Claimsense on target to deliver projected cost savings

06/07/2006

In conjunction with insurer AXA, Claimsense began processing claims in late April and has proven that the internal processes, and moreover the savings in time resource and costs that it projected are realistic and achievable. Early indications show that by using Claimsense savings to insurers should represent between 20% and 25% of costs under the pre-action protocol for equivalent injuries.

Adrian Maurice, commented: “As well as significant savings to insurers it is encouraging that the appropriate care and rehabilitation can be provided to claimants soon after the accident. This is extremely pleasing and proves that all involved have worked hard to ensure that Claimsense really does deliver for the industry and the claimant, and is the best possible way forward for the sector as a whole.

“We are still processing the first wave of claims and at present I think it is foolish to predict the precise savings that can be achieved, that said we are confident that the transparent processes designed under the authority of Prof. Mansel Aylward are as robust as they were designed to be. We will be reporting on our progress in full later this month and will provide the industry with concrete figures they can scrutinise on the savings Claimsense has made possible.”

Neil Kinsella, added, “You can never be 100% sure that the theory when put into practise delivers what you said it would until you actually put real claimants through the process. I am more than pleased that we will be able to show the industry that we are more than just presentation, words and theory – the savings we will show are real. Claimsense is not going to change the way the industry operates over night, there will be a transition and a period of change, but there is no doubt Claimsense works and that can only be a benefit to all concerned.”

Created and backed by leading personal injury law firm Russell Jones & Walker and claims specialist Elision, Claimsense is designed to reduce the average time taken for the claims process from two years to three months. In addition, the process enables costs to be refined without compromising the claimant or the legal representation.

Claimsense has streamlined the claims process, saving money, time and resource while assuring a transparent and fair compensation and rehabilitation service to the claimant. The six stages of this fast-track service are outlined below:

Stage 1 – Claim Assessment The claimant approached or is referred to a representative who accepts Claimsense rules and service levels.

Stage 2 – Initial Medical Assessment Claimsense allocates the claimant to a medical assessment provider who performs the initial medical assessment.

Stage 3 – Claim Approval Claimsense notifies the insurer of the potential claim; the insurer agrees the suitability.

Stage 4 – Rehabilitation The claimant is then allocated to one of four “Treatment Pathways” depending upon the severity of their injuries, after treatment pathways A & B move to Stage 6 – Settlement.

Stage 5 – Further Medical Assessment Is required under pathways 3© and 4 (D) the claimant is assessed to confirm full recovery.

Stage 6 – Settlement Settlement is achieved ten days after recovery is confirmed.

Original Article: Claimsense press release