Claims - June 2015

medical billing fraud and performs risk assessment within the insurance application data. Using a predictive approach the program incorporates proven methods such as pattern recognition, business rules, fuzzy logic, and internal and external data sources to score claims quickly and effectively to provide insights into fraudulent behavior.

Hyperlocal Severe Weather Alerts
www.ubimet.com

Weather can be an imprecise science, but UBIMET takes some of the guesswork out of the process with hyperlocal severe weather alerts customized and prepared by meteorologists. The locations can be defined by zip codes or geo-coordinates and can be sent out anywhere from 48 hours to 30 minutes prior to a weather event. Insurance customers who receive these alerts have time to take appropriate measures to secure their homes before a storm hits their area.

Services
Arbitration Resolution Services
www.arbresolutions.com

Technology and arbitration combine for a new solution to solving business disputes and disagreements. The online solution allows parties to submit their claims and supporting evidence electronically for assignment to an experienced attorney who serves as a private judge for the parties. Arbitrations can be handled solely electronically or in a video/voice call hearing.

Social Media Risk Scoring
www.socialintel.com

Social media is full of data for insurers
and other interested parties, and Social
Intelligence has launched a new social
media risk scoring solution for prop-
erty and casualty insurers. Using an in-
dividual’s online presence, the company
can generate a risk profile of the person.
Insurers can use information on the web
to gain information on individuals who
may not have credit histories or more tra-
ditional risk profiles.

Adsensa Policy Checking Solution www.adsensa.com/solutions_insurance.html Recognized as the winner of the 2014 Insurance Initiative of the Year Award in the London market, Adsensa has introduced a web browser Policy Checking Solution that allows brokers to conduct policy checks and analyze documents to determine if coverage meets industry and company standards, and to identify any coverage gaps. Brokers are seeing savings from lower E&O expenses and a significant reduction in policy review time.

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Contents Valuation
claimplusonline.com

Using product knowledge, technology and experience, Claimplus can work with policyholders to develop an accurate contents list over the phone or onsite to reduce cycle time and provide accurate settlements. Their archives contain more than 16 million product skus to help expedite the inventory and pricing process.

Cool Stuff

Spike www.ikegps.com/spike

The latest technology from ikeGPS is a
Smartphone measurement solution that
utilizes digital photography to capture,
record and share sizing data. Amica Mu-
tual Insurance Company has been test-
ing the technology since last fall and has
found it particularly helpful for exterior
siding claims. It can be used
to measure windows, doors,
roofs, and walls with a snap
from a mobile device or tab-
let. The measurements and
location are saved with the
photo and can be shared via email
in a .pdf, Spike file (XML) and .KMZ.

Comfort Zone
www.ibrtek.com

With all of this technology that we’re using, if your employees aren’t working in an ergonomically correct setting it could affect their productivity and create occupationally-related injuries. IBR has created Comfort Zone, a self-assessment tool that can help determine if employees are using proper posture at their work-stations or desks, identify any risks, and provide recommendations to prevent occupational related injuries.

Enviro Case
www.enviroproductions.com

The furor over bedbugs seems to have died down, but that doesn’t mean the problem has been eradicated. Healthcare facilities, hotels, cruise ships and other locations with a high turnover of clients can experience problems with bedbugs. The Enviro Case provides a portable solution for addressing clothing, bedding, backpacks, and other items that have been infested with bedbugs.

It seems that the future and its technological advances have arrived at our front doors and by the time we learn how to use them, a newer version will be knocking.