can be switched to CAT mode — which reassigns territory boundaries, expands adjuster capacity targets, and routes all new claims to the CAT pool. Scaling up takes minutes, not days.
Workload Balancing Alerts
When any adjuster reaches 90 percent of their target capacity, supervisors receive an automatic alert. The system suggests available adjusters for redistribution. No claim falls behind because a bottleneck went unnoticed.
Performance-Based Routing
Over time, ECode Pro tracks each adjuster's cycle time, supplement rate, and customer satisfaction by claim type. High-complexity claims can be automatically routed to adjusters with the strongest performance record for that type.
35% Reduction in Average Days to Close Through Better Assignment
National TPA Services manages claims for 11 carrier clients across 28 states with a team of 34 adjusters. Assignment was handled manually by two supervisors who divided their day between claim reviews and adjuster management. Utilization was inconsistent — senior adjusters averaged 118 percent of target capacity while junior adjusters averaged 64 percent.
After implementing ECode Pro work queues, utilization variance across the team dropped from 54 percentage points to 12. Claims assigned to appropriately matched adjusters closed 35 percent faster on average. Both supervisors redirected the time previously spent on assignment management to quality review and adjuster coaching.
See How It Works →Frequently Asked Questions
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