How to Identify Claims High-Risk Insurance Claims Faster and More Accurately

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High-risk insurance claims can wreak havoc if not detected quickly. View this presentation to see how Trillium Software will pinpoint them for you…faster and more accurately.

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How to Identify Claims High-Risk Insurance Claims Faster and More Accurately

  1. 1. How to Identify High-Risk Insurance Claims Faster and More Accurately
  2. 2. 2 High-risk insurance claims will wreak havoc if not detected quickly
  3. 3. 3 Early warning indicators are hidden in your insurance claims files
  4. 4. 4 Trillium will pinpoint them for you…faster and more accurately
  5. 5. 5 We automate the continual analysis of free form text and scanned documents across thousands of claims files – the 50% of information you cannot reach today.
  6. 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 – Access Your Free Form Text
  7. 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 – Flag Potential Risk Indicators
  8. 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 – Flag Potential Risk Indicators
  9. 9. 9 Trillium combines data from multiple sources to analyze and generate results Medication Step #3 – Correlate with scanned documents
  10. 10. 10 Minimize risk Step #4 – Alert Right Adjuster at Right Time
  11. 11. 11 Minimize risk Reduce costs Step #4 – Alert Right Adjuster at Right Time
  12. 12. 12 Minimize risk Reduce costs Decrease cycle time Step #4 – Alert Right Adjuster at Right Time
  13. 13. 13 Minimize risk Reduce costs Decrease cycle time Maximize resource allocation Step #4 – Alert Right Adjuster at Right Time
  14. 14. 14 Minimize risk Reduce costs Decrease cycle time Maximize resource allocation Develop timely action plans Step #4 – Alert Right Adjuster at Right Time
  15. 15. 15 Look beneath the surface. Uncover hidden risks in your claims files before they wreak havoc…
  16. 16. For More Information daniel_gilligan@trilliumsoftware.com 860-930-3179 www.claimsdataquality.com

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