10x faster claims decisions
Empower your claims handlers with AI to settle claims faster with improved quality.
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
The system organizes information into a structured overview, enabling claims handlers to make quicker decisions.
Having all information readily available and structured reduces the risk of overlooking important details.
With a clear overview of the injury, claims handlers can settle more claims without needing medical assessments from medical advisors.
The quick overviews facilitate better collaboration, making it easier for colleagues to familiarize themselves with a case and provide a second opinion.
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:
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.
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:
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.
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.
Streamline your claims process. Simplify and speed up your claims handling, reducing turnaround times and improving customer satisfaction.
Optimize your medical assessment process. Enhance the accuracy and efficiency of medical assessments, ensuring reliable and consistent outcomes.
Get insights for strategic business decisions. Utilize data-driven insights to inform strategic planning and performance improvement.