Property and Casualty Insurance

In the competitive environment of P&C insurance, it is more important than ever to reduce costs, focus acquisition, retention and expansion tactics on high-value customers, and deliver the right level of service to suit a particular claim. With STATISTICA Decisioning Platform®, predictive analytics and reporting solutions for P&C Insurance applications enable insurers to utilize data about its claims, policies, customers, and third party data sources to improve underwriting decisions, detect fraud, identify opportunities for subrogation, update reserve estimates, assign the right service level to claims, and segment customers across all product lines for: auto, worker’s compensation, home, commercial property, disability, and any other specialized product lines.

StatSoft’s approach to engaging with a Property and Casualty Insurance Company is very collaborative and results-oriented. StatSoft’s predictive modeling, analytics, and reporting solutions are designed to enable your company’s personnel; the StatSoft team works with your company’s key stakeholders to understand current personnel, processes, and systems. The STATISTICA solution is configured to fit and augment your company’s current capabilities. The collaboration begins with an assessment and agreement on business goals and the way that the results from the use of the STATISTICA solution will be measured. From that starting point, StatSoft and you collaborate to prioritize the incremental investment in order to use the ROI from the first project to pay for the next project.

Predictive Analytics May Drive Down Claim Costs at Many Points Across the Claim Lifecycle

predictive claims score control

StatSoft has developed the Predictive Claims Flow®, incorporating predictive modeling at each stage of the lifecycle of a claim. From first notice of loss through to closure, claim data is constantly changing.

As new information about a claim becomes available,with every new piece of information, the Predictive Claims Solution automatically scores the probability of fraud, updates the predicted reserve estimate, predicts claim complexity to determine whether the claim should be assigned to a more senior adjuster, identifies opportunities for subrogation, and determines the right level of servicing of the claim. At each stage, alerts and updates are provided with minimal human intervention to adjusters, SIU managers and claim personnel, and all other key stakeholders in the overall claims adjudication process.

Key Capabilities

Text Mining. Much of the data for the analysis of claims is unstructured text, in the adjuster’s notes, in the medical reports, emails, etc. The text mining solution combines this along with predictions from your structured data supply more accurate and precise predictions.

Real-time Predictions and Integration with Claims Management Systems. The STATISTICA Solution is optimized for performing real-time predictions for supporting instant underwriting decisions or evaluating a claim as new information is made available.

Reporting. Aggregated summary reports and configurable dashboards provide valuable information both to management and for tracking key performance indicators related to each functional area.

Reason Codes. In addition to predictions and recommendations, the STATISTICA solution provides information about the reasons for the decision both for the awareness of key personnel and regulatory reasons, when applicable.

Integration with Data Sources. The STATISTICA solution simplifies access to data from your company’s customer database, policy database, claims database, and third party data sources.

Data Preparation and Management. Data in other databases are rarely ready for analysis. STATISTICA includes all of the necessary recoding, transformation, and data aggregation procedures for preparing your data for analysis and scoring.

Resources Management. The STATISTICA solution provides the capabilities for managers to provide input and direction about the available personnel resources. For example, SIU Managers can decide how many claims the department can handle so that the claims that are the highest probability for fraud are the ones that are reviewed and investigated, making better utilization of available resources and assigning the most complex claims to the more senior personnel.

Learn and Grow your Advanced Analytics Skillset with Decisioning Platform

Learn new skills and grow your team’s expertise. Shown below is a graphic that illustrates how our customers begin their journey down the road to Predictive Analytics and Data Mining. They start off by replicating and streamlining their current reporting capabilities (as illustrated by the top down flow along the right side of the graphic).The STATISTICA Enterprise Server, part of the Decisioning Platform, enables the adoption of analytic and automated decision support aids and systems throughout the enterprise. All of your users will begin their work at the same point as they extract and prepare their data, by working with the tools provided within StatSoft’s Decisioning Platform to automatically source data, as depicted by the large funnel. (STATISTICA facilitates the acquisition of data with reusable, pre-configured data templates that can include filtering capabilities and access multiple databases.)

Then, based on their job roles and skill sets, users will proceed along the right or the left side of the graphic to complete their work. If their focus is on reporting, they will follow the path on the right. If they need to create a predictive model or perform some data mining activities, incorperating business rules, they will follow the path on the left.

Predictive Analytics Applications in Claims, Marketing, Underwriting, and Sales

Claims

Accelerated detection of claim severity
Claim draft authority optimization
Claims assignment automation by competency
Fast tracking claims
Predict claim complexity
Predict reserves / draft authority optimization
Real-time fraud detection early in FNOL1
Reduce working capital

Marketing

1:1 marketing
Campaign optimization
Customer segmentation
New product market analysis / pricing
Now market to non-fraudulent prospects
Outbound Predictive Marketing
Optimize leads delivered to your agents
Real-time inbound intelligent cross-sell
Spend less to obtain higher quality business

Underwriting

Automated renewal processing
Automated underwriting / risk selection
Optimized discount/credit recommendation
Predict lifetime customer value
Retain the “better” risk
Underwriting fraud detection

Sales & Service

Agent /Broker Performance effectiveness
Commission modeling and optimization
Cross-sell, up-sell, offer optimization
Field sales force optimization
In and outbound Customer Retention offers
Intelligent call routing
Smart / real time recommendations

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About statsoftsa

StatSoft, Inc. was founded in 1984 and is now one of the largest global providers of analytic software worldwide. StatSoft is also the largest manufacturer of enterprise-wide quality control and improvement software systems in the world, and the only company capable of supporting its QC products worldwide, with wholly owned subsidiaries in all major markets (StatSoft has 23 full-service offices, on all continents), and its software is available in more than 10 languages.

Posted on August 23, 2013, in Uncategorized. Bookmark the permalink. Leave a comment.

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