Health Insurance Claims Data with Claim Analytics - PowerPoint PPT Presentation

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Health Insurance Claims Data with Claim Analytics

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The ability to use insurance claim data analytics through machine learning can improve insurance and claims companies bottom line and overall profit. Modern customers require modern technologies to be able to see benefit and data analytics is the answer to fulfill the evolving demands of customers and the needs of the insurance and claims companies. – PowerPoint PPT presentation

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Updated: 13 March 2020
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Title: Health Insurance Claims Data with Claim Analytics


1
Health Insurance Claims Data with Claim Analytics
The ability to use insurance claim data analytics
through machine learning can improve insurance
and claims companies bottom line and overall
profit. Modern customers require modern
technologies to be able to see benefit and data
analytics is the answer to fulfill the evolving
demands of customers and the needs of the
insurance and claims companies.
Adoption of Touchless Claims
In the current process, claims go through
multiple employees that severely affect the
quality of the process. Through claims analytics
in insurance, the process of touchless claims
does not require any human intervention. This is
done through the automated reporting, capturing,
auditing and communication.
Chatbots
This is a technology that leverages popular
messaging apps on customers phones to execute
interaction. The technology of natural language
processing and sentiment analysis allows for
automated and effective communication. Claim
analytics in health insurance allows
for customized interactions, wherein questions
can be answered, claims can be resolved, products
can be sold, leads can be addressed, and
coverage issues can be identified.
Personalized Sales Technology
The competitive streak of the insurance market
can be tackled through claim analytics in health
insurance that offer personalized sales tactics.
AI has the potential to rope in customer data and
create a profile that targets the customers
preferences with relevant insurance products.
Risk Alerts
Insurance claims data analytics cuts down on the
traditional underwriting process, which is
tedious and fairly ineffective. Not only can it
offer customers the benefit of a personalized
2
insurance plan, but the automation feature can
alert insurance companies on risky customers
without the need for invasive questioning.
Telematics
Wireless communication is a feature of insurance
claim data analytics that offers data from the
customers to the insurance companies in an
automated fashion through identification of GPS
patters in the data. This technology is capable
of tracking traffic conditions, risk factors,
etc. that eventually lead to fewer claims
processing and higher customer satisfaction.
Machine Learning
The ability to meaningfully generate and apply
data through machine learning holds tremendous
scope to improve insurance and claims companies
bottom line and overall profit through claim
data analytics solutions. It offers features such
as electronically generated customized insurance
advice and improved insights into the needs of
the customer.
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