Claims Metrics for Healthcare Insurance Analytics
This metric tracks the complete dump of open claims, on a weekly basis. This helps you estimate expected workloads to plan your team’s work schedule, and to find future rise or dip in open claims.
Claims count by status
Through the data your analytics system is able to capture, it shows the breakup of claims at various stage of the claim cycle.
Count of Paid/Denied Claims by provider
An important metric, know the breakup of paid and denied claims by a particular provider. This is the last stage of the claim cycle and will feed insights into operational performance, and business decisions on areas of opportunity.
Since time is a valuable commodity in the insurance business, much more than the sum of offers or brand value, the Turnaround Time metric captures the time taken from point of decision to point of service.