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Pharmaceutical claims analytics
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Deliver on the promises of the past and create smart solutions for the future.
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Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Understanding claims risk is valuable. Knowing what to do next is a game-changer. We deliver precision assessments of claims handling and the experience to help you improve it, addressing the entire scope of your business. We can help you implement best practices that reduce costs and risk, navigate commutations, arbitration, and litigation, and improve the quality of your estimation assumptions and techniques.
Our clients include primary and excess insurers, reinsurance companies, third-party administrators, self-insureds, and captives. Our claims consulting expertise is as varied as our clients’ needs, from establishing a case reserve on a catastrophic loss to valuing a claim operation in connection with an acquisition.
Milliman’s predictive analytics solutions leverage advanced technology for an improved early identification of high-loss claims. Today’s advanced modeling methods provide maximum insight from existing claims data, helping free up high-value claims personnel and uncover new claim-cost segments.
Federal black lung claims differ from other workers’ comp due to multiple potential payers, complex adjudication, much longer reporting and payment lags.
One in 10 underground coal miners who worked for at least 25 years have black lung disease, according to National Institute for Occupational Safety and Health.
Claim analytics using artificial intelligence represents a proven method to reduce claim severity and improve the efficiency of claim-handling resources.
Discover the impact of next-generation dynamic benchmarking tools for more reliable loss distributions.
Milliman’s Christine Fleming and Nina Plail discuss how insurtech is transforming claims management in the trucking industry for both companies and consumers.
Analyze a wide range of claims data to identify those likely to incur high costs, helping optimize management and reduce costs.
Manage extended claims to determine accurate long-term costs and make more effective decisions.
Detect patterns in attorney billing practices using powerful algorithms, helping manage costs and improve claims defense.
Assess the quality of stochastic unpaid claim distributions used for enterprise risk management and dynamic financial analysis.
Lower loss and loss adjustment expense costs, get litigation support, and improve claims operations.
Uncover valuable information hidden in your data, allowing you to take action on key business insight.
Deliver sophisticated and progressive insurance products at reasonable cost with the help of our data, analytics, and consulting expertise.
Quantify the hidden long-term cost of product liabilities and provides guidance on controlling and managing the cost of future exposures.
Build on a solid foundation with decades of insurance expertise combined with cutting-edge technology innovation.
Improve risk selection, pricing, and profitability with comprehensive underwriting services and data.
Develop customized workers’ comp solutions that save time and money with state-specific data and expertise.
Ask the tough questions. We’re ready for them.