Solutions
Five ways we turn claims data into advantage.
We work across the insurance lifecycle: from how you distribute and underwrite, through how you handle and analyse claims, to how you price renewals and set reserves. Each engagement stands alone, or combines into an end-to-end view of your portfolio.
Where each solution sits in the policy lifecycle.
ILLUSTRATIVE
Fraud Detection
Opportunistic and organised fraud both leak value, and rule-based systems catch neither reliably. We combine anomaly detection, network analysis, document checks and portfolio-tuned rules into one prioritised, explainable alert queue that focuses investigators where it counts.
- Prioritised alerts with reasoning attached
- Network analysis across claims, providers and payments
- Feedback loops that sharpen the models over time
Distribution & Channel Analytics
Headline volume hides sharp differences in loss ratio, retention and fraud propensity between channels, partners and geographies. We build channel scorecards ranked on true, claims-adjusted profitability, so you know where to grow, where to reprice and where to renegotiate.
- Channel scorecards ranked on claims-adjusted margin
- Partner and geography drill-downs
- Grow, reprice or renegotiate recommendations
Renewal Pricing
Renewals priced on last year's rate and a conversation erode margin quietly. We segment the renewal book on its own claims experience, score renewal risk, and model repricing scenarios you can test before you commit, documented for pricing committees.
- Renewal-risk scores per segment
- Repricing scenarios with modelled margin impact
- Committee-ready documentation
Claims Analytics
The insight that controls claims cost is buried in structured fields and unstructured documents alike. We deliver triage, leakage detection, provider benchmarking and cost-driver analysis inside the workflows your claims team already uses.
- Triage and severity prediction at intake
- Provider benchmarking and cost-driver analysis
- Machine learning on unstructured documents
Reserving for Medical Portfolios
Medical and travel portfolios carry development volatility that simple methods underestimate. We provide data-driven reserving support, emerging-experience monitoring and scenario testing that stress your assumptions before events do.
- Reserve analyses with documented assumptions
- Emerging-experience monitoring dashboards
- Scenario and sensitivity testing