HCF gets a helping hand from predictive analytics

31.05.2006

Shearman said this has enabled personnel to accelerate processing, identify fraudulent claims and settle low-risk claims quickly for customers.

Although Shearman said each aspect of the Clementine suite was equally important, addressing inappropriate practices was an ongoing exercise that HCF dealt with on a daily basis.

"Throughout the inappropriate practices process, we found financial benefits rested in ways we could recoup some of the money that was being claimed from us through the identification of fraudulent claims," he said.

However, Sherman was quick to stress that the solution did not provide a be-all end-all solution, but acted more as a "helping hand", a point that was reiterated by SPSS senior vice president of worldwide sales, John Shap.

"The thing that must always be kept in mind is that predictive analytics is never 100 percent right," Shap said. "What it does, is give you a better starting point for your decisions."