Adjust Your Claims Audits: 5 Common Issues and How to Fix Them

November 12, 2019

A carrier’s quality assurance process is the backbone of its success. While not as well-known as underwriting or claims adjusting, QA is a vital part of insurance operations. QA auditors assess open, denied and paid claims to determine if avoidable errors occurred during processing, adjusting or settlement. Their reviews track performance against business standards and help improve internal operations and claim quality. QA gives employees vital information with teachable

Spotlight

Arbella Insurance Group

Founded in 1988 in Quincy, Massachusetts, Arbella provides affordable car, home, and business insurance in Massachusetts and Connecticut, and business insurance in New Hampshire and Rhode Island. Our vision is to be the best property and casualty company in the Northeast. Period. We are proud to be consistently recognized as one of the Best Places to Work by the Boston Business Journal.

OTHER WHITEPAPERS
news image

Will the cost-of-living crisis lead to more fraud?

whitePaper | October 27, 2022

A recent survey by Insurance Post found that 98.1% (see figure one) of respondents believe the current economic conditions in 2022 will impact organised and opportunistic fraud volumes.

Read More
news image

Improving the Speed and Efficiency of AI-Enabled Damage Assessment in Insurance

whitePaper | May 16, 2022

The combination of high-resolution aerial imaging and artificial intelligence has practical applications for multiple use cases, such as manufacturing defects detection, environmental impact studies and planning, urban vegetation mapping, and precision agriculture. Now, as major natural disasters have increased, the insurance industry is using aerial imagery and AI for damage assessment. This is part of an expanded focus on post-event analysis that uses data, AI, and analytics to understand risk mitigation. Aerial imagery and AI can help address varying spectral bands of resolutions and other factors that the human eye cannot easily connect.

Read More
news image

Data Science – Transforming Health Insurance

whitePaper | June 24, 2022

Health care solutions devised in the past are becoming redundant at lightning speed due to the ever evolving and varying health care demands. This is driven by demographic changes, medical inflation, consumerism, regulatory changes, and growing awareness of patients regarding their own health care. Continuous efforts are being made towards understanding health care needs and accordingly building sustainable solutions. This includes driving better product structures, price differentiation, claims management, customer engagement, and risk profiling by making technological, economic, and societal changes.

Read More
news image

The art of successfully migrating complex legacy systems to modern life insurance platforms

whitePaper | August 31, 2022

To seize new market opportunities and achieve compliance, life insurers need to successfully migrate complex legacy systems to modern life insurance platforms. This content highlights six strategies for effective, efficient and successful legacy data migration projects.

Read More
news image

Unlocking the Power of Pay-as-you-go for Workers’ Comp

whitePaper | April 1, 2023

In a study conducted by KPMG, 96% of insurance CEOs reported the pandemic accelerated digitization initiatives. COVID-19 forced businesses of all shapes and sizes (along with consumers) to embrace digitization.

Read More
news image

Digital Transformation Myths in Insurance

whitePaper | November 21, 2019

In recent years, the tech world has made a sizeable dent in the insurance world. The launch of technology based start ups, such as Wrisk, Brolly and Cuvva has made bare the fundamental fact that the insurance industry was not really synonymous with technological development. That is changing. Many insurers are now embracing digital transformation as their keystone strategy.

Read More

Spotlight

Arbella Insurance Group

Founded in 1988 in Quincy, Massachusetts, Arbella provides affordable car, home, and business insurance in Massachusetts and Connecticut, and business insurance in New Hampshire and Rhode Island. Our vision is to be the best property and casualty company in the Northeast. Period. We are proud to be consistently recognized as one of the Best Places to Work by the Boston Business Journal.

Events