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.
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.
Clerks have the necessary information at their disposal right from the start, thereby avoiding unnecessary delays.
Clerks are supported in conducting thorough internal case reviews, meaning that external experts need only be consulted in truly complex cases.
Every case – whether handled by a clerk or a medical expert – follows a structured, transparent process.
Faster and more transparent claims handling ensures a better customer experience.
Automated analyses and chronological summaries of medical records help to focus attention on the key information and reduce the risk of overlooking important details.
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.
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.
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.
As manual review
More internal assessment rather than external reports
Clerks using Mavera DSS in Sweden would recommend it to others
The software is ISO 27001 certified and all data is stored on secure servers within the EU
System availability ensures stable operation
Optimise the entire claims management process with our full suite of solutions.
Smart assistants turn complex medical or legal documents into clear, structured case summaries – in just minutes.
If your medical and care expertise reaches its limits, we offer and arrange any form of medical assessment – whether on the basis of files or with a physical examination.
By systematically reviewing medical invoices for bodily injury claims, we enable an objective assessment of risks and potential reductions in claims and benefits settlement – as your medical back office.
Our teams of experts support the claims and benefits settlement of various insurance lines to the desired level of integration: from selective relief of certain activities to case-closing settlement of bodily injury, motor and property claims.