A claims handling pilot delivers data-driven claims risk, fraud and wastage decisions directly into your claims process. Using real-world examples, learn how you can maximize straight through “Jet” processing while minimizing risk and fraud using a decision-centric, continuous improvement business architecture. Our proven decisions-first approach delivers the 5 elements of a powerful claims handling platform: decision model, business rules, risk and fraud analytics, impact analysis and continuous improvement.

1. @jamet123 #decisionmgt © 2018 Decision Management Solutions 1
What is a Claims Handling Pilot?
 Demonstrate faster, more accurate claims handling
 Engage all your stakeholders
 Identify and prove the technology involved
 Develop a plan for implementation

2. @jamet123 #decisionmgt © 2018 Decision Management Solutions
James Taylor, CEO
What is a Claims Handling Pilot?

3. @jamet123 #decisionmgt © 2018 Decision Management Solutions 3
Your Goals
 Demonstrate faster, more accurate claims handling
 Engage all your stakeholders
 Identify and prove the technology involved
 Develop a plan for implementation

4. @jamet123 #decisionmgt © 2018 Decision Management Solutions 4
This Webinar Will Help You
 Build a shared vision at your company
 See the steps that have helped others succeed

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A Pilot Is Key To Next Best Action Success
 Engages business stakeholders
 Demonstrates value to technical stakeholders
 Creates a believable future state
 Proves transparency, agility and control upgrade
 Readily extends to production - not a throw away

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Develop a decision model
Develop rules and analytics
Deliver a working service
Deliver decision-centric dashboard
Claims Handling Pilot Plan

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For a Successful Pilot
Deliver These 5 Critical Elements
Impact Analysis
Business Rules
Continuous
Improvement
Risk and Fraud
Analytics
Decision Model

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Engage Business Stakeholders
 Decision Modeling is
 Rapid
 Engaging
 Enlightening
 Open
 And business stakeholders love it!

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Demonstrate Technical Value
 Persuade IT
 Control
 Integration
 Persuade Analytics
 Operationalization
 Deployment options
Analytical
Models
NeuralRules Business
Rules

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Show Future Operational Environment
 From
 One-Time Change
 Deployment Risk
 Lack of Control
 To
 Continuous Improvement
 Incremental Change
 Impact Analysis First

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Prove Transparency, Agility, Control
 Help The Business
 See decisions made
 Determine business impact
 Propose rule changes
 Test and validate changes
 Simulate impact
 Make Changes

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Define A Path To Production
 Reuse pilot components
 Clear next steps
 Complete the model
 Integrate with production data
 Test and learn
 Agile, iterative development

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The Destination:
Consistent Agile Claims Handling
External Data
Big Data
Business
Rules
Continuous
Improvement
Analytics and
AI
Chabot, Web or
Claim Agents
Consistent
decision-making
Enforce policies
Apply predictive
analytics
Learn, Adapt,
Improve

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SUMMARY
▶ Benefits
▶ Engages business stakeholders
▶ Demonstrates value to technical
stakeholders
▶ Creates a believable future state for the
organization
▶ Proves transparency, agility and control
can be improved
▶ Readily extends to production - not a
throw away
▶ Schedule
▶ 10-12 week project
Impact Analysis
Business Rules
Continuous
Improvement
Risk and Fraud
Analytics
Decision Model

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Your Questions
▶ James Taylor, CEO
▶ james@decisionmanagementsolutions.com
▶ +1 650 400 3029
▶ @jamet123
Enter questions
for the Q&A here

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Thank You
 More resources for success with
Claims
 http://bit.ly/DMSClaims
Decision Management Solutions works
with clients to improve their business
by applying business rules & analytic
technology to automate & improve
decisions.
We can help you pilot a custom claims
handling solution for your business.