One of the worst crimes a claims manager cam make is not having sufficient reserves on your claims. PI claims are particularly difficult to assess given the multiple and disparate data sources requiring analysis.

Much of this is unstructured data in medical reports, solicitors letters, emails and other communications. Looks like 360Globalnet has an answer.

Any such solution should include the ability to :- 

Profile all the personal injury claims

  • Identify all of the different injury types inc multiple conditions
  • Understand the ongoing prognosis for all of them (and continuing right through to settlement)
  • Identify all the characteristics that mark claims out as under-reserved or have much bigger potential than the human handlers realise
  • Embed all those characteristics in weighted rules that run X times per day

    • Link unstructured data to structured data to give a complete picture of claimant occupation etc, injury type, period off and prognosis
  • Provide a 24/7 automated watch on the development of all the personal injury claims and highlight ones turning amber or red (reserve increase needed)

Profile all the claimant lawyers and claims handling companies

  • The nature and type of all the injury claims they are pursuing
  • Breaking down the claim into different heads of claim
  • Understand changes at individual solicitor level or overall about how claims are being presented, what is included etc…..are they gaming the system
  • Understand how tactic are changing ahead of the whiplash reforms in 2020 both globally and at individual lawyer level

It should include a database of all of the large claims handling lawyers in the UK – if they are identified on the other side then the claim is potentially serious.

Worth investigating further