Unlike other forms of insurance Disability and Long Term Care Insurance claim involve a sequence of payments, this in itself can present challenges for many companies. In addition to handling complex data, Insight Enterprise includes functions specific to DI and LTC, such as claim analysis and actuarial experience studies, and supports a wide range of reports including the new LTC regulatory reporting forms.

Claim Analysis

Claim profiles and movements provides a better understanding of claims by providing trending and profiling of claims with drill-through to individual records.

Claim status is also an attribute on the policy, providing analysis of claims in the context of the policy.

Actuarial Studies

Insight Enterprise features a full range of actuarial studies to support Disability and Long Term Care Insurance, including:

• Calculation of incidence, termination and continuation rates, and actual to expected ratios
• Discounted claim cost calculations
• Transition rates between claim stages for Long Term Care
• Utilization rates for Long Term Care

To accommodate late reporting of events, actuarial studies are based on the current version of the data.