How to Identify Claims High-Risk Insurance Claims Faster and More Accurately
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The document outlines a process for rapidly and accurately identifying high-risk insurance claims using automation. It describes the steps involved, including accessing free form text, flagging risk indicators, correlating data with scanned documents, and alerting the right adjuster at the appropriate time. The goal is to minimize risk, reduce costs, and optimize resource allocation to prevent potential insurance claim issues.
How to Identify Claims High-Risk Insurance Claims Faster and More Accurately
- 1. How to Identify High-Risk Insurance Claims Faster and More Accurately
- 2. 2 High-risk insurance claims will wreak havoc if not detected quickly
- 3. 3 Early warning indicators are hidden in your insurance claims files
- 4. 4 Trillium will pinpoint them for youā¦faster and more accurately
- 5. 5 We automate the continual analysis of free form text and scanned documents across thousands of claims files ā the 50% of information you cannot reach today.
- 6. 6 Insurance Claims Adjuster Note Claimant complains of chron headaches, nausa and is having problems remembering things. Claimant has been prescribed morphine tabs and remains OOW. Step #1 ā Access Your Free Form Text
- 7. 7 Insurance Claims Adjuster Note Claimant complains of chron headaches, nausa and is having problems remembering things. Claimant has been prescribed morphine tabs and remains OOW. Step #2 ā Flag Potential Risk Indicators
- 8. 8 Insurance Claims Adjuster Note Claimant complains of chron headaches, nausa and is having problems remembering things. Claimant has been prescribed morphine tabs and remains OOW. We even pinpoint misspellings, abbreviations and vernacular Step #2 ā Flag Potential Risk Indicators
- 9. 9 Trillium combines data from multiple sources to analyze and generate results Medication Step #3 ā Correlate with scanned documents
- 10. 10 Minimize risk Step #4 ā Alert Right Adjuster at Right Time
- 11. 11 Minimize risk Reduce costs Step #4 ā Alert Right Adjuster at Right Time
- 12. 12 Minimize risk Reduce costs Decrease cycle time Step #4 ā Alert Right Adjuster at Right Time
- 13. 13 Minimize risk Reduce costs Decrease cycle time Maximize resource allocation Step #4 ā Alert Right Adjuster at Right Time
- 14. 14 Minimize risk Reduce costs Decrease cycle time Maximize resource allocation Develop timely action plans Step #4 ā Alert Right Adjuster at Right Time
- 15. 15 Look beneath the surface. Uncover hidden risks in your claims files before they wreak havocā¦