claims

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By: CloudTask     Published Date: May 11, 2018
In a world where every competitor claims to be the best, it's extremely challenging to differentiate yourself as a market leader. Effective differentiation is one of the main challenges businesses face while trying to convert traffic into B2B leads. Essentially, it all comes down to great service and personalization Great service doesn't just include solving problems post sale, it also means being in the right place to answer questions and provide information pre-sale. The more your prospects believe that you are there to serve them and their specifc needs, the more likely it is that they will become genuine leads and eventually customers.
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     CloudTask
By: TIBCO Software     Published Date: Nov 12, 2018
The insurance industry stands on the precipice of change, with waves of innovation and disruption driving new possibilities across all departments, including pricing, underwriting, claims, and fraud. This webinar recording of a live panel debate is ideal for insurance professionals wanting to understand how best to unlock the possibilities created by advanced analytical techniques such as Artificial Intelligence (AI), Machine Learning (ML), and others. This TIBCO and Marketforce webinar on “The Fourth Industrial Revolution in Insurance” includes speakers Ian Thompson, chief claims officer at Zurich; David Williams, chief underwriting officer at AXA; and Clare Lunn, GI fraud director at LV=. The panel discusses: Moving towards the algorithmic insurer: the opportunities created by AI and ML How insurers can become more agile in the face of new innovations and disruptive technologies How the industry can turn structured and unstructured data into insights
Tags : agile insurance, customer experience, digital initiatives, analytical techniques
     TIBCO Software
By: TIBCO Software     Published Date: Oct 03, 2018
The Insurance industry continues to undergo significant transformation, with new technologies, business models, and competitors entering the market at an increasing rate. To be successful in attracting and retaining the most valuable customers, insurance companies must innovate and increase the speed at which they respond to customer demands. Traditionally, the insurance software market was dominated by a handful of specialist vendors with products that were initially expensive, difficult to deploy, costly to maintain, and did not provide the speed needed for today's market. Now there has been a shift away from these "black box" applications to platforms that allow insurers to make their algorithmic IP available to business users, allowing much faster response to business demands. The algorithmic platform approach also comes at a fraction of the cost of black box solutions, while delivering advanced analytical techniques like Machine Learning and Artificial Intelligence (AI).
Tags : artificial intelligence, machine learning, dynamic pricing, predictive claims, real-time fraud, contextual customer experience, operational effectiveness
     TIBCO Software
By: GE Healthcare     Published Date: Mar 04, 2014
Why prepare now for ICD-10? While the October 1, 2014 deadline for compliance may seem to be in the distant future, an informative whitepaper by GE Healthcare describes the importance of advance planning and outlines a plan for success.
Tags : ge healthcare, icd-10, service delivery, billing, claims processing, reimbursement, project management, emr, patient management, healthcare it
     GE Healthcare
By: Motorola Solutions     Published Date: Apr 26, 2019
The stadium had been using two-way radios to support daily operations for more than a decade — an analog-based system that was nearing end of life. The radios and the repeaters were starting to fail, creating communications gaps for employees. Being fully focused on the task at hand became challenging for employees that were concerned about the effectiveness of their radios on which they readily relied on for collaborating with other team members and addressing issues swiftly. The original system treated them well for a long time, but it came time to retire the equipment and make the move to digital.
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     Motorola Solutions
By: Riverbed     Published Date: Feb 26, 2015
Insurance organizations are constantly replacing legacy systems and practices with streamlined ones that help them compete better. In the area of billing, policy and claims management, Guidewire is broadly adopted.
Tags : performance management, quality service, network performance, application performance, vendor profile, implementation
     Riverbed
By: Castlight Health     Published Date: May 06, 2014
Poor quality of care takes a tremendous toll, not just on the system as a whole, but on the patients and their families at the center of that system. It also has a tremendous effect on employers, who already face unsustainable health care costs. When we evaluated one of our customer's claims, we found numerous signs of preventable complications that had cost our client significant amounts, not to mention the toll on the individual. Specifically, we identified the following preventable hospital- acquired conditions (HACs): • Fourteen instances of stage III and IV pressure ulcers • Twelve instances of vascular catheter-associated infections • Thirteen instances of catheter-associated urinary tract infections • One instance of a patient dying or experiencing a serious disability associated with intravascular air embolism • Five instances of foreign objects remaining in patients after a procedure. Please download the whitepaper to learn more!
