Project Overview
A UK FCA-authorised legal expenses insurer (LEI) providing after-the-event (ATE) legal expenses insurance and ...
Technology Stack
Compliance & Standards
The Challenge
A UK FCA-authorised legal expenses insurer (LEI) providing after-the-event (ATE) legal expenses insurance and before-the-event (BTE) add-on products needed to build a digital claims and policy management platform. FCA ICOBS (insurance conduct), FCA Consumer Duty PS22/9, SRA (Solicitors Regulation Authority — panel solicitor oversight), Legal Aid rules (some LEI interacts with legal aid), UK GDPR, AML MLRs 2017, and WCAG 2.1 AA were mandatory. Budget: £120,000.
Our Approach
LEI product types
- 1BTE (Before the Event) — bundled with motor/home insurance, covers legal expenses if dispute arises,
- 2ATE (After the Event) — purchased after a legal event occurs (employment dispute, personal injury), covers legal costs if case is lost.
Digital platform
- 1BTE policy management (automated add-on to motor/home policies — via insurer API),
- 2ATE quote and bind (risk-rated quote — claim type, strength of case, opponent type — manual underwriting for complex cases),
- 3panel solicitor allocation (automated matching of claim to approved panel solicitor — SRA-regulated),
- 4case management (claim progress tracking — pre-litigation, litigation, settlement, appeal),
- 5cost approval (solicitor requests costs approval — automated for standard costs, manual for disbursements > £5,000).
Panel solicitor management
LEI insurers maintain a panel of SRA-regulated law firms for different legal matter types.
Panel management
- 1SRA verification (SRA online register API — verify firm is SRA-regulated, not subject to intervention),
- 2area of law categorisation (employment, personal injury, property, commercial — panel solicitors listed by specialism),
- 3firm performance monitoring (success rate, average settlement, client NPS, cost management — panel scorecard),
- 4matter allocation (claim → area of law → geographic matching → panel firm selection by availability and performance score),
- 5annual panel review (performance data → retain or remove from panel).
SRA compliance
panel solicitors must verify Practising Certificates annually — automated SRA API check at renewal.
FCA Consumer Duty for LEI
legal expenses insurance is a complex product with significant Consumer Duty obligations.
Consumer Duty LEI design
- 1product suitability (BTE add-on — consumer must understand what legal expenses insurance covers before purchase — not just bundle it silently),
- 2coverage disclosure (clear explanation of what is and is not covered — Legal Expenses Insurance Group guidelines),
- 3panel solicitor choice (consumer must be informed they can choose their own solicitor if panel solicitor is not appropriate — EU Insurance Distribution Directive retained in UK),
- 4cost transparency (approved costs disclosed at case acceptance — consumer knows their maximum liability),
- 5claim rejection (rejection must include reason, appeal right, and FOS referral right).
LEI claims triage
not all claims are fundable — prospects of success assessment required.
Claims triage
- 1merits assessment (probability of success > 51% required for most LEI policies — initial triage by claims handler, supported by AI first-pass),
- 2coverage check (does the claim fall within the policy wording? — automated policy wording match),
- 3funding authority (within approved costs limit?),
- 4opponent assessment (deep pocket opponent — costs risk assessed),
- 5conflicts check (LEI insurer must not fund a claim against their own policyholder).
Litigation funding platform
approved claim → panel solicitor allocated → funding authority granted → costs drawn down as case progresses → settlement → costs reconciliation.
The Results
FCA ICOBS and Consumer Duty compliance confirmed.
Platform live at 20 weeks, £112,000 — under budget. 28,000 active cases.
SRA verification: 100% of panel solicitors.
ATE bind time: 4.2 hours → 28 minutes.
Case triage (AI first-pass): 84.2% automated (15.8% manual review — complex merits).
Consumer Duty: own solicitor right disclosed 100%.
FOS referral right: 100% of rejections.
SRA panel performance scores live.
FCA ICOBS compliance confirmed.
NPS: 72.
“28,000 active cases. ATE bind 4.2 hours to 28 minutes. Triage 84.2% automated. Own solicitor disclosure 100%. SRA verification 100%. Consumer Duty confirmed. NPS 72. The own solicitor right — Consumer Duty requires informing every claimant they can choose their own solicitor rather than a panel firm — is the disclosure that builds trust. Clients who know they have a choice and still choose the panel are genuinely choosing it. That is informed consent. ClickMasters built it in from Sprint 1." — CEO, UK Legal Expenses Insurer (name withheld)”
Project Details
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