ownership to everyone involved.
The use of an effective communications plan is also important when rolling
out the claims predictive models to the
claims community. Common concerns
include the perception that the introduction of a claims predictive model will replace or reduce a claims handler’s ability
to leverage his or her own experience and
expert judgment when settling claims.
However, this is simply not the case.
Rather, a claims predictive model is a tool
that enhances the claims professional’s
ability to perform their job, by allowing
them to work more efficiently and make
more informed decisions early on in the
life of a claim by leveraging 50 to 100 pre-
Much like eyeglasses help many of us
read the small print on a dinner menu,
claims predictive models represent “
eyeglasses” for the claims adjuster’s mind,
allowing him or her to read the claims
file leveraging a powerful but consistent
mathematical equation. Crafting communications that underscore this important point, prior to the deployment of the
claims predictive models, can help end
users view this as a powerful tool in their
tool belt instead of a threat to their jobs or
The introduction of a claims predictive
model may necessitate some changes in
the claims-handling process, such as the
introduction of new claims intake proto-
cols to enhance the collection of data the
model needs to run effectively as soon as
possible (such as at FNOL). Claims sys-
tem changes will also be required so that
the output of the claims predictive model
can be displayed to the claims handler in
a user-friendly manner. The integration
with technology is of vital importance
in presenting the model output to the
claims professional in a manner that will
enhance their claims-handling abilities.
Technology Drives Action
Last but not least, a successful model
implementation requires a well-conceived
and implemented technology solution.
The predictive power of the model—for
example, the ability of the model to segment claims severity by injury group—
and return on investment can only be
achieved through the use of the right en-
The development of claims predictive models is only one
piece of an effective analytics journey. Even the most
accurate predictive model has minimal business value if it
cannot be successfully incorporated into the day-to-day
workflow of the insurer’s claims professionals
• Centralized Administration/ Call Center.
• IICRC, WRT and ASD certified field
production staff on every job.
• Controlling Severity, from Rapid Response
& Restoration to Cost Containment.
• RYTRAC In-Field Mobile
Communications – Provides
real-time overview to specific claims.
Visit us at the PLRB in Booths 730/732
One Claim At A Time,
and that will never change.”
-William “Bubba” Ryan, CEO
“Earning Your Trust T
“We Do It Differently.” We do it better and our Insurance
Industry Partners love us for the money we save them and
the service we provide to their satisfied customers.
RYTECH- The Industry Leader in
Water Mitigation & Mold Remediation.
rytech.indd 1 14/02/14 5:32PM