Tags : healthcare, healthcare quality, intravascular air embolism, preventable complications, castlight health, hospital-acquired conditions, medical errors, health insurance, inappropriate care, unsustainable costs
     Castlight Health
By: Fitbit     Published Date: Nov 12, 2018
A basketball partnership that walks the walk, literally. Employees of the Minnesota Timberwolves get stepping. In 2017, the Minnesota Timberwolves teams signed on to partner with Fitbit. This new sponsorship not only included a Fitbit patch on all team jerseys, but an opportunity to work together both on and off the basketball court. For starters, the Timberwolves knew that creating a culture of wellness was a natural next step for the Fitbit partnership. Learn how this NBA organization: ? Launched a successful wellness program through Fitbit Health Solutions ? Kept momentum (and step counts) high on game days ? Experienced cost decreases on medical claims
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     Fitbit
By: Zebra Technologies     Published Date: Sep 12, 2018
Detecting and preventing errors that threaten patient safety is a closed-loop process that begins at the point of care, extends to independent laboratories, and then back to the caregiver. Sample identification and results reporting errors can lead to misdiagnosis and inappropriate treatment with deadly consequences. A 2006 Wall Street Journal article reported that while malpractice claims for pathology errors are relatively low, they are the second most costly. In addition to creating a serious risk to patient safety, sample misidentification creates significant financial implications. Redraws, retesting and additional treatment that result from sample errors cost the healthcare industry an estimated $200 million to $400 million per year.
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     Zebra Technologies
By: McAfee EMEA     Published Date: Nov 15, 2017
As we have said through this paper, it is no longer an either/or choice between security analytics and SIEM. Or even between insourcing and outsourcing security monitoring. You need to establish a team with complimentary capabilities, skills, and resources; then leverage each part for what it does best. It is frustrating to use a technology for something it’s not built to do, and just as frustrating to expect a service provider to do things beyond their capability — regardless of their claims during the sales cycle. So don’t do that — build your security monitoring program to give all parties the best chance of success.
Tags : security, analytics, siem, monitoring, skills, capabilities, outsourcing
     McAfee EMEA
By: MuleSoft     Published Date: Jun 12, 2018
MuleSoft Positioned as a Leader 3 Consecutive Times Read this complimentary copy of the 2018 Gartner Magic Quadrant for Full Lifecycle API Management, and find out why MuleSoft was named a Leader based on completeness of vision and the ability to execute. Read on to learn: Expert perspectives on API Management Critical analysis of key differentiators Latest developments in integration technology Industry benchmarks and trends Gartner Magic Quadrant for Full Life Cycle API Management, Paolo Malinverno, Mark O'Neill, 30 April 2018. Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of
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     MuleSoft
By: Interactive Intelligence     Published Date: Feb 14, 2012
Read how to improve cross-selling and up-selling, claims efficiency and market opportunities from insurance and IT industry authority, Mark Breading, SMA partner at SMA Strategy Meets Action.
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     Interactive Intelligence
By: IBM Software     Published Date: Nov 02, 2010
Learn how leading insurance companies are using data mining techniques to target claims with the greatest likelihood of adjustment, improving audit accuracy, and saving time and resources.
Tags : ibm cognos predictive analysis, data mining, insurance fraud detection, analytical technique, prevention
     IBM Software
By: IBM Software     Published Date: Feb 03, 2012
Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved, how embedded analytics improves decision making, and technology components of a predictive analytics solution.
Tags : ibm, security, predictive analytics, security policy, risk management, internet security, security solutions
     IBM Software
By: IBM Software     Published Date: Oct 24, 2011
Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved and much more!
Tags : data analysis, ibm data analysis, smarter planet new intelligence, rfid, sensors and actuators, epedigree, track and trace, insurance fraud, data management, data mining, knowledge management, data storage, knowledge management software
     IBM Software
By: IBM     Published Date: Aug 07, 2012
Insurers lose millions each year through fraudulent claims. Learn how leading insurance companies are using data mining techniques to target claims with the greatest likelihood of adjustment, improving audit accuracy and saving time and resources. Read this paper to learn how to combine powerful analytical techniques with your existing fraud detection and prevention efforts; build models based on previously audited claims and use them to identify potentially fraudulent future claims; ensure adjusters focus on claims most likely to be fraudulent; and deploy results to the people who can use the information to eradicate fraud and recoup money.
Tags : data, mining, detect, insurance, fraud, insurers, fraudulent, claims, insurance, data, mining, techniques, audit, analytical, techniques, fraud, detection, it management, data management, data center
     IBM
By: IBM     Published Date: Aug 07, 2012
As a claims management professional, you have to deal daily with formidable - and sometimes competing - challenges: provide superior customer experience; achieve operational excellence and cost containment; and effectively manage risk. Predictive analytics can help you improve each of these three outcomes, but more importantly, it helps strike the right balance among these three objectives for each new claim received. Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved, how embedded analytics improves decision making, and technology components of a predictive analytics solution.
