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Claims Analytics Dashboard
A comprehensive claims analytics solution providing operations managers with deep insights into claims processing performance, bottlenecks, and opportunities for improvement.
2 months
Insurance Industry
Power BISQLDAXPythonPower Query
Claims Analytics Dashboard
Client Context
Claims operations team of 50+ processors handling life, health, and general insurance claims.
The Problem
Operations managers lacked visibility into claims processing performance and couldn't identify bottlenecks or allocate resources effectively.
Pain Points
- No real-time view of claims queue and aging
- Inconsistent SLA tracking across claim types
- Unable to identify processing bottlenecks
- Manual workload balancing based on intuition
- Limited visibility into processor productivity
Constraints
- Must respect processor privacy in productivity tracking
- Integration with legacy claims management system
- Support for both desktop and operations floor displays
- Real-time updates for queue management
The Solution
Created a multi-view dashboard system with operational, management, and strategic views, each tailored to different user needs and decision timeframes.
Implementation
- Built real-time data connection to claims system
- Developed SLA tracking with automated alerting
- Created workload balancing recommendations engine
- Implemented processor performance scorecards
- Designed operations floor display optimized for large screens
Key Features
- Live claims queue with aging indicators
- SLA performance tracking by claim type and processor
- Bottleneck identification with drill-down
- Workload distribution visualization
- Trend analysis for capacity planning
The Impact
30%
Faster average claim resolution time
95%
SLA compliance (up from 78%)
25%
Improvement in processor productivity
Real-time
Visibility into operations (from daily)
Before
Daily reports, 78% SLA compliance, reactive management
After
Real-time visibility, 95% SLA compliance, proactive optimization