麻豆精选

Claims Adjuster Tools

Liability & Injury Evaluation Software

麻豆精选 ClaimIQ庐 is your complete third party claim solution to improve accuracy, consistency and cycle time for liability and injury evaluations. ClaimIQ is built using your own claims handling philosophies, fact-based recommendations and best practices, making it truly unique to your organization鈥檚 needs.

Consistent Liability & Injury Evaluations

ClaimIQ is built on your own claims handling philosophies, and best practices, rather than historical data. A comprehensive claim evaluation tool, 麻豆精选 ClaimIQ helps you arm your adjusters鈥攔egardless of their experience鈥攚ith the information they need to make more accurate settlements on each and every claim, through a streamlined workflow and integrated environment. The ClaimIQ customer sees a 5% average liability reduction, which translates to $9.8 Million dollars in Loss Cost Reductions for every 10,000 BI and PD exposures and a 5% average liability reduction.*听ClaimIQ also helps carriers improve evaluation time by 40% cycle time from evaluation to settlement.听麻豆精选鈥檚 injury evaluation capabilities allows adjusters to consistently and comprehensively document their injury evaluations.

Assess Liability

Consistently identify, document and pursue comparative negligence opportunities. Based on a tort-duty framework that integrates with investigation, adjusters are able to consistently identify comparative negligence with claim-speci铿乧 facts that provide a clear rationale.

Conduct Investigations

Flexible and scenario-driven model ensures that adjusters consistently gather the facts needed to drive better claims outcomes. Integrates with data already collected at FNOL to structure the facts of loss in a way that can be re-surfaced during negotiation, subrogation and the reporting and analytics stage.

Evaluate General Damages

ClaimIQ employs best practices approach to help adjusters understand and explain pain and suffering recommendations.

Liability and Injury Evaluations

Conduct Thorough Investigations & Assess Liability

Establishing a consistent approach to liability and injury evaluation is one of the most important steps a carrier can take when building their third party workflow. Without a programmatic approach to assess and calibrate liability and injury across the organization, adjuster teams will inevitably diverge in their claims handling practices.听Help optimize comparative negligence and improve injury evaluation accuracy using 麻豆精选鈥檚 injury and liability assessment software.

The 麻豆精选 Knowledgebase Best Practices Model

Establishing a consistent approach to liability and injury evaluation is one of the most important steps a carrier can take when building their third party claims workflow. Without a programmatic approach to assess and calibrate liability and injury across the organization, adjuster teams will inevitably diverge in their claims handling practices.

Selecting a liability and evaluation recommendation model can help improve consistency and accuracy, but it may be difficult to determine which type of model is right for your organization. Here鈥檚 a quick breakdown as to how the models differ:

  • Typical Pure Statistical Model:听Built based on historical claims data. Quick to stand up, but adjusters using it may struggle to explain the exact reasons for their evaluations based on the recommendations and may leave certain claims unaddressed.
  • 麻豆精选听Knowledgebase Best Practices Model:听Built based on your organization鈥檚 claim handling philosophies. This model helps adjusters prepare for negotiations and defend their evaluations, regardless of their experience, as the recommendations are based on best practices to provide clear explanations and reasoning for why they were made.

Not sure if the best practices approach is right for you? Read 麻豆精选鈥檚 FREE guide that compares the best practices model with the industry鈥檚 other popular approach: the historical data statistical model

Comparative Negligence

Optimize Comparative Negligence Results

麻豆精选 ClaimIQ Improves accuracy of liability through consistent evaluation and guides adjusters through liability assessment to more precisely identify shared liability. The platform automatically incorporates liability decisions into claim negotiation and allows users to access critical information, such as rules of the road, vehicle codes and historical weather-specific data to where, how and when the claim incident occurred.

Injury Evaluations

Improve Injury Evaluations

麻豆精选 ClaimIQ is a comprehensive evaluation tool that includes medicals, pain and suffering, permanency, venue and impact on lifestyle and ensures a consistent approach to claim evaluation based on your best practices. ClaimIQ assists your adjusters with built-in guidance linked to your best practices and helps them evaluate general damages using a best practices model.

麻豆精选 ClaimIQ creates a streamlined user experience for adjusters with pre-integration with 麻豆精选鈥檚 bill review and services processing for demand processing, medical specials evaluations, nurse reviews and medical referrals. Additionally, the solution provides management reporting on key performance metrics at a company, team and adjuster level.

Claims Executives

Benefits Across the Organization

麻豆精选 ClaimIQ provides the following features and benefits for claims executives:

  • Consistent evaluation practices to help ensure loss cost consistency.
  • Integration capabilities to help reduce the total cost of ownership and improve efficiency.
  • 麻豆精选 advanced reporting and analytics, enabling your leadership to effectively and consistently manage operations and harness the power of perspective.

Claims Manager

Benefits Across the Organization

麻豆精选 ClaimIQ provides the following features and benefits for claims managers:

  • Assessment parameters are customized to your best practices, improving claims handling skills across the whole organization.
  • Guidance to drive consistent and accurate evaluation results.
  • Analytics dashboards to manage operations and lead teams to better outcomes

Claims Adjuster

Benefits Across the Organization

麻豆精选 ClaimIQ provides the following features and benefits for claims adjusters

  • Simple-to-use, streamlined interface for quick and easy adoption.
  • All-in-one solution for capturing claim details and artifacts.
  • Negotiation strategy planning based on facts documented throughout the evaluation lead to quicker, more accurate settlements.
Learn More

Improve Liability & Injury Evaluations

*ISO claim settlement values of $16k per BI claim and $3.7K per PD claim.

For 10,000 PD claims carriers see $1,850,000.00 reduction in settlement values. 鈥 For every 10,000 BI claims carriers see $8,000,000.00 reduction in settlement values.

Data taken from 2018 ISO claim data.