Medical data and risk assessments – lots of information, lots of sources. The lack of a holistic view of the case makes it difficult to manage complex bodily injury claims. With a digital overview of the relevant medical information, the Case Manager brings structure and speed to your claims processing.
Turn the wealth of information into a real decision-making aid. The digital case overview not only supports you with pure data management – it also enables quick, well-founded decisions based on consolidated information and risk scores.
Compact overview of all medical information related to a claim and direct access to medical documents on a web-based platform.
Recognise and manage medically escalating cases in good time using the prediction models and risk scores.
With just a few clicks, you can view complex cases, set resubmissions or initiate medical case reviews.
Medical Case Manager is particularly useful for our customers in data collection.
Medical data including medical reports, diagnoses, previous illnesses, sick leave, reduction in earning capacity and hospital periods.
Graphical body display with ICD codes via mouseover and diagnostic information texts (DITs).
Original medical reports, reading transcripts and order summaries available for download; simple and quick commissioning of a follow-up medical report possible.
Risk scores for duration of sick leave, hospital days and rehabilitation relevance as well as the option of triaging based on score for major claims.
Insight into the current status of completed report requests to physicians and clinics as well as resubmission function and event view with timeline.
Possibility to commission and conduct a telephone case review with brief medical assessments from various disciplines.
Optimise the entire claims management process with our full suite of solutions.
Risk management requires data. Receive all relevant medical information from medical reports, certificates and questionnaires with a well-founded assessment for the efficient settlement of bodily injury claims.
Systematically access current and historical bodily injury data. Thanks to individual filter criteria, the Risk Scanner directly identifies potentially escalating claims and dubious cases – or targeted and early control.
From a complex process to a transparent standard – with the Reserve Calculator, you replace individual spreadsheets or Excel lists and bring structure and clarity to reserve calculation.
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.
Smart assistants turn complex medical or legal documents into clear, structured case summaries – in just minutes.