Claims Analytics

Variable Analytics

Summary statistics across all claims

Total Claims Analyzed

20

Variables Tracked

14

Severity Filter

All

Reserving Variables

Expected Development Pattern

Expected claim development timeline and pattern for actuarial modeling and loss reserving

Simple Mode

average

16 / 20 (80.0%)

Weighted Mode

average

Avg confidence: 0.84

Injury Severity

Severity classification of the injury for actuarial reserving and loss development modeling

Simple Mode

moderate

13 / 20 (65.0%)

Weighted Mode

moderate

Avg confidence: 0.87

Medical Complexity

Complexity level of medical treatment and care management required

Simple Mode

complex

7 / 20 (35.0%)

Weighted Mode

complex

Avg confidence: 0.87

Treatment Type

Primary treatment approach for the injury

Simple Mode

conservative

11 / 20 (55.0%)

Weighted Mode

conservative

Avg confidence: 0.89

Ultimate Cost Category

Categorical range of ultimate claim cost for loss development modeling

Simple Mode

<25K

11 / 20 (55.0%)

Weighted Mode

<25K

Avg confidence: 0.88

Ratemaking Variables

Causation Type

Primary mechanism/cause of the injury or incident for risk classification and experience modification

Simple Mode

human_factor

20 / 20 (100.0%)

Weighted Mode

human_factor

Avg confidence: 0.87

Experience Modifier Impact

Expected impact of this claim on employer's experience modification factor

Simple Mode

neutral

13 / 20 (65.0%)

Weighted Mode

neutral

Avg confidence: 0.86

Industry Risk Category

Industry risk classification for experience rating and pricing

Simple Mode

construction_heavy

7 / 20 (35.0%)

Weighted Mode

construction_heavy

Avg confidence: 0.85

Safety Compliance

Level of safety protocol compliance observed or documented

Simple Mode

unknown

12 / 20 (60.0%)

Weighted Mode

unknown

Avg confidence: 0.59

Claim Management Variables

Fraud Risk

Assessed risk of fraudulent claim elements

Simple Mode

low

20 / 20 (100.0%)

Weighted Mode

low

Avg confidence: 0.88

Litigation Risk

Assessed risk of claim proceeding to litigation

Simple Mode

low

13 / 20 (65.0%)

Weighted Mode

low

Avg confidence: 0.89

Management Complexity

Level of complexity in managing and handling the claim

Simple Mode

moderate

11 / 20 (55.0%)

Weighted Mode

moderate

Avg confidence: 0.86

Risk Level

Overall risk level classification for ratemaking and pricing decisions

Simple Mode

medium

14 / 20 (70.0%)

Weighted Mode

medium

Avg confidence: 0.84

Settlement Likelihood

Probability of claim reaching settlement agreement vs. prolonged litigation

Simple Mode

high

14 / 20 (70.0%)

Weighted Mode

high

Avg confidence: 0.89