The worst possible thing CAN happen.
When it does it can be very expensive.
As an executive, you can't wait for quarterly, semi-annual or annual audits to find out your adjusters are performing ineffectively.
ClaimMeasure - The Old vs The New
ClaimMeasure: A Paradigm Shift in Claim Audits
- ClaimMeasure is a tool for objectively measuring claim activities and claim handler performance
- SDRefinery AI reads and interprets every sentence written in ever claim note in every claim file
- Operational metrics are created to score both handlers and claims against the norms for any given population of claims
Claim Audits - The Old Way
Claim audits have been around since 1347!
The conventional process
- Select a sample of claim files
- Multiple people (with varying levels of experience) read and review the claim files
- Results from individual reviewers are aggregated through various means to form a conclusion
- The overall results are presented to management
- Management and reviewers argue about whether the sample was representative of the population
Technology - The New Way
Using SDRefinery’s AI creates enormous advantages
- Every sentence of every claim file is read
- Every claim file is read consistently
- The aggregate results for the population are created without bias
- Issues, problems and opportunities are identified for the entire population of claims
- Strengths and weakness of individual claim handlers are quickly identified
Which ClaimMeasure is Right for You?
General Liability - Primary & Excess
ClaimMeasure Workers Comp is a jointly developed and owned product
of SDRefinery AI and Milliman