Explore for Claims: Operational content
Explore includes the following pre-configured models and Liveboards for claims operations.
Liveboards for claims
| Liveboard Name | Key Contents and Sample Use Case | Data Source (Explore model) |
|---|---|---|
| Exposure Trend Analysis | Provides claim managers a broader, historical view of
effectiveness in adjudicating claim exposures. Enables claim managers determine types of resources required for specific coverage areas. |
GW - EfC Exposure Inventory |
| Claim Team Activity Performance | Includes analysis of key performance indicators by each activity
type against SLA thresholds. Helps claim leaders determine bottlenecks in expected claim handling practices. |
GW - EfC Activity Workload Processing |
| Open SIU Claim Caseload | Includes SIU claim caseload insight for the goals to detect,
deter, and defeat insurance fraud. Provides claim managers with tracking of all flagged open claims, ability to easily identify adjusters working flagged claims, and costs and claim status information. |
GW - EfC Claim Inventory |
| Claim Activity Workflow Trending | Provides identity analysis for under-performing groups and
processing time details for key activities. Helps claim managers with training opportunities and work assignment strategies for effective work improvement. |
GW - EfC Activity Workload Processing |
| Claim LifeCycle Analysis | Includes time-sensitive analysis of claims movement through key
steps of the claims management life cycle. Helps claim managers to identify claim profiles causing workload delays and impacting cost. |
GW - EfC Claim Inventory |
| Open Claim Inventory | Includes claim location within the organization, assigned claim
resources, claim status details, and cost information. Helps claim managers with caseload management, assignment strategies, and to triage bottle-necked claims. |
GW - EfC Claim Inventory |
| Open Catastrophe Triage Response | Includes catastrophes process-location within the organization,
assigned claim resources, claim status details, and cost
information. Helps claim managers with caseload management, assignment strategies, staff coverage levels, required 3rd party adjusters’ resources, and to triage claims related catastrophes. |
GW - EfC Claim Inventory |
| Claim Activity Workload Triage | Includes currently open activities location within the
organization, assigned activity resources, activity status details,
and cost information. Helps claim leaders to surface and resolve current and potential bottlenecks. |
GW - EfC Activity Workload Processing |
| Open Exposure Inventory | Includes bottle-necked claim exposures within the organization,
assigned exposure resources, exposure status details, and cost
information. Helps claims managers with caseload assignment. |
GW - EfC Exposure Inventory |
| Claim Activity Usage Refinement | Includes data for skipped, canceled, and same-day-closed activity
types. Helps claim managers with a comparative analysis of helpful activities to manage adjusters’ activity load value. |
GW - EfC Activity Workload Processing |
Models for claims
For more details, see Data dictionaries for Explore models.
| Model Name | Key Contents | Sample Use Case |
|---|---|---|
| GW - EfC Activity Workload Processing | Analysis of all adjuster workflow activities from near real-time (now) and historical (trending) complimentary perspectives. | Helps claim managers triage bottlenecks in the workflow. |
| GW - EfC Claim Inventory | Analysis of all claims from near real-time (now) and historical (trending) complimentary perspectives. | Helps claim managers with closure prioritization for claims; informs claim handling practices and staffing decisions relative to caseload volume and complexity. |
| GW - EfC Exposure Inventory | Analysis of all exposures from two complimentary perspectives of near real-time (now) and historical (trending). | Helps claim managers with closure prioritization for claims and exposures; informs claim handling practices and staffing decisions relative to caseload volume and complexity. |