Automated predictive analytics
Nodal Claims Triage
Optimize claims performance, identify at-risk claims, and reduce cost
Effective claims processing is more important—and more challenging—than ever
Rising claim costs and increasing claim complexity make it critical to identify and manage high-cost claims as early as possible. With experienced claims professionals retiring, claims departments face the challenge of hiring new staff and transferring knowledge to maintain quality claims handling. Insurers must embrace AI to successfully navigate these challenges, optimizing efficiency, and ensuring continued success.
Use AI to predict and manage volatile claims
Nodal® Claims Triage helps insurers and employers reduce claim severity by accelerating the identification of problematic claims with AI, allowing for timely implementation of cost-mitigation strategies. Harnessing the power of Natural Language Processing (NLP) to extract insights from adjuster notes and other unstructured data, our predictive models help you triage claims quickly and accurately.
Nodal Claims Triage benefits
Improved claims triage
Identify high-cost claims more consistently, allowing claims departments to prioritize and allocate resources effectively.
Cost Reduction
Reduce the cost of claims and lower cycle times to improve your bottom line.
Data driven decision making
Uncover valuable insights into trends and potential risks, empowering claims departments to make informed, data-driven decisions.
Trust built-in expertise
Benefit from our decades of hands-on experience in claims operations and actuarial science.
Nodal Claims Triage features
Predictive Analytics
Organize unstructured data with powerful technology that will in turn predict volatile and high-cost claims by extracting information from adjuster notes shortly after the claim is reported.
Natural Language Processing
Leverage our proprietary Natural Language Processing (NLP) algorithms to identify claims faster and more accurately. This technology extracts key information from unstructured data, such as adjuster notes. This results in faster and more accurate predictions than structured data alone.
Tailored Solution
Meet your specific business needs with a comprehensive model that comes ready to deploy. Nodal Claims Triage goes beyond a one-size-fits-all approach, as our team tailors models to each client’s specific data.
Main dashboard overview
Automate claim identification
Highlight high, medium, and low-scoring claims, as well as active alerts.
Compare outcomes to similar claims
View claims marked as similar by through our advanced algorithms, enabling comparisons to historical outcomes.
Rescore claims
Toggle risk factors and see the impact on the score immediately.
Track ROI and other KPIs
Track ROI based on our unique algorithm.
Identify trends in your claims population
Summarize trends in risk characteristics over time.