08.21 / TERADATA VANTAGE FOR ENTERPRISE ANALYTICS CASE STUDY The Client A leading workers’ compensation carrier The Challenge Restoring profitability while fighting fraud and abuse Premium erosions. Shifts in medical care consumption. Increasingly complex medical codes. Medical claims in the property and casualty market are more complex than ever. And insurers are facing unprecedented threats to their profitability, due to COVID-19 and its aftermath. This leading workers’ compensation carrier was trying to manage the demand to automate, without sacrificing the customer experience—or payment integrity to providers—and it was coming up short. High-risk claims and providers committing abuse were hard to identify with the existing bill-level and claim-level analytics approaches

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