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@jamet123 #decisionmgt © 2018 Decision Management Solutions 1
What is a Claims Handling Pilot?
 Demonstrate faster, more accurate claims handling
 Engage all your stakeholders
 Identify and prove the technology involved
 Develop a plan for implementation
@jamet123 #decisionmgt © 2018 Decision Management Solutions
James Taylor, CEO
What is a Claims Handling Pilot?
@jamet123 #decisionmgt © 2018 Decision Management Solutions 3
Your Goals
 Demonstrate faster, more accurate claims handling
 Engage all your stakeholders
 Identify and prove the technology involved
 Develop a plan for implementation
@jamet123 #decisionmgt © 2018 Decision Management Solutions 4
This Webinar Will Help You
 Build a shared vision at your company
 See the steps that have helped others succeed
@jamet123 #decisionmgt © 2018 Decision Management Solutions 5
A Pilot Is Key To Next Best Action Success
 Engages business stakeholders
 Demonstrates value to technical stakeholders
 Creates a believable future state
 Proves transparency, agility and control upgrade
 Readily extends to production - not a throw away
@jamet123 #decisionmgt © 2018 Decision Management Solutions 6
Develop a decision model
Develop rules and analytics
Deliver a working service
Deliver decision-centric dashboard
Claims Handling Pilot Plan
@jamet123 #decisionmgt © 2018 Decision Management Solutions 7
For a Successful Pilot
Deliver These 5 Critical Elements
Impact Analysis
Business Rules
Continuous
Improvement
Risk and Fraud
Analytics
Decision Model
@jamet123 #decisionmgt © 2018 Decision Management Solutions 8
Engage Business Stakeholders
 Decision Modeling is
 Rapid
 Engaging
 Enlightening
 Open
 And business stakeholders love it!
@jamet123 #decisionmgt © 2018 Decision Management Solutions 9
Demonstrate Technical Value
 Persuade IT
 Control
 Integration
 Persuade Analytics
 Operationalization
 Deployment options
Analytical
Models
NeuralRules Business
Rules
@jamet123 #decisionmgt © 2018 Decision Management Solutions 10
Show Future Operational Environment
 From
 One-Time Change
 Deployment Risk
 Lack of Control
 To
 Continuous Improvement
 Incremental Change
 Impact Analysis First
@jamet123 #decisionmgt © 2018 Decision Management Solutions 11
Prove Transparency, Agility, Control
 Help The Business
 See decisions made
 Determine business impact
 Propose rule changes
 Test and validate changes
 Simulate impact
 Make Changes
@jamet123 #decisionmgt © 2018 Decision Management Solutions 12
Define A Path To Production
 Reuse pilot components
 Clear next steps
 Complete the model
 Integrate with production data
 Test and learn
 Agile, iterative development
@jamet123 #decisionmgt © 2018 Decision Management Solutions 13
The Destination:
Consistent Agile Claims Handling
External Data
Big Data
Business
Rules
Continuous
Improvement
Analytics and
AI
Chabot, Web or
Claim Agents
Consistent
decision-making
Enforce policies
Apply predictive
analytics
Learn, Adapt,
Improve
@jamet123 #decisionmgt © 2018 Decision Management Solutions 14
SUMMARY
▶ Benefits
▶ Engages business stakeholders
▶ Demonstrates value to technical
stakeholders
▶ Creates a believable future state for the
organization
▶ Proves transparency, agility and control
can be improved
▶ Readily extends to production - not a
throw away
▶ Schedule
▶ 10-12 week project
Impact Analysis
Business Rules
Continuous
Improvement
Risk and Fraud
Analytics
Decision Model
@jamet123 #decisionmgt © 2018 Decision Management Solutions 15
Your Questions
▶ James Taylor, CEO
▶ james@decisionmanagementsolutions.com
▶ +1 650 400 3029
▶ @jamet123
Enter questions
for the Q&A here
@jamet123 #decisionmgt © 2018 Decision Management Solutions 16
Thank You
 More resources for success with
Claims
 http://bit.ly/DMSClaims
Decision Management Solutions works
with clients to improve their business
by applying business rules & analytic
technology to automate & improve
decisions.
We can help you pilot a custom claims
handling solution for your business.

