Risk Navigator Financial provides actuarial and underwriting reporting functionality, cost predictions, and modeling flexibility. Historical trends in cost, utilization and risk by group and renewal date, combined with predictive capabilities, makes this a very powerful tool for Actuarial and Underwriting teams.

Features include:

• Separate Actuarial and Underwriting Reporting Capabilities
• Comparison to customer-specific book of business benchmarks by Line of Business, Market Segment and Product Line
• Reports available by Renewal Period or specific group segments/size
• Loss Ratio Reporting
• Actuarial/Underwriting Risk Profiles including impact on risk and cost using the following data elements:

  • SIC codes, Age/Gender , Policy Age, Medical Cost Trend, Contract Type, New and Terminated Members, Non-users, Diagnosis/Severity of Illness
• Compare Current member risk and prospective risk against risk levels at the last renewal
• Data stored up to five years for trending analysis
• Predictions provided using customer-specific age/gender factor, medical cost trend and non-user cost factors as well as standard MEDai prediction
• Outliers reported using pooling level will full member-level detail

 

PDF Version

For more information on this product and pricing contact us:
Phone: 800.446.3324 -or- email: sales@medai.com