claims

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By: IBM     Published Date: Feb 05, 2015
Revealing new insights into agency performance, claims processing, customer profitability and exposure.
Tags : agency performance, claims processing, customer probability, advanced analytics
     IBM
By: IBM     Published Date: Feb 24, 2015
Big data and analytics help insurance companies identify the next best action for customers. With the right solutions, companies can extract, integrate and analyze a large volume and variety of data, from call-center notes and voice recordings to web chats, telematics and social media.
Tags : big data, ibm, claims operations, customer service
     IBM
By: IBM ILOG.     Published Date: Oct 26, 2009
This case study will showcase the challenges of clinical trial data management, but the highlighted techniques are applicable to any business needing smart, dynamic and adaptive Web-based user interfaces.
Tags : brms, business logic, business rules, claims management, data management, data validation, healthcare, productivity
     IBM ILOG.
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
     IBM Software
By: IBM Watson Health     Published Date: Mar 30, 2018
Chilmark Research, a global research and advisory firm, recently released a report rating vendors and solutions in the healthcare analytics industry. IBM Watson Health, a leader in healthcare analytics, has put together this infographic comparing how its solutions stack up against some of the closest competitors in the industry in areas such as population discovery and definition, predictive analytics, cost and utilization, and claims data contribution.
Tags : analytics, infographic, predictive analytics, cost utilization, population discovery, claims data, healthcare, chilmark
     IBM Watson Health
By: IBM Watson Health     Published Date: Dec 12, 2018
Data analytic solutions help improve the value of health and human services, drive better decision-making and lower costs. See how the right solutions can contribute to millions of dollars saved through fraudulent claims detection, offer insights into the social determinants of health and benefit social programs.
Tags : government, health and human services, artificial intelligence, data, cognitive insights, medicaid, fraud reduction, social program management
     IBM Watson Health
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: Interactive Intelligence     Published Date: Sep 11, 2013
Contact centers have long played a vital role in the insurance industry. Prospects and customers use them to get product information and quotes and then submit applications. Insurance agents and advisors rely on contact centers to tap into expertise and handle business and technical issues. Policyholders and members make inquiries or changes to their policies, or conduct financial transactions. Claimants call in to report accidents and check on the status of their claims. The list could go on, but the meaning is clear. Contact centers are major contributors to many key parts of the insurance business, especially the parts that require direct interaction with customers or agents. As a result, contact centers now play a critical role in an insurer’s journey toward becoming more customer-centric.
Tags : interactive intelligence, contact centers, insurance industry, prospects, customers, product information, quotes, members
     Interactive Intelligence
By: Iovation     Published Date: Aug 02, 2019
Insurance fraud is back with a vengeance. With four out of ten mobile claims estimated to be fraudulent, using connected devices have made it easier than ever for fraudsters to commit insurance crimes. Gather insights from the live panel discussion hosted by MoneyLIVE & TransUnion. As fraud experts examine current trends & impacts of insurance fraud in today's digital age and learn how to overcome insurance fraud while protecting your customer relationships. What you will learn: Key trends behind fraud and the way in which they are impacting insurers. How to tackle fraud and identify red flags by using a holistic approach. Explore trigger points that can help warn insurers of when there is a high chance of fraudulent activity. Identify the genuine customers and their genuine claims from the fraudsters.
Tags : botnet, insurance claims fraud, fraud rings, account takeover
     Iovation
By: Iterable     Published Date: Sep 07, 2018
Since the term “omni-channel” was first coined by the Harvard Business Review in 2011, some marketing technology vendors claimed that they could provide businesses with this holy grail of brand ubiquity. Unfortunately, most of these early claims were false starts where vendors over-promised and under-delivered. The good news is that a select number of solutions have caught up with all the promises and can now turn them into action. In this guide, we explain why the conversation around omni-channel marketing has changed and how you can transform your marketing strategy to leverage this new, powerful technology. We’ll give you a heads up on the roadblocks you’ll encounter on your journey to achieving omni-channel relevance and the benefits you’ll gain once you reach your destination. No highfalutin jargon, no talking in circles and no nonsense. Just practical advice on how to create a superb customer experience.
