Efficiency through expertise and data

Digital tools for claims settlement

We provide digital tools for case management and comprehensive claims controlling. Our digital platform bundles quality-assured, standardised and refined data for decision-making processes. We give customers a new perspective on their data and help them to preserve and use empirical knowledge within a database.

Service

Digital tools for case and risk management in claims settlement

Added Value

Streamlined risk management process thanks to model/rule-based claims management
Digitisation, transparency & historicisation

Sector

Motor liability insurance
General liability insurance
Medical malpractice insurance

Our services for the digital claims process

Our digital platform for the entire bodily injury claims ecosystem assists with efficient case management and comprehensive claims management.

  • Modular, web-based
  • Access via different roles and permissions
  • On-demand control for management
  • Continuous case monitoring for claims managers

Functions:

  • Case manager with medical records
  • Database of doctors and diagnostic information texts (DITs)
  • Ordering assessments for the evaluation of sequels, invalidity, or long-term damages
  • Document collection, providing medical assessments
  • Calculation of medical risk scores (e.g. incapacity for work, rehab score, care score)
  • Transparent reserve calculation with the Reserve Calculator

Der Document Navigator from Actineo, a Verisk business, classifies and sorts incoming documents, extracts relevant information from any file format depending on the defined use case, structures it and makes it available validated for any end formats and interfaces.

Whether it's a clinic report, a medical invoice or a medical assessment – insurance customers receive quality-assured documents and data for the end-to-end digitalisation of their claims settlement with the help of an AI-supported application. You can find more information here

The Actineo Reserve Calculator helps insurers calculate and set aside claims reserves. The tool is based on standardised calculation methods and transparent historicisation.

The reserve calculator is comprised of a reserve sheet where all relevant data concerning the injured party is recorded, plus a reserve calculation module which takes into account all claims expenditure items. Reserves are calculated for all relevant items using standardised calculation methods. The tool also allows you to manage your claims reserves with a complete history of all changes made to the reserve over the lifecycle of a case.

We offer and arrange all forms of medical assessment.

Our digital assessor's platform connects insurers and other clients directly with medical assessors. For further information on the Actineo expert opinion platform, please click here.

In collaboration with YAROWA, a leader in platform-based assessor and service provider networks, we have set the very first market standard for medical assessments. The Assessor's Platform makes it easier for everyone involved in the settlement process to network, manage and commission medical experts.

Our digital ordering platform for medical assessments can either be managed via the Actineo Cockpit or used as a separate application.

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