Cirdan Health Systems and Consulting
Cirdan Health Systems and Consulting
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Claims Experience Review

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  • Claims Experience Review

Client Challenge:

Cirdan’s client’s financial results were significantly adverse to their budget. The client’s data was complex; in particular, it involved data from two different claim systems as a claim migration was in process during the experience period.

Our Solution:

Cirdan acquired the detailed claim data from both claims systems to:

  • Determine the key drivers of the variance and provide the anticipated impact of the key drivers on future budgets
  • Create a trend tool to easily review their trend on various lines of business and categories of service
  • Make recommendations to improve the budget setting process, including additional analysis of large claim variations
  • Perform an independent review of the estimates of incurred but not reported claims, and provided suggestions to refine the reserving process

The Result:

The plan leadership and their Board developed a thorough understanding of the drivers of the variance, the implications for the current budget and ways to improve their future rate setting and budgeting processes.

Contact Cirdan to talk about your needs and how we can help.

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Cirdan Health Systems and Consulting
444 Cedar Street, Suite 500
Saint Paul, MN 55101
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