At Athens Administrators we strive to always live up to our core value of delivering exceptional results. In order to ensure we are delivering the results our clients expect and deserve, Athens is constantly seeking new ways to make our staff and clients more efficient and successful. One such example is the implementation of our new Predictive Modeling tool.

Predictive Modeling is a tool Athens uses to help track and predict claims. The program takes claims data, compares it against a large database of historical claim outcomes, and looks for traits and events that have led to high spends. By using this analytical software Athens is able to effectively predict the outcome of a claim and take the necessary steps to manage the process throughout the entirety of the claim. The advantage to Athens’ clients is that this tool, when leveraged by our claims staff, will help all parties identify possible high risk claims early in order to allow for early intervention – assigning a nurse or an investigator, or offering an early settlement, etc – with the hopes to mitigate the exposure as best we can, thus improving outcomes for our clients.

Athens’ partnership with WCNavigator provides clients a unique approach to predictive modeling. By eliminating the financial data within historical claims, this new model is significantly more predictive, and much less reactive than other predictive modeling tools. When a predictive modeling tool uses claim financials, it may note that the claim is high risk after the adjuster does! With the new model, 80% of high risk claims are found at First Notice of Loss, meaning that they are identified as claims that could develop into something costly before the adjuster even sets the initial reserves.

WCNavigator offers:
  • Claim severity predictions powered by millions of industry claims
  • Continual re-scoring from first notice of loss through claim closure so you can make informed decisions based upon your most current claim data
  • Rank-ordered severity score drivers to provide insight into the reasons behind the severity score
  • Pharmacy alerts to notify you when severity-driving prescriptions are filled
WCNavigator Can Deliver:
  • Improved efficiency and effectiveness through a streamlined scoring and assignment process
  • Swift identification of potentially volatile claims and appropriate handling from inception
  • Improved claim results and lower loss ratios

The Benefit:

With 82% of high severity claims identified at First Notice Of Loss, WCNavigator helps you get off on the right foot to achieve the best possible claims outcomes. Our customers have reported identification of high severity claims an average of 40 days sooner using WCNavigator, and the resulting intervention yielding savings of $100,000 or more on these claims.