Claims Focus 2019, No. 2
Issue: December 2019
L/H General Industry
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English
By Mary Enslin, Life/Health Claims Specialist, Cologne
Mirko von Haxthausen, Life/Health Training Manager, Cologne
Dr. Behrang Jalali, Life/Health Data Science Manager, Cologne
Fionna Kossmann, Life/Health Claims Manager, Cape Town
Andre Meyer, Life/Health Claims Specialist, Cologne
Anke Siebers, Life/Health Insurance Education Consultant, Cologne
Karin Brendel
Gerhard Riedel, Senior Training Specialist, Cologne
The potential of digitalisation and big data to revolutionise an industry has been discussed in great detail in many contexts, including the insurance industry. However, the use of data and digital information in the area of claims assessment is less explored. In this issue of we review how claims teams can use data to their advantage and what skills will be needed for claims assessors of the future. Dr. Behrang Jalali and Karin Brendel explain the methods of machine learning and examine how advanced analytics can be applied to various stages of the Life/Health claims process.
Two further articles delve deeper into the application of data analytics within the claims process: Fionna Kossmann describes a method of categorising the inherent risk of a claim and triaging claims accordingly. Practical examples are given and the advantages of such a system are discussed. Andre Meyer reminds us that the purpose of analysing data is to gain insights into our business. He provides a technical overview of visual analytics and describes three different visualisation methods and instruments for claims data.
These, and other developments in the methods and procedures used to process claims, present claims assessors with many opportunities for growth and skills development. Therefore, we portray Gen Re’s view on some of the skills that will be needed to equip claims assessors for the future. We encourage you to contact us to learn more about the claims training opportunities available.
