Claim Analytics Inc Information

Claim Analytics is a leading innovator and provider of in-depth expertise in advanced predictive modeling to major insurance companies. Claim Analytics solutions offer competitive advantage through claim scoring, pricing, reserving and fraud detection. Actuarial knowledge, combined with predictive modeling expertise, positions Claim Analytics well to overcome industry-related challenges and drive business results. CLAIM SCORING The accurate and objective measurement of disability or workers compensation claims in order to optimize all claim management resources. CLAIM APPROVAL A process of prediction that determines if a newly reported LTD claim will likely be approved. It quantifies patterns in historical approval decisions and applies them to score newly reported claims on the likelihood that they will be approved. PRICING The pricing approach harnesses advanced pattern-detection tools to identify and quantify, simultaneously, complex relationships among multiple claim factors. RESERVING The Claim Analytics approach is to apply advanced predictive modeling techniques to determine precise, claimant-specific termination rates. FRAUD DETECTION The Claim Analytics approach provides a second layer of protection for insurers and detects novel and undetected schemes that a rules-based approach will miss.