claims

Nice article on predictive analytics in insurance

January 5, 2012

Patrick Sugent wrote a nice article on A Predictive Analytics Arsenal in claims magazine recently. The article is worth a read and, if this is a topic that interests you check out our white paper on next generation claims systems or the series of blog posts on decision management in insurance that I wrote after I did a [...]

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First Look – SAS Enterprise Miner 7.1

November 11, 2011

I got an update on Enterprise Miner™ from the folks at SAS recently. Enterprise Miner is their development tool for data miners and predictive analytic specialists and is a graphical environment for designing and executing the steps in the creation of a predictive analytic model. Enterprise Miner 7.1 was part of the SAS 9.3 release [...]

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Decision Management Orchestrating Consistent Enterprise-wide Decisions #iod11

October 25, 2011

Erick Brethenoux, Pierre-Henri Clouin and Asit Dan presented on IBM’s Decision Management approach – a nice chance to see both the Business Analytics and WebSphere bits of IBM talking about the same problem. CEOs consistently tell IBM that volatility, uncertainty and complexity are continuing issues. CIOs with a mandate to transform the business are responding [...]

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Predictive Analytics in Healthcare

September 19, 2011

I am attending the Computerworld Business Intelligence and Analytics Perspective conference and just gave the opening keynote “From Business Intelligence to Predictive Analytics.” Following me is the team from Blue Health Intelligence about their innovative use of predictive analytics.
The US healthcare system that is more expensive, less effective and less safe than many other countries’ [...]

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Smarter Customer Analytics and Decision Management with IBM

June 2, 2011

We got a quick overview of SPSS Decision Management (see my post on SPSS DM 6 or indeed the whole blog for my view of this). SPSS Decision Management combines predictive analytics, business rules and optimization/simulation to optimize high volume decisions like “should I search this car at the border” or “should I investigate this [...]

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Predictive Analytics spotlight from IBM

June 2, 2011

Deepak Advani kicked off day 2. SPSS was acquired by IBM in 2009 and, like all acquisitions, has to report on how well it has met the expectations set at acquisition time. SPSS has beaten every target set for it at acquisition and reviews have apparently been a “bit of a love fest”. SPSS has [...]

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Predictive Analytics World Presentation: Next Generation Claims Systems

May 17, 2011

[ October 19, 2011; 7:45 am to 8:05 am. ] I am giving a presentation on “Next Generation Claims Systems” at Predictive Analytics World in New York on Wednesday October 19 at 10:45am Eastern.

Today’s insurance claims systems deliver value by increasing efficiency through process automation and workflow. The use of manual decision points within these processes and systems, however, creates bottlenecks and under-utilizes company expertise. [...]

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Extracting and designing a cross-channel decision in Insurance – an example

May 11, 2011

Some weeks back I wrote a series of posts on the role of Decision Management in Insurance. One post was called multi-channel distribution and customer communication and outlined how Decision Services that automate customer decisions improve customer treatment in a multi-channel world by improving their accuracy, timeliness and consistency.
The diagram at left shows how this [...]

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Increasing customer satisfaction in claims processing with rules and process

April 12, 2011

Final IBM IMPACT session for me this year is If P&C Insurance talking about the role of process and rules in claims processing. If is the largest property and casualty insurer in the Nordic region and covers all sorts of risks across personal and commercial lines of business. Insurance Customer Satisfaction can seem like an [...]

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SAS Vertical Strategy

March 7, 2011

Focus of the presentation from Russ Cobb was Banking, Insurance, Retail and Government.
Banking first. Lots of releases this year primarily around Enterprise Risk Management, Governance Risk Compliance, Customer intelligence, fraud and financial crime solutions. Key customer issues for SAS in banking:

Customer Growth
How do you identify, grow and manage your most profitable customers. Big focus for [...]

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Decision Management and Insurance – Business Optimization and Governance

February 24, 2011

Strategy Meets Actions’ research reports that insurers have tens, hundreds, even thousands of initiatives. To achieve these goals, aligning the business and IT is critical, as is setting the right priorities, and ensuring technology investments support these priorities.
Decision Management focuses on the key business decisions, and moves away from a focus on functional processes and [...]

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Decision Management and Insurance – Capitalize on Intelligence to Manage Losses

February 23, 2011

Many insurers have been investing heavily in claims systems to reduce costs and improve efficiency, implementing claims processes and web-based claims systems. These validate claims before submitting them and use workflow to reduce costs and improve efficiency. The growth in data volume in claims has led to increased use of analytics and using claims data [...]

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First Look – Tibco Spotfire

February 15, 2011

I got an update from TIBCO Spotfire recently, with my usual focus on operational decisions. Spotfire aim at what they call the analysis gap. Their customers typically have applications that are tailored and customized but too expensive to change, reporting that is widely distributed but inefficient (prompting users to use additional tools when needs change) [...]

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Decision Management and Insurance – Putting the Data To Work

February 15, 2011

At the core of the Top 10 Imperatives for Insurers is putting the data to work – across channels, in day-to-day operations, in customer interactions and more.  Putting data to work means leveraging the historical data you have about your operations, performance and policy holders to systematically increase the value of your corporate decision assets. [...]

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Investing in your lowest level employees with Decision Management

February 11, 2011

My old friend Marcia Conner pointed me to this great piece yesterday Investing at the Bottom of the Ladder that discussed how “Companies that invest in their lowest-level employees are more productive and more profitable”. Personally I found this cheering and a nice counterpoint to the outsource everything, always reduce costs no matter what mindset [...]

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Decision Management and Insurance – A Series

February 10, 2011

Insurers face new and growing challenges as the market moves into recovery in 2011: more delivery channels, demographic shifts, a changing competitive landscape and a rapidly evolving regulatory and compliance environment. Many insurers are faced with meeting this challenges hampered by inflexible legacy applications, underutilized data from internal systems and external sources, and manual spreadsheets [...]

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Fighting fraud at MetLife Auto and Home #pawcon

October 20, 2010

David McMichael of MetLife came next. MetLife Auto and Home is a mid size P&C insurance arm within the overall MetLife group. David runs the Quantitative Research and Modeling team within the actuarial department. Team has grown over the last few years with a diverse set of people, something they find very valuable and expanded [...]

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Fixing the BP Fund claims process

September 28, 2010

Syndicated from ebizQ
I saw yet another article about the claims being paid by the BP Fund this weekend – BP fund czar promises bigger, faster claims – and it struck me that every time there is a disaster we go through this. Something happens, lots of people need to make claims, some process gets set [...]

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First Look – IBM/SPSS Decision Management and Modeler

May 19, 2010

I received an update from IBM recently on IBM SPSS Decision Management 6 and IBM SPSS Modeler 14. IBM  sees organizations with many different data sources (inside and outside) that are moving from a traditional approach focused on reporting to one that involves “predict and act” – real-time, fact-driven decision making at the point of [...]

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Taking advantage of mobile devices with decision management

May 14, 2010

Syndicated from ebizQ
Lots of articles talk about the need to provide BI and analysis on mobile devices. And lots of enterprise applications want to “mobilize” themselves. But I don’t see it. I don’t think employees want to do BI on a smartphone or even data mining on an iPad. Nor do they [...]

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