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     Iterable
By: K2     Published Date: Jan 07, 2016
Is it time to reframe BPM through a modern lens? This is what a recent Forrester report claims, after conducting an online survey of over 3,300 businesses. While 33 percent of companies are already implementing or using a BPM solution and an additional 30 percent are interested in using BPM, only 17 percent of companies made a formal request to use BPM in the last year.
Tags : bpm, business process management, forrester report, bpm solutions, networking, security, it management
     K2
By: Kapost     Published Date: Feb 20, 2014
Just about everyone claims to be doing content marketing, but far fewer organizations have a thought-out plan. According to Content Marketing Institute, only 44% of B2B marketers and 39% of B2C marketers have a documented content strategy. But as organizations scale content operations, workflows, distribution, and promotion, many are seeking tools to centralize, manage, and improve the process. That’s where content marketing software comes in. This software can help organize, automate, and visualize your efforts to create original content, as well as curate the content of others.
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     Kapost
By: Larsen & Toubro Infotech(LTI)     Published Date: Feb 18, 2019
The largest national multiline insurance had built a repository of Insurance policies (P&C and Life Insurance) on Microfilm and Microfiche in early 90’s, as a preservation strategy. They were grappling with issues as this technology became outdated over time: • Risk of losing their only source of data for Insurance policies and corresponding communication, need to improve data availability and speed of claims evaluation • Compliance issues, need of a WORM (write once read many) storage compliant with FINRA regulations, where data should be encrypted when at rest • Total cost for digitization compared to 10-12 years of support left to maintain insurance policies was not very encouraging • Required a low cost, cloud-based, FINRA-compliant document management solution which could provide quick access to stored data Download complete case study to know how LTI’s e-Office sDownload full case study to know how LTI’s e-Office solution enabled 50% TCO for Largest national Multiline Insurance.
Tags : 
     Larsen & Toubro Infotech(LTI)
By: LexisNexis     Published Date: Mar 25, 2013
Achieving personal injury settlements can be a time-and-fact-intensive process. The settlement proposals Kashi develops often reference hundreds of documents-medical bills, medical chart notations and expert facts.
Tags : timemap, casemap, lexis nexis, legal solutions, quick settlement, effectiveness, reduced time and efforts, personal injury claims
     LexisNexis
By: MarkLogic     Published Date: May 07, 2018
Learn how Life Sciences organizations can accelerate Real World Evidence by achieving faster time to insight with a metadata-driven, semantically enriched operational platform. Real World Evidence (RWE) is today’s big data challenge in Life Sciences. Medical records, registries, consultation reports, insurance claims, pharmacy data, social media, and patient surveys all contain valuable insights that Life Sciences organizations need to ascertain and prove the safety, efficacy, and value of their drugs and medical devices. Learn how Life Sciences organizations can accelerate RWE with a metadata-driven, semantically enriched operational platform that enables them to: • Unify, harmonize and ensure governance of information from diverse data sources • Transform information into evidence that proves product efficacy and safety • Identify data patterns, connections, and relationships for faster time to insight
Tags : data, integration, drug, device, manufacture, science
     MarkLogic
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: MedAssurant, Inc.     Published Date: Aug 31, 2010
Case Study: Beyond "Clinically Enriched Administrative Data": Using Patient- Specific Datasets to Drive Rapid Clinical & Financial Improvements
Tags : medassurant, medical informatics, health care, healthcare, dataset, medical claims data, patient management, administrative datasets
     MedAssurant, Inc.
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: 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: 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
Tags : 
     MuleSoft
By: NetDiligence     Published Date: Apr 30, 2015
A Study of Actual Payouts for Covered Data Breaches.
Tags : network security, security policies, disaster recovery, compliance
     NetDiligence
By: Network Automation     Published Date: Dec 02, 2008
Baptist Health is South Florida’s largest not-for-profit health care organization, encompassing six major medical facilities and a number of outpatient centers.
Tags : network automation, epremis, effective claims processing, networking, it management
     Network Automation
By: nThrive     Published Date: Sep 22, 2017
Claim denials plague health care providers nationwide, siphoning up to 5 percent of patient net revenue per year and causing a cycle of rework on roughly 20 percent of claims. Couple that with the troubling statistic that upwards of 50 percent of denied claims are never worked by hospitals, and the scope of the issue becomes clear: denials management is vital to the financial health of your organization.
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     nThrive
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