Our extensive knowledge and longstanding history of helping administer complex claims programs allows us to leverage our tailored Claims Management System and to provide perspectives and lessons learned from program strategy, planning, and execution through wind down.
| Settlements resulting from: |
|
| Extensive experience with various claim types including: |
|
With decades of experience in complex, high-profile claims, we are skilled with building and executing high-volume programs including key support functions (e.g., fraud, claimant communications, and appeals).
We implement an agile and streamlined claim review process aligned with the claim type, risk, and requirements of each program. Below is an illustrative life cycle of a claim, which can be customizable based on the needs of each program.
Our technology and data driven approach to claims programs utilizes a variety of AI-enabled analytics and technology across the life cycle of each program to help achieve a more efficient, accurate, and transparent process.
| Claims management system | Reporting and analytics | Automation and controls |
|
|
|
We leverage GenAI to streamline claim review by summarizing complex data, automating the appropriate review pathway for claims via comprehensive characteristic analytics, and accelerating document analysis. With claimant equity, fairness, and ability to disburse funds quickly, GenAI promotes review consistency, increases speed of processing, and supports strategic decision-making across the program life cycle.
