Consulting and Software Solutions

PlanPlanPlan

AssessAssessAssess

RespondRespondRespond

ImproveImproveImprove

THE DESIRE FOR CONTINUED IMPROVE-

MENT IN PROCESSES AND OUTCOMES

IS A KEY DRIVER IN CLAIMS ORGANIZA-

TIONS. MOST INSURANCE CARRIERS

COMMIT SIGNIFICANT RESOURCES TO

MANAGING QUALITY. HOWEVER, THEY

FIND THAT THEIR EFFORTS ARE NOT

PRODUCING DESIRED RESULTS.

CLAIMS OPTIONS’ SUITE OF SOLU-

TIONS TAKES ORGANIZATIONS’ DE-

SIRED OUTCOMES AND TURNS THEM

INTO ACTUAL, MEASURABLE IMPROVE-

MENT.

CLAIMSOBSERVER™

IMPROVEMENT DRIVING SOFTWARE

Quality Management efforts are central to the success of your

operation. ClaimsOptions wants you to understand the WHY

behind your quality issues.

WHY:

Have previous efforts not produced the desired effect?

Has training not produced measurable improvement?

Are you still struggling with the same issues after

taking corrective action?

Less than 50% of insurance companies surveyed use quality data

in strategic planning.

Our research has shown that 70% of quality assurance practices

produce little or no improvement.

Working with ClaimsOptions..

ROOT CAUSE ANALYSIS

IT IS IMPOSSIBLE TO ACHIEVE MEAN-

INGFUL QUALITY IMPROVEMENT

WITHOUT UNDERSTANDING ROOT

CAUSE. CLAIMSOPTIONS’ TEAM OF

CLAIMS MANAGEMENT EXPERTS ARE

FOCUSED ON HELPING YOUR ORGAN-

IZATION IDENTIFY THE ROOT CAUSES

BEHIND THE PROBLEMS YOU ARE

FACING, SO YOU ARE ABLE TO AFFECT

IMPACTFUL CHANGE.

ClaimsOptions’ team of experts takes a full cycle approach to

quality management. We know that simply identifying errors does

not fix them. This is why our full cycle approach, which identifies

the root causes of organizational problems, enables us to imple-

ment solid techniques to find solutions and impact measurable

change.

No organization can implement long-term positive change without

having a solid quality management platform. Our unique combi-

nation of technology and professional services ties key measures

and root causes to help you break through performance ceilings to

significantly increase the positive outcome of quality improvement

measures.

A Total Quality Management Strategy establishes standards to be

measured against. Our quality management process is calibrated

to improve consistency in measurement. Identification of root

cause enables action plans to be created for long-term and impact-

ful change. With ClaimsOptions’ Quality Management Approach,

you’ll know WHY your organization needs to implement full cycle

change to achieve the desired results.

BENEFITS

FOCUS ON INFORMATION, NOT INFRA-

STRUCTURE

FAST AND EASY DEPLOYMENT

NO SERVER REQUIREMENTS

NO CAPITAL EXPENDITURES

NO IT MAINTENANCE/SUPPORT COSTS

BUILT ON A PROVEN PLATFORM

ALL YOU NEED IS A BROWSER

ClaimsObserver™, a performance improvement software, is developed to

assist companies in building a solid quality management foundation to link

key measures and file outcomes. This systematic, proven approach to quali-

ty management helps organizations to gain a firm understanding of the root

causes behind performance issues.

ClaimsObserver™ helps to improve accuracy, decrease cycle times, improve

efficiency, and ultimately improve customer satisfaction in your claims or-

ganization with the most complete, easy to use and cost effective quality

management solution. ClaimsObserverTM enables you complete the full cy-

cle of improvement, so you can move beyond quality assessment to effective

quality management.

Benefits include:

Easy Customization

Flexibility

Outcomes Based Observations

Root Cause Identification

Real Time Results Measurement

SAAS MODEL

HOSTED SOFTWARE SOLUTION

Claims management teams are continually being challenged to reduce claim

cycle times, ensure accurate payments, reduce leakage, improve customer

satisfaction and control costs. Many quality assessment initiatives fail to

lead to improved outcomes.

That is where ClaimsOptions™ comes in. We work to ensure that your next

quality initiative produces measurable improvement and helps you to make

changes, which produce long- term results.

We’ll help you:

Build programs, which align your team with high quality outcomes

Improve current performance results with independent quality review

Improve your team’s capabilities to develop and execute effective

strategies using root cause analysis

We help you to identify the WHY behind your problems, and we work to-

gether with you to create solutions.

QUALITY MANAGEMENT

A NEW APPROACH

TECHNOLOGY ALONE DOES NOT DRIVE

PERFORMANCE. PEOPLE DO! CLAIIM-

SOPTIONS’ PERFORMANCE TEAM CAN

HELP YOU DESIGN PROGRAMS THAT

LEVERAGE EACH STEP OF A FULL CYCLE

QUALITY MANAGEMENT PROGRAM.

OUR RESEARCH SHOWS THAT TRADI-

TIONAL, COMPLIANCE ORIENTED AP-

PROACHES TO QUALITY MANAGEMENT

ONLY PRODUCE MODERATE IMPROVE-

MENT. CLAIMSOPTIONS APPROACH

FOCUSES ON ADDRESSING CRITICAL

PROBLEM AREAS TO REACH A HIGHER

LEVEL OF IMPROVEMENT OVER A LONG

-TERM CONTINUUM.

David Young, President, Co-Founder

David Young is the President of ClaimsOptions™. Dave is an expert in claims operations, inter-

nal audit and quality management implementation. His expertise in building successful claims

operations, implementing quality programs and leading company-wide technology and pro-

cess change enables him to assist claims organizations with quality-driven improvement. Da-

vid founded ClaimsOptions™ to introduce process improvement and quality management so-

lutions to the industry at large.

Dave’s direction and leadership in designing audits for large property and casualty insurance

carriers transformed the definition of quality management. He has built and deployed proven

audit technology solutions, which have been impactful in driving improvement. David is com-

mitted to helping you to find the root cause behind your quality control measures. Both the

software solutions he has designed and the consulting services he offers, focus on that core

mission.

Jim Kaiser, Executive Vice-President, Co-Founder

Jim Kaiser is the EVP and Co-founder of Claims Options. Jim has over 20 years of experience in

the Property and Casualty Insurance Industry. He has worked in claims operations for one of the

largest insurance carriers in the US. Jim’s expertise in managing claims field and staff adjusters,

leading audit and quality control programs, and implementing total quality management proce-

dures enables him to assist other quality driven organization in effective change implementation.

Jim has spent over a decade leading strategic efforts designed to improve claims quality. He now

combines his experiences to help claims leaders elevate their performance.

ClaimsOptions™ - Consulting and Software Solutions

Contact ClaimsOptions™ today for a demo! Call 970.231.7668, or Email: info@ClaimsOptions.com www.claimsoptions.com