Extended Duration Claim Shop

The Claim Lab has partnered with a leading Third Party Administrator to bring you an innovative method of managing your Extended Duration Claims.

ED Segmentation
Segmentation with Predictive Analytics:
  • Return to Work – Outliers which should not be there, perhaps they slipped through the crack – perhaps they have got better but no one asked, and now have the capacity to work.
  • Settlement – Claimants who are not too old, not too sick, and maybe want a reason to try something, a settlement may be attractive to them!
  • Re-Certification – Claims that are not suitable for the other two segments are re-certified as still being eligible for benefit and will be provided with continued support.                       
Expert Claims Management
With claim experts focused on the 10% of Extended Duration claims identified as ‘opportunities’ by the analytics, the teams have achieved “eyewatering” ROI.The Settlement Team will work through claims highlighted by the analytics, using a proven process, and offer non-disputed settlements to selected long term claimants. The team will work closely with the client to ensure that any settlement is with a set of agreed parameters.The Re-Certification Team will conduct comprehensive claim reviews and manage claims identified as needing additional risk analysis. The team researches and takes appropriate action on claims, including integration and coordination with clients’ investigative process.This combination of skills will provides a one stop-shop for managing Extended Duration Claims, which is robust and sustainable: this is The Extended Duration Claims Shop!

Improving Data Quality

The Claim Lab has developed questionnaires designed to capture additional data items that drive claim duration. These techniques are applied to Extended Duration Claims to enrich data quality, and improve predictive model accuracy.

When applied at regular time intervals, these questionnaires can help build up a wider timeline of a claimant’s situation, severity, and capacity.

The Process

The Extended Duration Shop offers clients an integrated and seamless process, providing as much control as is desired. The stages in the process are shown below.

ED Process

Unique Combination of Skills

The Extended Duration Shop brings a new laser-like focus on Extended Duration Claims, unlocking valuable resources, and providing eyewatering ROIs. True innovation in the claims industry!

For more details: info@claimlab.org

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