Bodily Injury Claims Management

Mavera DSS

Bodily injury claims management is characterised by complexity and a lack of structured processes. Mavera DSS organizes medical records in minutes and supports claims adjusters in case management.

Reduce turnaround times, use medical resources efficiently, and make consistent, transparent decisions

Medical assessments are crucial in bodily injury claims settlement. However, documents come in a wide variety of formats, processes have evolved over time and are often manual, collaboration takes place via email, and it is not always clear when a medical specialist is needed. This wastes time and makes it difficult to ensure consistency.

Modernizing claims processing for the long term – with a shared platform for bodily injury claims settlement

Mavera DSS is an AI-powered decision support system that organises medical records in minutes and helps case managers make informed decisions quickly. They can assess simpler cases on their own or, for truly complex cases, request external expert opinions as needed.

Shorter turnaround times

Clerks have the necessary information at their disposal right from the start, thereby avoiding unnecessary delays.

Efficient use of medical resources

Clerks are supported in conducting thorough internal case reviews, meaning that external experts need only be consulted in truly complex cases.

Consistent and transparent decisions

Every case – whether handled by a clerk or a medical expert – follows a structured, transparent process.

Higher customer satisfaction

Faster and more transparent claims handling ensures a better customer experience.

AI-powered medical overview

Automated analyses and chronological summaries of medical records help to focus attention on the key information and reduce the risk of overlooking important details.

Case and workflow management

Manage claims end-to-end within a single system and keep track of progress, communication and documents at all times. Clerks can carry out thorough internal case assessments efficiently – for better collaboration and consistent processes.

Medical expert management

Management and commissioning of medical assessments by affiliated medical experts for complex cases. Medical experts are automatically assigned based on their specialism, availability and role.

Performance management

Dashboards for analysing medical reports in terms of workload, turnaround times and assessor performance, as well as the number of cases per specialism. Status tracking provides additional transparency, enabling bottlenecks to be identified at an early stage.