Mavera DSS for health insurance

The right treatment, every time

When your customers need care, it’s crucial they receive the correct treatment. Ensuring that healthcare providers’ recommendations are medically motivated can be challenging. With Mavera DSS, you get tools that make the process simpler and more secure.
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See how you can reduce costs and protect your customers from risks.

Ensure medically motivated treatments

Reduce costs and avoid unnecessary risks

Statistics and insights into care providers’ offerings

How it works

Upload the case into Mavera DSS

AI instantly gives you a clear overview of the injury, including a summary, timeline, and lists of all medical events.

Get AI-based evaluations of treatment proposals

The system evaluates treatment offers and indicates if a second opinion is needed.

Automatic case assignment

Automatically assign the case to the most suitable specialist, either internally or via the Mavera network.

Make well-informed decisions

Supported by the medical assessment, you can confidently approve or reject the proposed treatment plan.

Analyze caregiver performance

Use aggregated statistics to review caregivers, identify patterns, and address unnecessary treatments.

Report on caregiver’s performance

Gain detailed insight into caregiver’s work. Identify those who frequently propose medically unwarranted treatments and take steps to reduce costs.

Recommendations for medical assessments

Leverage AI-based recommendations that analyze case complexity and highlight which cases the claims handler can manage independently, and which require a specialist assessment.

AI-powered medical overview

A new way of navigating the documentation

With Mavera DSS, users quickly get a clear and detailed overview of the case. AI analyzes, compiles, and visualizes medical documents, making the process both faster and more efficient.

Get full insight—quickly and in detail

Automatic medical summary

Gain a quick understanding of the case with an AI-generated summary that clarifies the course of the injury.

Smart document search

Search through all medical documents at once and quickly find the information you need.

Timeline of medical events

All events are presented chronologically on a timeline with a relevance score, so you can easily view the claimant’s medical history.

Specialist assessments

Get the right expertise when you need it

Mavera DSS streamlines the process for medical advice. The system can automatically assign cases to the right advisor, makes sharing materials easy, and ensures a clearly defined and smooth workflow—from first contact to the final medical statement.

Flexible options for medical advice

Network of specialists

Access over 300 physicians in fields such as orthopedics and neurology to always have the right expertise on hand.

Internal specialists

Optimize communication with your internal advisors and ensure smooth case handling.

Combine in-house and external specialists

Use your own advisors together with our network for additional support during high workloads or specialized needs.

What is Mavera DSS?

Mavera DSS (Decision Support System) is a platform that supports insurance companies with medical assessments for personal injury and underwriting.

It combines AI and medical expertise to help claims handlers and medical advisors make efficient and accurate decisions.

The system covers the entire process of medical assessments — from the initial analysis and sick leave decisions to specialist statements and final disability determinations.

A secure choice

1. Ensure regulatory compliance and avoid sanctions

Mavera DSS is designed to meet the requirements of GDPR and the upcoming DORA legislation. The solution ensures proper handling of sensitive data, minimizing the risk of regulatory breaches and costly sanctions. All data is managed on secure servers within the EU/EEA, and no data is sent to the USA.

2. Always up to date with the latest technology

As a SaaS solution, Mavera DSS is continuously evolving. This means you always have access to the latest technical improvements and are protected from risks that can arise with outdated technology.

3. Robust operations and high availability

With 99% availability and a robust system architecture, Mavera DSS minimizes the risk of downtime. This guarantees a reliable and uninterrupted claims handling process.

4. Reduce errors with standardized processes

Standardized processes make assessments consistent and reliable. This lowers the risk of costly mistakes, human errors, and legal disputes.

5. ISO-certified data security

Mavera is ISO 27001-certified, which guarantees that information security is a priority. Your sensitive data is handled securely and in accordance with the industry’s highest standards. The system offers multiple security protocols, including secure login, two-factor authentication (2FA), system integration and SSO options, as well as features like screenshot blocking and access restrictions outside Europe.

6. Documented customer satisfaction for peace of mind

9 out of 10 claims handlers who use Mavera DSS would recommend it. This attests to the solution’s positive impact on claims handling and ensures a smooth implementation within your organization. The system is also user-friendly, and most customers can be fully up and running in just one day, making the transition both quick and easy.

A strong business case

Reduce costs from overpayments and incorrect decisions

With standardized processes and AI support, you ensure consistent and correct decisions, minimizing the risk of overpayments and unnecessary expenses.

Improve efficiency and shorten processing times

By automating manual tasks and visualizing supporting documents, both claims handlers and advisors save time, resulting in lower personnel costs per case.

Optimize resource usage during high workloads

Combine in-house advisors with our network of specialists to handle peak workloads without expanding your permanent staff.

Increase customer satisfaction with faster and more accurate assessments

Efficient handling and well-informed decisions enhance the experience for the injured party, strengthening customer relationships and contributing to long-term loyalty.

Start simple and risk-free!

Begin with a pilot where you test the system’s functionality and ensure it meets your needs. Contact us today and take the first step toward more efficient claims handling!