The same OS across every TPA
One member-facing layer, whichever partner handles the claim. No project per TPA, and no second trail to reconcile.
Gooclaim OS
Use case · Insurers
For insurers. One record, across every TPA you work with.
You carry the regulatory duty while the handling sits with your TPAs, each on a different system with a different trail. Gooclaim OS sits on top of them and keeps one audited record of what every member was told, and when.
IRDAI + DPDP by designPer-tenant audit ledgerTemplates only — no free text
The problem · in one number
8%
of health claims repudiated in a year
Each one can become a complaint, and a complaint is answered with a record: what the member was asked for, when it was sent, what they were told about the decision. When that record lives in four systems and somebody's sent items, the answer takes weeks to assemble.
IRDAI Annual Report 2024-25
What Gooclaim OS does for Insurers
The complaint has its own clock
A complaint is tracked against its own deadline, separately from the claim it came from, with the member's own words kept on the record.
Nothing leaves unchecked
Templates only, and a policy gate on every outbound message that matches each value to the record before it goes. Free text never reaches a member.
The NL-48 return, from the record
Built from the claims themselves rather than typed up, frozen with a checksum so the file you filed is the file you can show.
Consent before anything
DPDP consent is checked before a workflow runs. A document notice still reaches the registered contact, because that duty is not optional.
Isolated per tenant
One deployment serves every customer, and the tenant comes from the session alone — never from a header, a body or a setting.
Who this is for
Three people own this in your org.
Gooclaim OS shows up first for these roles — but the platform serves the entire claim chain.
Head of Customer Operations
Owns turnaround, complaint volume, and what a member hears while they wait.
Chief Risk / Compliance Officer
Owns the IRDAI position, the audit posture and DPDP readiness.
Chief Technology Officer
Owns the claims systems, the channels, and the integration queue behind both.
The duty is yours. The record should be too.
Your underwriting and pricing are not the problem. What is missing is one place that holds what every member was told, across every partner, ready the day someone asks.