Post on 29-Jun-2015
description
How to Identify
High-Risk
Insurance Claims
Faster and
More Accurately
2
High-risk insurance
claims will wreak havoc if
not detected quickly
3
Early warning indicators
are hidden in your
insurance claims files
4
Trillium will pinpoint them for
you…faster and more
accurately
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.
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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
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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
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
Trillium combines
data from
multiple sources
to analyze and
generate results
Medication
Step #3 – Correlate with scanned documents
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Minimize risk
Step #4 – Alert Right Adjuster at Right Time
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Minimize risk
Reduce costs
Step #4 – Alert Right Adjuster at Right Time
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Minimize risk
Reduce costs
Decrease cycle time
Step #4 – Alert Right Adjuster at Right Time
13
Minimize risk
Reduce costs
Decrease cycle time
Maximize resource allocation
Step #4 – Alert Right Adjuster at Right Time
14
Minimize risk
Reduce costs
Decrease cycle time
Maximize resource allocation
Develop timely action plans
Step #4 – Alert Right Adjuster at Right Time
15
Look beneath the surface.
Uncover hidden risks in your
claims files before they wreak
havoc…
For More Information
daniel_gilligan@trilliumsoftware.com
860-930-3179
www.claimsdataquality.com