Technical Development of Appropriate Claims File Loads

  • File loads are integral to claims management and those adopted by insureres and/or claims agents may be a very significant differentiator in key performance indicators. In some cases little technical attention is given to establishing appropriate file loads - in many cases benchmarking against the competition forms the basis. In this paper we present a model methodology to establish appropriate file loads for different claim types and claims streams, concentration on long-tail. The cost benefit effect of reducing file loads is demonstrated by the trade off between increased management expenses and the value achieved through the improvement in claims outcomes.

    Download Publication