RUI Blog

When claims surge, insurers need proactive support

Written by RUI | Oct 28, 2026, 1:17:53 AM

Imagine a common scenario: an insurance policyholder calls to check on a claim. They’ve reported the damage, and the claim is underway, but the silence has left them wondering what is happening. Has anything changed? Is there anything they should do next?

Waiting is part of the claims experience, and clear communication during that time can shape how policyholders view their insurer. Even when a claim is complex, proactive check-ins can offer reassurance at a critical moment and help protect trust. Support should not begin only when a policyholder picks up the phone. Insurers can reach out before policyholders have to ask, providing timely updates and making the next steps easier to understand.

Why a reactive model falls short

Rising claim volumes can make it harder to respond quickly and consistently. Waiting for policyholders to reach out, however, can create an endless cycle of limited updates and more status-check calls. This puts additional pressure on already busy service teams and may lead to frustration.

Behind a routine status question, there may be deeper concerns about a home, vehicle, family, or financial security. Proactive support can't always remove the underlying stress or guarantee an easy answer. But it can offer a human point of connection when policyholders need it most.

What proactive support looks like across the claims journey

A stronger model reaches policyholders at meaningful moments throughout the claims journey, not simply by sending more messages.

The table below illustrates how proactive support might look at different stages:

Moment
What the policyholder may need  Proactive support can…
After a claim is reported Confirmation and an understandable next step Acknowledge receipt and explain what happens next
While the claim is being reviewed A realistic sense of timing and progress Share updates, including when there is no major change
When more information is needed Clear instructions and a way to ask questions Explain what is needed, why, and how to provide it
When circumstances change Reassurance that the issue has not been lost Communicate the change and clarify the next point of contact or action


In every moment, transparency can help build trust. Silence does not. Even when there is no meaningful update, a brief touchpoint can acknowledge that the policyholder is waiting, provide a human connection, and give them an opportunity to ask questions.

Prepare teams to respond before the queue spikes

Another way to build proactive support is through preparation. When teams are ready to handle unexpected increases in claim volume, insurers can protect a more consistent brand experience, even during high-pressure periods.

Equip agents with context and clear guidance

Agents need quick access to relevant policyholder and claim context. Guidance should be current and specific about what agents can communicate and when they should escalate.

Scenario-based training helps teams prepare for common questions, sensitive conversations, and high-stakes events. Above all, agents should work to practice judgment and empathy, not just script adherence.

Use technology to support human judgment

Technology and AI-powered insights can help agents make better-informed decisions, but they should support human judgment rather than replace it. At RUI, these tools help surface real-time customer context and behavioral signals, enabling agents to provide accurate, consistent information in the moment.

Agents should also be trained to recognize signs when a conversation calls for escalation or additional care.

Scale the response (without losing quality or empathy)

During a claims surge, insurers may need to expand support quickly. The challenge is meeting the moment while maintaining consistency and protecting customer data.

A scalable model depends on several connected elements:

  • Focused training. Role-specific refreshers help teams add capacity without lowering service standards.
  • Adaptable technology. Flexible systems can absorb changing demand while fitting into existing workflows and protecting sensitive information.
  • Defined processes. Clear workflows show teams what to resolve and when to involve specialized support.
  • Ongoing quality monitoring. Reviews and performance signals help leaders catch issues early and adjust support as demand changes.

Claims can surge for many reasons, and the resulting interactions may range from routine coverage questions to conversations related to catastrophic events. Preparedness should account for that range, with clear escalation paths for complex or urgent cases.

Successfully scaling support goes beyond handling more interactions. It means maintaining useful, accurate, and brand-aligned communication as demand changes.

Claims support can influence the whole policyholder relationship

Policyholders experience billing, coverage questions, claims, and renewal as part of one relationship.

In practice, a misstep in one part of the experience can influence how policyholders perceive the insurer as a whole. That impression may influence how they approach the relationship when renewal comes around.

While proactive communication cannot guarantee retention, it can help preserve trust beyond the immediate claims.

Make the next step easier to see

Insurers may not be able to prevent every delay or difficult outcome, but they can make the experience easier to navigate by keeping policyholders informed and showing them what happens next. RUI helps insurance brands deliver proactive, transparent support at scale while maintaining quality, compliance, and empathy across every interaction. Connect with RUI about your insurance customer experience.