Workflow Solution · Built by Conestoga · For insurance agencies

A denied claim is a moment of truth. PolicyProof makes sure the denial actually holds up.

When a carrier denies a claim, most agencies don't have time to re-read the whole policy, declarations, base form, every endorsement, against the denial and state law. PolicyProof does it in seconds: a verified verdict, the exact policy language behind it, and a cited pushback draft. It's the read a twenty-year agent does in their head, available to everyone on the team.

The denial letter arrives. The clock starts. Nobody has time to check the policy line by line.

An independent agent's clients don't call the carrier when a claim is denied, they call the agent. But verifying a denial means reading the whole contract against the loss and against the state's unfair-claims rules, and the agents who reliably catch a wrong denial are the ones who know the policy cold. Most teams don't have that person available on every file. So marginal denials go unchallenged, and the client is left feeling that no one was on their side.

That feeling is expensive. Claims are the moment policyholders decide whether to stay, and the research is blunt about what a bad one costs.

83%
of consumers say they'd switch carriers after a poor claims experience.
InvoiceCloud, 2025 Consumer Claims Experiences Survey
41%
of policyholders who filed a claim were likely to switch insurers within 12 months.
Accenture, survey of 8,000 auto & home customers
52% vs 4%
at risk of leaving after a "poor" claims experience, versus just 4% after an "excellent" one.
J.D. Power, U.S. Claims Digital Experience Study

J.D. Power's own read on why claims go wrong points straight at the gap PolicyProof closes: the customers with the worst claims experiences are typically the ones who didn't understand their policy to begin with. An agent who can instantly surface what the policy actually says, and whether the denial is right, turns the worst moment in the relationship into the one that earns loyalty.

Two documents in. A defensible verdict out.

The policy and the denial are read in the browser, matched against the contract and the state's statutes, and returned as a verdict an agent can act on, nothing is stored.

Policy Declarations + 6 endorsements Read whole contract, line by line Match denial to policy language Check state unfair-claims statute Every quoted line verified word-for-word · nothing invented ● WORTH CHALLENGING Endorsement HW-04 restores the coverage the denial missed.
1

Add the two documents

Paste the text or drop in the PDFs, the policy and the denial letter. Read in the browser; nothing leaves the device.

2

The whole policy is read

Declarations, base form, and every endorsement, where coverage is so often quietly given back.

3

Verified against law & text

Measured against the state's unfair-claims statute; every quoted line matched word-for-word or flagged.

4

Verdict + a draft to send

Holds up, or worth challenging, with the exact language and a cited pushback letter ready for the agent to review.

A senior agent's read, in seconds

Illustrative, a water-damage denial run through PolicyProof, start to finish.

  PolicyProof, reading
Declarations & conditions read
All 6 endorsements read
State unfair-claims statute checked
● Worth challenging

The denial cites a blanket "water damage excluded." Endorsement HW-04 restores water back-up coverage the denial letter never addressed.

✍️ Draft pushback letter generated, cited to HW-04, ready for an agent to review and send.

Built to be trusted on a client's real policy

🔎

Verified, not guessed

Every policy line it quotes is checked, in code, against the document. If it can't be matched word-for-word, it's flagged, not shown.

⚖️

Checks real state law

Measured against your state's actual unfair-claims statutes, and blocked from citing any law it can't verify, one state per check.

🎯

Honest both ways

When a denial genuinely holds up, it says so, and why. No false hope, no manufactured disputes, that's what keeps agents trusting it.

🔒

Private by design

Documents are read in the browser and never stored. It's a client's policy, it shouldn't sit in a chatbot history.

👥

Levels up the whole team

The read that used to depend on your one veteran is available to every agent, on every file, on the first pass.

🔧

Fits your stack

Deployed on your own accounts and tuned to your states and lines of business, you own it and can walk with it.

Illustrative potential, modeled from industry data, not measured client results

Where an agency would feel it

~30 min → seconds

Agent time saved per review

A full policy read across declarations, base form and every endorsement, that a seasoned agent does in 20 to 40 minutes, returned in under a minute, so every denial can actually be checked.

Higher client trust

CSAT on the moment that matters

Claims dissatisfaction tracks with clients not understanding their policy (J.D. Power). An agent who shows exactly what the contract says, and fights a wrong denial, turns a low point into an advocacy moment.

Retention protected

Fewer clients walking after a denial

With 83% saying they'd switch after a poor claims experience and 41% of claim-filers likely to leave within a year, every wrong denial caught is a retained client, and a referral kept.

These figures are illustrative estimates to show where the workflow creates value; PolicyProof is a new tool and these are potential outcomes, not measured client results. Industry statistics cited from InvoiceCloud (2025), Accenture, and J.D. Power. Actual results depend on your book of business, states, and how the tool is deployed, we size it honestly on the call.

Want it run on one of your real denials?

That's a quick call. Bring a denial you're not sure about, we'll run it through PolicyProof together and you'll see the verdict, the policy language, and the draft. Thirty minutes, no pitch.