CTClaimThreadOne continuous claim record
Australian claims infrastructure

One claim record. Every party. Every decision.

ClaimThread is a shared, permissioned claims workspace designed to connect evidence, functional impact, policy tests, workflow and decisions across superannuation and life insurance claims.

Claim-centred workspaceEvidence provenanceAustralian reference intelligence
A shared operating layer

The claim becomes the workspace.

Instead of separating evidence, requests, medical information and decisions into disconnected tools, ClaimThread keeps them connected to one governed claim record.

01

Evidence with context

Track what exists, what is missing, who holds it, why it matters and which assessment area it supports.

02

Health → function → work

Keep the claimant/member story, clinical facts, functional impacts and material duties distinct but connected.

03

Decisions with provenance

Preserve reasons, evidence considered, evidence excluded and the decision trail rather than only storing final letters.

Connected workflows

Each step creates the next useful action.

RequirementWhat needs to be established
EvidenceWhat is already available
GapWhat is still missing
RequestWho needs to provide it
AssessmentHow the evidence maps
DecisionReasoned and reviewable
Built for a multi-party claim

Different views. One underlying record.

ClaimThread is designed around the reality that trustees, insurers, administrators, claimants/members, clinicians, assessors, employers and advisers need different access to the same claim.

Super trustees

A clearer line of sight across insurer handling, evidence, review and member experience.

  • Shared claim chronology
  • Evidence gaps and requests
  • Decision and review trail

Insurers & administrators

A structured workspace for evidence collection, assessment and workflow without replacing core systems on day one.

  • Policy and evidence context
  • Functional assessment support
  • Tasks, requests and communications

Claimants/members & advisers

A simpler view of what has been provided, what is outstanding and what happens next.

  • Health and functional story
  • Document and request visibility
  • Clear next actions

Clinicians & assessors

More focused requests built from the live claim context rather than generic forms.

  • Contextual clinician questions
  • Material-duty links
  • Evidence provenance
Platform architecture

A layer above existing claims systems.

ClaimThread is designed to sit above existing policy administration, CRM and claims platforms, connecting the record rather than requiring an immediate core replacement.

Claim recordidentity · parties · dates · stage
Evidencedocuments · provenance · gaps · requests
Assessmentpolicy tests · function · contradictions
Workflowtasks · communications · who has the ball
Governancedecisions · consent · permissions · audit

Australian context, not hard-coded assumptions.

Reference data and interoperability are surfaced inside the claim workflow where useful, while underlying catalogues and ingestion remain administrative infrastructure.

SuperannuationLife insuranceANZSCO / occupationFHIR / AU health standardsPolicy versions
Trustee governance

SPS 250 makes claims governance a trustee responsibility.

APRA requires an RSE licensee to document its approach to claims management regardless of who handles claims, monitor insurer performance, and maintain durable claims records. ClaimThread is designed to make that oversight operational and inspectable.

See trustee oversight →

From delegation to evidence.

Insurer handling, trustee review, service monitoring, evidence gaps, decision provenance and complaints stay connected to one claim record.

SPS 250SIS Act s 52(7)(d)AFCA review
Available in the current build

Claim workspace, evidence gaps, requests, documents, health story, functional impacts, policy analysis, decisions, claim packs, Australian reference lookups, and admin-only manual FHIR import with consent/identifier structures.

Architecture-ready

Live connected health-record pathways, Australian digital-health interoperability foundations and future accredited external integrations.

Production hardening still required

End-user identity, production-grade object permissions, migrations, operational security controls and accredited live health-system connectivity.

See the claim record in action.

Explore the current ClaimThread workspace and the connected evidence-to-decision workflow.

Open workspace →