Among the insurance value-added chain; insurance claim processing is one of the core elements. The quality offered by the insurance claim processing company through its services would help to develop or break the relationship between the customer and the insurance service provider.

Through a better customer experience, one could drive out more customers to the insurance claim processing company. Thus improving the market share and reputation. Also, improving the present claim processes and introducing new methods, could lead to build up profitability. One of the methods to improve insurance claim processing is through better data management and analytics.

insurance claim processing

Here we describe the possible ways of data management and analytics which improve insurance claim processing.

  • Identifying the bad and good data

Data is generated daily. So, it is essential to move through the data and identify the relevant ones. Hence, data from different types of sources are firstly screened, aggregated, and finally used in the data analytics. This would be a time-consuming approach. But, when making use of the data cleansing strategies along with it, the insurance claim processing company could bring out genuine claims easily and could focus on them.

  • Fraud detection

Today, a high proportion of claims are fraud. So, it is much essential to find out the fraud claims earlier. As there is the chance of it going to the other work levels and costing your company in the form of great payouts. One could use the predictive analysis approach to identify fraud at every stage of the life cycle of insurance claims. Thus, minimizing the fraud claims to a great extent.

  • Identifying the subrogation cases

Analytics approach could be used to find out the subrogation cases from the large amount of data being distributed in the form of adjustor notes, police reports, and forms. These cases could be identified by making use of the text searches through the data. Proper identification of the cases related to subrogation would help to maximize the loss recovery.

  •  Identifying the litigation cases

There are times when the insurance companies are suffering from losses while they defend the claims being disputed. By using the data analytics on the sets of data, one could identify the cases where the claims lead to lawsuits. After the identification, the companies could manage their employees in the right way to handle these claims effectively and at a low cost to the companies.

  • Fast settlement approach

Fast settlement approach is especially useful at the time of emergencies. Through this, the claims would be fastly settled and there is no need to take it over. But the process could be a disadvantage to the company when you carry it over rashly leading to overpayment and inaccurate calculations. The better use of data management services, data organization, and analytics would set limits to the process.

  • Better forecasting of claims and loss reserving

Better use of data analytics and data management services would help to improve the claim forecasting and loss reserving process based on the data from the claims existing. Through this, one could ensure that the cash reserves are there to handle the claims to be made in the future. Thus, helping in the claim forecasting and loss reserving effectively

  • Making use of the data mining

Through the techniques involved in data mining, one could differentiate the claims based on the complexity involved and one could make the right adjusters for handling the desired claims. Data mining achieves this by clustering and grouping the claims based on the priority and score. Thus, helping in the right decision-making.


Thus, through the above seven ways of data management services and analytics approach insurers could improve the claim processing.

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