How to Identify Claims High-Risk Insurance Claims Faster and More Accurately
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Transcript of How to Identify Claims High-Risk Insurance Claims Faster and More Accurately
![Page 1: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/1.jpg)
How to Identify
High-Risk
Insurance Claims
Faster and
More Accurately
![Page 2: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/2.jpg)
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High-risk insurance
claims will wreak havoc if
not detected quickly
![Page 3: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/3.jpg)
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Early warning indicators
are hidden in your
insurance claims files
![Page 4: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/4.jpg)
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Trillium will pinpoint them for
you…faster and more
accurately
![Page 5: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/5.jpg)
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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.
![Page 6: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/6.jpg)
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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
![Page 7: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/7.jpg)
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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
![Page 8: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/8.jpg)
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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.
We even pinpoint misspellings, abbreviations and vernacular
Step #2 – Flag Potential Risk Indicators
![Page 9: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/9.jpg)
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Trillium combines
data from
multiple sources
to analyze and
generate results
Medication
Step #3 – Correlate with scanned documents
![Page 10: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/10.jpg)
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Minimize risk
Step #4 – Alert Right Adjuster at Right Time
![Page 11: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/11.jpg)
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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
![Page 13: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/13.jpg)
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Minimize risk
Reduce costs
Decrease cycle time
Maximize resource allocation
Step #4 – Alert Right Adjuster at Right Time
![Page 14: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/14.jpg)
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Minimize risk
Reduce costs
Decrease cycle time
Maximize resource allocation
Develop timely action plans
Step #4 – Alert Right Adjuster at Right Time
![Page 15: How to Identify Claims High-Risk Insurance Claims Faster and More Accurately](https://reader033.fdocuments.in/reader033/viewer/2022060120/55910e0b1a28ab25148b461f/html5/thumbnails/15.jpg)
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Look beneath the surface.
Uncover hidden risks in your
claims files before they wreak
havoc…