Executive summary
A claims diagnostic that sets a trusted baseline for cycle time, handling cost and rework before any claims service investment is ranked. It shows which opportunities the evidence supports and which need more evidence first.
What is inside
Asset outline
The asset sets out the decision and when the diagnostic should not be used, and defines the inputs with an evidence hierarchy. A repeatable method covers segmentation, formulas, ledger reconciliation and confidence scoring. Gates, risks and KPIs are assigned to owner roles. It includes a fully worked synthetic insurer case, a failure case that stops the method, and an alternate scenario. The editable tools are a diagnostic questionnaire, an evidence inventory, a baseline worksheet and an evidence clinic challenge log.
- Purpose and decision
- Context and applicability
- Inputs and evidence
- Definitions and assumptions
- Method and analytical logic
- Current-state assessment
- Options and business case
- Recommended design
- Execution and activation
- Governance and risk
- Measurement and benefits
- Worked example and practice
- Working tools and references