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理赔工具

责任 & 损伤评估软件

米切尔 ClaimIQ® is your complete third party claim solution to improve accuracy, consistency and cycle time for liability and injury evaluations. ClaimIQ是使用您自己的索赔处理理念构建的, 基于事实的建议和最佳实践, 使其真正符合组织的独特需求.

一致的责任 & 损伤评估

ClaimIQ建立在您自己的索赔处理理念之上, 最佳实践, 而不是历史数据. 综合索赔评估工具, 米切尔 ClaimIQ helps you arm your adjusters—不管他们的经历如何—with the information they need to make 更精确的定位 on each and every claim, 通过简化的工作流程和集成的环境. The ClaimIQ customer sees a 5% average liability reduction, which translates to $9.每10人损失成本减少800万美元,000个BI和PD风险敞口，平均减少5%的负债.* ClaimIQ also helps carriers improve evaluation time by 40% cycle time from evaluation to settlement. 米切尔’s injury evaluation capabilities allows adjusters to consistently and comprehensively document their injury evaluations.

评估责任

Consistently identify, document and pursue comparative negligence opportunities. Based on a tort-duty framework that integrates with investigation, adjusters are able to consistently identify comparative negligence with claim-specific facts that provide a clear rationale.

进行调查

Flexible and scenario-driven model ensures that adjusters consistently gather the facts needed to drive better claims outcomes. Integrates with data already collected at FNOL to structure the facts of loss in a way that can be re-surfaced during negotiation, 代位代理，报告和分析阶段.

评估一般损害赔偿

ClaimIQ employs best practices approach to help adjusters understand and explain 痛苦和折磨 recommendations.

责任和伤害评估

进行彻底调查 & 评估责任

Establishing a consistent approach to liability and injury evaluation is one of the most important steps a carrier can take when building their third party workflow. Without a programmatic approach to assess and calibrate liability and injury across the organization, adjuster teams will inevitably diverge in their claims handling practices. Help optimize comparative negligence and improve injury evaluation accuracy using 米切尔’s injury and liability assessment software.

米切尔知识库最佳实践模型

Establishing a consistent approach to liability and injury evaluation is one of the most important steps a carrier can take when building their third party claims workflow. Without a programmatic approach to assess and calibrate liability and injury across the organization, adjuster teams will inevitably diverge in their claims handling practices.

 

Selecting a liability and evaluation recommendation model can help improve consistency and accuracy, but it may be difficult to determine which type of model is right for your organization. 以下是这两种模型的不同之处:

  • 典型的纯统计模型: 基于历史索赔数据构建. 快站起来, but adjusters using it may struggle to explain the exact reasons for their evaluations based on the recommendations and may leave certain claims unaddressed.
  • 米切尔 知识库最佳实践模型: Built based on your organization’s claim handling philosophies. This model helps adjusters prepare for negotiations and defend their evaluations, 不管他们的经历如何, as the recommendations are based on best practices to provide clear explanations and reasoning for why they were made.

不确定最佳实践方法是否适合您? Read 米切尔’s FREE guide that compares the best practices model with the industry’s other popular approach: the historical data statistical model

找出适合你的模式
比较过失

优化比较过失结果

米切尔 ClaimIQ Improves accuracy of liability through consistent evaluation and guides adjusters through liability assessment to more precisely identify shared liability. The platform automatically incorporates liability decisions into claim negotiation and allows users to access critical information, 比如交通规则, 车辆代码和历史天气特定数据到哪里, 索赔事件是如何及何时发生的.

损伤评估

改善损伤评估

米切尔 ClaimIQ is a comprehensive evaluation tool that includes medicals, 痛苦和折磨, 永久的事物, venue and impact on lifestyle and ensures a consistent approach to claim evaluation based on your best practices. ClaimIQ assists your adjusters with built-in guidance linked to your best practices and helps them evaluate general damages using a best practices model.

米切尔 ClaimIQ creates a streamlined user experience for adjusters with pre-integration with 米切尔’s bill review and services processing for demand processing, 医学特别评估, 护士检查和医疗转诊. 另外, the solution provides management reporting on key performance metrics at a company, 团队和调整员级别.

要求高管

整个组织的利益

米切尔 ClaimIQ provides the following features and benefits for claims executives:

  • Consistent evaluation practices to help ensure loss cost consistency.
  • Integration capabilities to help reduce the total cost of ownership and improve efficiency.
  • 米切尔高级报告和分析, enabling your leadership to effectively and consistently manage operations and harness the power of perspective.

索赔经理

整个组织的利益

米切尔 ClaimIQ provides the following features and benefits for claims managers:

  • 评估参数是根据您的最佳实践定制的, improving claims handling skills across the whole organization.
  • Guidance to drive consistent and accurate evaluation results.
  • Analytics dashboards to manage operations and lead teams to better outcomes

理赔人

整个组织的利益

米切尔 ClaimIQ provides the following features and benefits for claims adjusters

  • Simple-to-use, streamlined interface for quick and easy adoption.
  • All-in-one solution for capturing claim details and artifacts.
  • Negotiation strategy planning based on facts documented throughout the evaluation lead to quicker, 更精确的定位.
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提高责任 & 损伤评估

*ISO索赔结算价值为每件BI索赔1.6万美元，3美元.每PD索赔7K.

对于1万份PD索赔，运营商看到185万美元.结算金额减少了00英镑. •对于每10,000个BI索赔，运营商可以获得800万美元.结算金额减少了00英镑.

数据取自2018年ISO索赔数据.