Monitoring

With Claimant Activity in place, carriers can not only feel more confident in their team’s initial handling decisions, but they can continuously monitor the claim to ensure the best course of action is always the one taken – even as new information becomes available. Let’s take a closer look at Claimant Activity in action.

Phil was injured while visiting a manufacturing facility for his work. Since Phil needed medical attention for his back injury, he filed a worker’s compensation claim the following week. When the claims handler receives Phil’s claim, Claimant Activity quickly leverages Carpe Data’s proprietary sources of data to gather relevant information related to Phil’s claim. In seconds, the claim handler has access to Phil’s profile, which confirms his loss facts. It even includes an Instagram post of Phil after he visited his doctor’s office. Due to the open injury on this claim, the handler continues to monitor Phil’s activity for accuracy or inconsistencies. In six weeks, the claims handler receives a notification that Phil has signed up for a half marathon and he’s joined a training group that meets every week, despite his open claim.

Making note of this information in Phil’s profile, the claims handler notifies the adjuster. The confirmation of this activity is leveraged in the adjuster’s evaluation of the claim and ultimately results in the closure of this claim and a reduced settlement.