Tags : improving, claims, management, outcomes, predictive, analytics, claims, management, professional, formidable, competing, superior, customer, experience, operational, excellence, cost, containment, risk, predictive
     IBM
By: IBM     Published Date: Aug 08, 2012
Your goal is clear-produce high-quality goods while optimizing resources at every step of production. And in today's uncertain economy, cost-control efforts may never have been more important. Unscheduled downtime because of equipment failure can have a serious impact on your organization's bottom line. Download this white paper from IBM, and learn the basics of predictive maintenance, the benefits it provides manufacturing operations and the underlying technologies that make it possible. Predictive analytics helps you in a number of ways: identify when equipment is likely to fail or need maintenance and take action to maximize uptime and reduce future warranty claims costs; optimize allocated labor resources and spare part inventories, helping eliminate undue maintenance, prevent downtime and reduce inventory costs; and determine why certain production runs fail more often than others, identify the cause and analyze whether those runs warrant a recall.
Tags : ibm, technology, manufacturing, predictive maintenance, productivity, minimize downtime, reduce costs, white paper
     IBM
By: Microsoft Azure     Published Date: Apr 10, 2018
Learn how to break down silos, reinvent productivity, and help your sales team achieve success by unifying transactional systems, social networking, and strong customer relationships. Download this free Nucleus report that says teams using the Microsoft Relationship Sales solution increased productivity 12-15 percent.** You’ll also learn how to: Empower your sellers with savvy insights that engage and delight customers. Scale the power of one-on-one relationship selling by unifying the sales experience. Offer your team tools to reinvent the way they sell and help transform your company’s bottom line. Use Microsoft Dynamics 365 for Sales along with LinkedIn Sales Navigator to help sellers identify future customers and suggest ways to engage with them. **Claims based on a 2017 study by Nucleus Research that analyzed more than 50 ROI case studies on CRM deployments from 2015 to 2017. Companies ranged in size from small and medium-sized businesses to large multinational enterprises. Re
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     Microsoft Azure
By: Qlik     Published Date: Aug 31, 2016
Qlik apps are used by teams in head-office functions like group finance or risk. Here's a list of the top 12 solutions that are the most popular, and offer the greatest business value.
Tags : qlik, finance solutions, risk, insurance, claims management, cvs, sales performance
     Qlik
By: CrowdStrike     Published Date: Nov 28, 2018
As damaging breaches continue to occur, more organizations are considering endpoint detection and response (EDR) solutions to address the incidents that aren't being handled adequately by their existing defenses. However, EDR solutions come in a wide variety of implementations and can vary significantly in scope and efficacy — choosing the best solution can be challenging. This white paper, “Endpoint Detection and Response: Automatic Protection Against Advanced Threats,” explains the importance of EDR, and describes how various approaches to EDR differ, providing guidance that can help you choose the product that's right for your organization. Read this white paper to learn: • What makes EDR such a valuable addition to an organization's security arsenal and why finding the right approach is critical • How the “EDR maturity model” can help you accurately evaluate vendor claims and choose the solution that best fits your organization’s needs • How the CrowdStrike® EDR solution empowers
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     CrowdStrike
By: Fitbit     Published Date: Mar 16, 2017
In a three-year retrospective study that analyzed health care claims and wearable device data from a self-insured employer, Springbuk looked at the potential impact of Fitbit technology as part of a wellness program. The analysis shows that connected health and fitness interventions can close the gap between the everyday actions that change health and drive outcomes for employee health and employer cost. Some of the key findings include: * Employees who opted into the Fitbit program demonstrated significant cost savings when compared to the control group. * Engaged users cost less than non-engaged users. * The opportunity for cost savings is potentially the highest with less active individuals.
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     Fitbit
By: Fitbit     Published Date: Mar 21, 2017
Fear not, it is possible to prove the return on investment (ROI) of your wellness program! But don’t take our word for it. Springbuk, a health intelligence platform, recently evaluated the health care claims and wearable device data for a self-insured employer (and Fitbit customer) over a three-year period. View this webinar, Rod Reasen, CEO at Springbuk, walks you through their study and reveals how: - Employees who opted into the company’s wearable program cost less than their counterparts - Total costs for engaged wearable users dropped by 46% vs. 14% for non-engaged individuals - Cost reductions were highest with less active members – encouraging news for all employee populations
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     Fitbit
By: Epson     Published Date: Jan 10, 2019
Since the earliest days of the industry, insurance companies have faced a never-ending struggle: processing the voluminous amount of paperwork that underwriting, claims, and compliance require. But the days of enduring the burdens caused by mountains of paper can become a distant memory. By investing in new, proven methods of converting paper documents to readable digital formats, insurance organizations can fully automate document processing to accelerate workflows, minimize processing times and enable more efficient operations.
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     Epson
By: Ephesoft     Published Date: Jan 18, 2018
Insurance companies are intensely data and document driven. Learn how intelligent document capture solutions can help all types of insurance offerings improve customer service, process claims faster and create streamlined, efficient and profitable business practices.
Tags : insurance, solutions, ephesoft, data, customer service, claims, business, optimization
     Ephesoft
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