Athens' partnership with WCNavigator provides clients a unique approach to predictive modeling. By eliminating the financial data within historical claims, this new model is significantly more predictive, and much less reactive than other predictive modeling tools. When a predictive modeling tool uses claim financials, it may note that the claim is high risk after the adjuster does! With the new model, 80% of high risk claims are found at First Notice of Loss, meaning that they are identified as claims that could develop into something costly before the adjuster even sets the initial reserves.
- Claim severity predictions powered by millions of industry claims
- Continual re-scoring from first notice of loss through claim closure so you can make informed decisions based upon your most current claim data
- Rank-ordered severity score drivers to provide insight into the reasons behind the severity score
- Pharmacy alerts to notify you when severity-driving prescriptions are filled
- Improved efficiency and effectiveness through a streamlined scoring and assignment process
- Swift identification of potentially volatile claims and appropriate handling from inception
- Improved claim results and lower loss ratios
The Benefit:
With 82% of high severity claims identified at First Notice Of Loss, WCNavigator helps you get off on the right foot to achieve the best possible claims outcomes. Customers have reported identification of high severity claims an average of 40 days sooner using WCNavigator, and the resulting intervention yielding savings of $100,000 or more on these claims.
About Athens Administrators
Established in 1976, Athens Administrators is a national third party administrator of Workers' Compensation and Property and Casualty claims as well as Managed Care services. We proudly provide service to private and public sector self-insured clients as well as to insurance carriers and managing general agencies.