Atrium scales TPA oversight and claims-cost management with QualRisk

QualRisk, a specialist in insurance technology and consulting, today announces the successful deployment of Claims Pulse, its AI-powered claims platform, with Atrium, the leading specialty insurer at Lloyd’s. Claims Pulse addresses one of the market’s most persistent operational challenges by providing scalable oversight of delegated claims authority without the limitations of traditional manual audit.

The Business Challenge

Andrew Johnson, Head of Claims Operations at Atrium, comments,

“At Atrium, we believe better oversight doesn’t come from more process, but from smarter capabilities; that’s where Claims Pulse comes in. By removing the constraints of traditional claims audit, we are re‑defining delegated claims oversight, moving beyond manual audit to a scalable, data‑driven approach that enhances control, consistency and trust across complex risk portfolios.”

How Claims Pulse Works

Claims Pulse ingests, structures, and synthesises claims data from multiple sources, applying prompt and context engineering to ensure comprehension of complex commercial claims, while remaining efficient and cost-effective.

“Our platform thinks like a senior internal claims lead or external auditor,” explains Mike Allwright Chief Product Officer at QualRisk. “It surfaces performance issues for immediate action or ongoing improvement and segments key metrics into a clear dashboard. Audit coverage can scale to 100% of claims, continuously, if required. We connect directly into TPA underlying systems, enabling comparative oversight across all DA partners, at scale. This is the world’s first application of technology to solve this business challenge.”

Proven Outcomes

“Claims Pulse has already identified meaningful cost savings that traditional audit would not have surfaced at this scale or speed. We’ve rolled it out with a key TPA, with further expansion planned. I think that the most significant opportunity is still ahead: with continuous, real-time oversight now in place across our DA portfolio, we’ll be able to add real value to our policyholders when the next catastrophe event strikes — in faster recovery identification, coverage application, and authority decisions made with data to supplement judgement and experience” said Johnson.

Rosie Denée, Director of Innovation and Commercial Education, Lloyd’s

“QualRisk are a Lloyd’s Lab Cohort 14 alumnus with a clear ambition to tackle the persistent market challenge of scalable oversight of delegated claims authority. Claims Pulse addresses a genuine operational need for Managing Agents, and its use of AI to support claims oversight reflects the kind of, market-ready solutions the Lab is designed to help accelerate. It’s encouraging to see QualRisk building momentum within the Lloyd’s market following the programme.”