Press Release: Claim Analytics and Munich Re Join Forces
Munich Re has announced an exclusive arrangement with Claim Analytics to help clients more efficiently and effectively manage Long-Term Disability claims. Learn more >
Benchmarking: 2013 US Group LTD Experience and Trend Study
The 2013 US Group LTD Experience Study compares claim outcomes across nine major American insurers. Participation was by invitation only, and all nine insurance companies agreed to participate. We estimate that these insurers collectively represent more than 40% of the Group LTD benefits market in the United States. Download 2013 LTD Experience and Trend Study
One-Minute Claims Manager – Claims Scoring in Operations
Barry Senensky and Jonathan Polon
Produced in conjunction with Munich Re, this paper is an operational view of how to apply disability claims scoring to improve claims management. Download PDF
Dental Insurance Claims: Identifying Atypical Claims Activity in Healthcare
Barry Senensky and Jonathan Polon
Written in 2007 and still ahead-of-the-curve! Through analytical techniques such as principal components and clustering, this predictive model considered the entire claims portfolio of over 1,500 dentists. The model proved to be very effective in identifying practitioners whose portfolio of claims differed significantly from the norm. This approach catches never-before-encountered fraudulent activity, and is much more powerful than traditional rules-based approaches in detecting atypical patterns. Download PDF: Identifying Atypical Healthcare Claims
Using text mining to model claim severity: A case study
Jonathan Polon
This case study revealed the power of using text mining (e.g. including case notes in the model) when modeling claim severity! Text Mining Case Study – Polon
2012 US Benchmarking Report – Short Term Disability
Barry Senensky and Jonathan Polon
The 2012 US Group STD Benchmarking Study compared claim outcomes across a group of insurance companies that collectively represented more than 75% of the U.S. Group STD benefits market. Participants were able to:
- learn how their experience compared to the group as a whole
- gain insight into performance differences, and
- identify areas with potential for improvement.