Claim Analytics
Better Risk Management
Health insurance is a numbers game. Providers who can swiftly identify trends in the constant flow of data are better able to monitor risk, manage claims, and detect fraud. Failure to do so can lead to inefficient claims processing and additional operational costs.
With UBTI’s Health Insurance Claims Analytics, providers enjoy interactive visuals and drill down details for claims, premiums, and fraud all in one place. This plug-and-play solution has been developed based on our two decades’ experience making it easier for health insurance providers to make timely data-driven decisions. In essence, modern business intelligence (BI) helps you quickly identify business opportunities and risks so you can act on them.
Empower your management team with access to key metrics from their computer, tablet, and smartphone.
Loss ratio analysis- Claim fraud detection by outlier
- Claims performance
- Fraud and abuse management triggers
- Insured level analysis reports
- Insightful executive dashboards
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