Implementing Mavera DSS has a significant impact on claims management. Not only for claims handlers as daily users but also provides a broader perspective on operations and business development. To illustrate this, we show how Mavera DSS improves the work for the four most common stakeholders in claims management.

 

Claims Handler

A daily user of the system that utilizes its Process Management features to get a complete case overview. The notifications and templates help move the case forward faster. Automations removes some manual steps – often considered the boring part of the job – resulting in Mavera DSS making work more enjoyable and exciting.
The decision support gives the Claims Handler suggestions and assessments powered by aggregated data, artificial intelligence, or medical advisors connected to the system. That motivates tougher, more accurate decisions.

Claims Manager

Managing performance is crucial to claims managers. A dashboard provides statistics and reports to help manage the team of claims handlers and monitor progress on KPIs and process optimization.
A typical headache for a Claims Manager is data compliance in the claims process. What shortcuts and gray zones to GDPR can be accepted? Since Mavera’s DSS is fully compliant, it can be a relief to have some steps of the claims process covered by the system.

Head of Claims

Common concerns for the Head of Claims are the availability and quality of data. The good news is that Mavera DSS has data aggregation at its core. It provides well-structured insights and industry benchmarks for decision-making and business development.
As this role is often measured on loss adjustment expenses (LAE), the business case from the value of making claims management faster and more accurate will often prove to be quite delightful.

Network Coordinator

Another essential role in the claims process is the Network Coordinator, managing the network of medical advisors. They often lack efficient system support for their tasks and must rely on spreadsheets and manual processes.
Mavera DSS gives them complete control over their network and offers management for onboarding new advisors, an overview of tasks, competencies, availability, and performance.

Besides these roles, other decision-makers, risk analysts, and underwriters benefit from the system and the data it collects.