Bodily Injury Claims Management

Risk Scanner

Recognise potentially escalating claims and dubious cases early – for targeted and early bodily injury claims management.

Do you identify risks in your bodily injury claims in time?

If you want to identify and manage risks at an early stage, you need to use the available data effectively. However, this data is often only available in an unstructured form and scattered across different systems. As a result, critical cases often remain undetected – and risks are only recognized when it is too late.

Warning system for bodily injury claims: Recognizing and managing risks early

The Risk Scanner enables insurers to systematically access current and historical bodily injury data. Thanks to individual filter criteria, the digital tool directly identifies potentially escalating claims and dubious cases – for targeted and early control.

Systematic data analyses

Damage-specific and medically relevant filters make it possible to use the available data systematically.

Active risk management

With real-time monitoring, potentially escalating claims or dubious cases no longer remain hidden.

Avoid high claims costs

Early case identification allows you to manage cases in a targeted manner before high costs arise.

Relief for claims departments

In times of a shortage of specialists, the Risk Scanner offers systemic support through standardised and simple processes.

How Risk Scanner works

Store filter sets and selection history
Get notified by e-mail to a defined mailbox based on the filters set
Easily adjust filters (e.g. in the event of new findings or high backlogs)
Set case status (e.g. rehab case, fraud case, not viewed, in progress, parked)
Set an automatic resubmission after data change or date
Download case lists as Excel files

Standing Man And Woman Reading From A Tablet

Targeted selection based on sensible, standardised criteria

Use claim-specific and medically relevant filters and also filter out or exclude combinations. Fixed search filters identify every data record that matches the criteria in real time and trigger a notification to a predefined mailbox.

Possible filter criteria:

Claim number and date of claim
Risk carrier
Line of business
Sick leave days
Diagnoses and previous illnesses
Age and occupation
Reserve
Treatment costs
and more

With the Risk Scanner, we have established a helpful tool for leveraging our valuable wealth of data and identifying potential rehabilitation cases at an early stage. With one goal in mind: the rapid recovery and reintegration of injured parties.

Gabriele Seebauer

MEDIRISK Bayern

Managing Director

Potential use cases

The possible applications of Risk Scanner are diverse and will be developed and defined together with you.

The best-case scenario: When using our services such as data collection and invoice check, the data is already available.

Risk management

Identification of complicated and escalating courses of treatment where, for example, sick leave periods are (almost) exceeded and there is a risk of cost-intensive processing.

Targeted rehabilitation management

Identification of suitable cases for rehabilitation measures to promote reintegration.

Detection of fraudulent cases

Analysis of claims data for patterns of fraudulent behavior.

Reimagine risk management with the Risk Scanner now

Download the product flyer with all information at a glance.

Learn more

Reimagine your claims management

Optimise the entire claims management process with our full suite of solutions.