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What is a claims handling pilot?

  • 1. @jamet123 #decisionmgt © 2018 Decision Management Solutions 1 What is a Claims Handling Pilot?  Demonstrate faster, more accurate claims handling  Engage all your stakeholders  Identify and prove the technology involved  Develop a plan for implementation
  • 2. @jamet123 #decisionmgt © 2018 Decision Management Solutions James Taylor, CEO What is a Claims Handling Pilot?
  • 3. @jamet123 #decisionmgt © 2018 Decision Management Solutions 3 Your Goals  Demonstrate faster, more accurate claims handling  Engage all your stakeholders  Identify and prove the technology involved  Develop a plan for implementation
  • 4. @jamet123 #decisionmgt © 2018 Decision Management Solutions 4 This Webinar Will Help You  Build a shared vision at your company  See the steps that have helped others succeed
  • 5. @jamet123 #decisionmgt © 2018 Decision Management Solutions 5 A Pilot Is Key To Next Best Action Success  Engages business stakeholders  Demonstrates value to technical stakeholders  Creates a believable future state  Proves transparency, agility and control upgrade  Readily extends to production - not a throw away
  • 6. @jamet123 #decisionmgt © 2018 Decision Management Solutions 6 Develop a decision model Develop rules and analytics Deliver a working service Deliver decision-centric dashboard Claims Handling Pilot Plan
  • 7. @jamet123 #decisionmgt © 2018 Decision Management Solutions 7 For a Successful Pilot Deliver These 5 Critical Elements Impact Analysis Business Rules Continuous Improvement Risk and Fraud Analytics Decision Model
  • 8. @jamet123 #decisionmgt © 2018 Decision Management Solutions 8 Engage Business Stakeholders  Decision Modeling is  Rapid  Engaging  Enlightening  Open  And business stakeholders love it!
  • 9. @jamet123 #decisionmgt © 2018 Decision Management Solutions 9 Demonstrate Technical Value  Persuade IT  Control  Integration  Persuade Analytics  Operationalization  Deployment options Analytical Models NeuralRules Business Rules
  • 10. @jamet123 #decisionmgt © 2018 Decision Management Solutions 10 Show Future Operational Environment  From  One-Time Change  Deployment Risk  Lack of Control  To  Continuous Improvement  Incremental Change  Impact Analysis First
  • 11. @jamet123 #decisionmgt © 2018 Decision Management Solutions 11 Prove Transparency, Agility, Control  Help The Business  See decisions made  Determine business impact  Propose rule changes  Test and validate changes  Simulate impact  Make Changes
  • 12. @jamet123 #decisionmgt © 2018 Decision Management Solutions 12 Define A Path To Production  Reuse pilot components  Clear next steps  Complete the model  Integrate with production data  Test and learn  Agile, iterative development
  • 13. @jamet123 #decisionmgt © 2018 Decision Management Solutions 13 The Destination: Consistent Agile Claims Handling External Data Big Data Business Rules Continuous Improvement Analytics and AI Chabot, Web or Claim Agents Consistent decision-making Enforce policies Apply predictive analytics Learn, Adapt, Improve
  • 14. @jamet123 #decisionmgt © 2018 Decision Management Solutions 14 SUMMARY ▶ Benefits ▶ Engages business stakeholders ▶ Demonstrates value to technical stakeholders ▶ Creates a believable future state for the organization ▶ Proves transparency, agility and control can be improved ▶ Readily extends to production - not a throw away ▶ Schedule ▶ 10-12 week project Impact Analysis Business Rules Continuous Improvement Risk and Fraud Analytics Decision Model
  • 15. @jamet123 #decisionmgt © 2018 Decision Management Solutions 15 Your Questions ▶ James Taylor, CEO ▶ james@decisionmanagementsolutions.com ▶ +1 650 400 3029 ▶ @jamet123 Enter questions for the Q&A here
  • 16. @jamet123 #decisionmgt © 2018 Decision Management Solutions 16 Thank You  More resources for success with Claims  http://bit.ly/DMSClaims Decision Management Solutions works with clients to improve their business by applying business rules & analytic technology to automate & improve decisions. We can help you pilot a custom claims handling solution for your business.