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Claims Management Applications

Claims managers and claims administrators need a constant and accurate view of insurance claims status. They need answers to questions like:

  • How many claims are open and for how long?
  • What is the total incurred value and by location?
  • What is the frequency and severity?
  • What are the details of those claims by location, organization, loss type, and so on?

PureShare® ClaimsMetrics quickly enables specific views of metrics tailored to customers, departments, locations and/or business-specific interests, making the product ideal for Employers, TPAs, Pools who are experiencing information access challenges with product or service-specific reporting.

Proactively & Efficiently Monitor Claims

ClaimsMetrics allows all stakeholders in the claims process to:

  • Gauge all or any aspect of claims management and status at any time.
  • Monitor risk across the organization and at any level of detail required, giving executives a high-level status of exposure while managers can drill down to investigate what’s driving that status – right down to the performance of individual adjustors, regions, and clients. Gauge all or any aspect of claims status at any time.
  • Continually monitor key metrics to get answers that facilitate excellent decision making.
  • View key metrics at a glance through summary views, and drill down into details as required.
  • Deliver up-to-date status summaries and highly visual presentations of policy performance and status to a variety of groups or stakeholders.
  • Completely eliminate protracted manual reporting tasks, including requesting, assembling, analyzing, manipulating and managing spreadsheets and slide-ware.

Claims Management Benefits

ClaimsMetrics provides these benefits in claims management environments:

  • Industry-specific pre-packaged best practice metrics to enable proactive loss and litigation control among other cost savings opportunities.
  • Fully automated collection and consolidation of data from multiple Risk Management Information Systems (RMIS) and other data sources. This eliminates latency in reporting, enabling stakeholders to respond to trends and leading indicators of exposure.
  • Specific views of metrics tailored to customers, departments, locations and/or business-specific interests, making the product ideal for joint powers authorities (JPA), employers and third-party administrators (TPA) that are experiencing challenges with information access.
  • Pre-integration with all major commercial RMIS systems.