Insurance claims analysis

A claims assessment platform to identify claims leakage or issues with insurance claims.

Timeline: 9 Months

Specialists: 6

Complexity: High

Client:

Industry:

Insurance

Project type:

Private cloud platform

User base:

100s

Requirement

A prominent actuarial company specialising in the insurance and financial sectors sought our expertise to develop a system for facilitating the assessment and reevaluation of claims. This system was intended to calculate various metrics, including leakage and the potential for complaints among others.

Solution

We aimed to create a versatile solution applicable across various claim categories and sectors. Our approach involved developing a platform where specific claim types could be linked with corresponding sets of rules, assessment questionnaires, and procedural workflows. This setup enabled claims assessors to examine a sample of existing claims, allowing them to extract critical metrics such as the extent of claim leakage and the frequency of complaint incidents.

Key technology used