AI-Powered Medical Overview
10x faster claims decisions.
Empower your claims handlers with AI to settle claims faster with improved quality.
This changes everything
Settling personal injury claims is challenging and time-consuming, often requiring a review of extensive medical records. Traditionally, complex claims are sent to medical advisors, which is costly and time-consuming.
Mavera DSS enables claims handlers to make confident assessments independently. Using AI, it summarizes medical records and provides a clear overview of the claimant’s medical history in only a few seconds.
With Mavera DSS, claims handlers can quickly decide if they can settle the claim themselves, seek a second opinion, or involve a medical advisor
This changes everything
Understand the injury faster
The system organizes information into a structured overview, enabling claims handlers to make quicker decisions.
Minimize mistakes
Having all information readily available and structured reduces the risk of overlooking important details.
Empower desktop assessments
With a clear overview of the injury, claims handlers can settle more claims without needing medical assessments from medical advisors.
Improve collaboration
The quick overviews facilitate better collaboration, making it easier for colleagues to familiarize themselves with a case and provide a second opinion.
Understand the claim faster
Quickly understanding the claim, its complexity, and the claimant's medical background is invaluable for settling the claim or deciding the next best action.
Mavera DSS provides a quick overview of the claim with a summary of events, a timeline of all medical entries, and highlights the most relevant parts.
Use cases:
- Decide if the claim should be sent to a medical advisor
- Quickly get a colleague up to speed for a second opinion
Understand the claim faster
Find what you need
Creating a structure of hundreds of pages of medical documents can be very time-consuming, and finding specific information later is even harder.
Mavera DSS automatically structures and indexes the information, making it easy to find specific parts. It identifies the content of each page, allowing you to go straight to the relevant section.
Use the timeline to focus on a specific event and click the link to go directly to that section.
Find what you need
Get a comprehensive view of the claimant
For complex claims, it is crucial to get a holistic view of the claimant s health and medical history.
Mavera DSS simplifies this process by creating aggregated lists and graphs of vital information and health markers.
These markers include smoking, weight, risky alcohol use, blood pressure, liver values, PSA values (prostate cancer), platelets, and more.
Use cases:
- Analyze the claimant s blood pressure over time
- Study the claimant s lifestyle and habits
- Track the use of specific medications over different periods
Get a comprehensive view of the claimant
Reduce the need for medical advisors
Traditional insurance company
Traditionally, insurance companies rely on their most experienced claims handlers to make desktop assessments, mainly for disability claims with lower degrees of disability (up to 5%) within orthopedics and hand surgery. These desktop assessments are isolated and limited to specific cases.
Modern insurer
With Mavera DSS, claims handlers can confidently make desktop assessments more frequently, even for claims with higher degrees of disability and across a broader range of medical areas.
Components
Medical summary
Let AI summarize the claim for you
The system summarizes key information from medical documents, providing a quick overview of the injury.
Smart library
Navigate documents with ease
Find all documents systematically categorized in our library. Essential information like document type, creation date, and page count is readily available. Use the search feature to locate specific words, such as body parts, ICD codes, treatments, or smoking references.
Timeline
Understand the claimant’s history
View a complete chronological timeline of the customer’s medical history. With automatic relevance scoring and filtering, you can quickly find the most applicable events. Each entry links directly to the relevant document sections for swift navigation.
Lists and views
Access structured key information
The system extracts and presents key information with dates on first and last mentions, relevancies, and links. Get comprehensive lists of diagnoses, treatments, diagnostics, and more.
Trend graphs
Study the claimant's health trends
View detailed graphs of health markers to understand changes in the claimant’s lifestyle and health. These markers include smoking, weight, risky alcohol use, blood pressure, liver values, PSA values (prostate cancer), platelets, and more. (prostate cancer), platelets, and more.
Explore other feature areas in Mavera DSS
Claims Management
Streamline your claims process. Simplify and speed up your claims handling, reducing turnaround times and improving customer satisfaction.
Medical Network Management
Optimize your medical assessment process. Enhance the accuracy and efficiency of medical assessments, ensuring reliable and consistent outcomes.
Performance Management
Get insights for strategic business decisions. Utilize data-driven insights to inform strategic planning and performance improvement.
Ready to explore Mavera DSS?
Talk to our solution experts to get a guided tour and see if Mavera DSS is a good fit for your organization.
For other questions, please email hello.nordics@verisk.com.