Claims

ProfitCube^® empowers claims with the information to better manage workload and reduce claim severity.

Benefits

• Leverage a large pre-packaged library of claims measures, dimensions, and reports
• More closely monitor and more accurately forecast open claims inventory
• Analyze gross and net paid, reserved and incurred loss amounts
• Better manage and monitor TPAs
• Measure claim operations with meaningful metrics
• Better project tomorrow's claims based on today's exposures
• Understand coverage utilization at a detailed level
• Provide loss reporting and risk management analysis

Features/Highlights

• Access to the detail behind the summary
• A large pre-packaged library of claims measures, dimensions, and reports
• Operational metrics for open claims
• Reporting of claim, occurrence severity, frequency and pure premiums
• Reporting of suspicious or unusual loss related transactions
• Policyholder and coverage demographic dimensions
• Paid, reserved, and incurred amounts
• Gross, ceded, and net amounts
• Simple and complex claim counts
• Healthcare encounters, diagnoses and procedures

ProfitCube 6.0 makes it simple.