February 2018 – Auto-Segmentation of Claims

By Jonathan Polon The application of predictive modeling to segment disability claims has come to be considered best practice since the approach was first introduced in the early 2000s. This presents an opportunity to improve current claims management practices for Short-Term Disability claims by developing an auto-segmentation model. As Short-Term Disability claims are very transactional […]

January 2018 – Extended Duration Claims Management

This partnership offers clients an integrated and seamless process, providing as much control as is desired. Clients have the option to proceed with any or all components of this offering. Predictive Analytics Technology is utilized to segment the claim block into three categories: Settlements – Claimants who are not too old, not too sick, and maybe […]

December 2017 – Being Predictive & Analytical

In our experience, many insurers are engaged in either consuming or producing predictive analytics in an attempt to produce better returns. These insurers have a strong point of view about build-versus-buy and have addressed the questions introduced in this article. The only question that remains is whether it is working. The answer is, they aren’t […]

November 2017 – Scary Monster Claimants

Scary Monster Claimants The Ability to Ask a Question In the ‘old-school-of-claims-management’, we would use a device called a ‘telephone’ to call the claimant and ask them questions. I bet that an experienced claim manager would be able to assess a claimant’s motivation after about 30 seconds of conversation, asking a few pointed questions, drilling […]

October 2017 – Measuring Motivation

Attitude Is Everything An individual’s motivation is so important when we are discussing ‘return to work’, yet in the claims management process we do not assess, measure, or quantify this factor! Typically, when we look at the claims data used to build predictive models, it’s really rather thin. The systems we use in claims management were designed […]

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