Our Experience

 
Claims Predictive Model Implementation:
Bayesian Networks help auto insurer reduce average severity by identifying overwritten auto repair estimates.
 
Overview
  • Overwriting of auto repair estimates translates into millions of dollars in loss leakage every year.
  • Inconsistent and random reinspections do little to reduce the problem.
 
Our Approach
  • Interviewed company experts to determine major sources of overwriting, as well as gaps in reinspection process.
  • Used Internal and External data to develop CPMS – Claims Predictive Modeling System, which relies on Bayesian Networks to evaluate disparate sources of information consistently and automatically.
  • The model captures the experts’ common sense in determining the likelihood that an estimate is overwritten. This is used to allocate resources to claims with the highest likelihood of overwritten.
  • CPMS is currently in production and being rolled out nationally.
 
Outcome
  • Claims reinspectors are allocated more efficiently, by focusing on estimates that have a higher likelihood of overwriting.
  • Over time, this is changing the behavior of appraisers and repair facilities' in the field, and reducing average severity.


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