Bring Control and Clarity to Every Claim
DataHaven unifies claims data and delivers predictive triggers to help carriers identify and prevent scenarios that increase loss ratios.
The Challenge
Claims departments face mounting pressure to reduce leakage, improve outcomes, and maintain control across increasingly complex workflows and data sources.
Siloed systems across TPA, core platform, and notes create blind spots.
Critical claim information scattered across multiple systems makes it difficult to see the complete picture and identify patterns early.
Inconsistent reserve setting and claims leakage drain profitability.
Without unified visibility into reserve patterns and settlement behaviors, leakage goes undetected until it's too late.
Delayed or incomplete fraud detection exposes financial risk.
Manual fraud detection processes miss sophisticated patterns and suspicious claims that predictive systems could identify.
Limited visibility into severity, duration, and litigation trends.
Lack of real-time insight into claim development patterns makes it difficult to predict outcomes and adjust strategies.
The Cost of Fragmented Claims Management
Without predictive triggers and unified visibility, claims departments struggle to identify preventable scenarios early and maintain the operational control needed for optimal outcomes.
How DataHaven Supports Claims Teams
Six core capabilities that deliver predictive insights and financial control to prevent loss ratio increases.
Unified Claims View
Centralize structured data, notes, documents, and payments from all systems.
OUTCOME:
Complete visibility across the entire claims lifecycle without system switching or manual data gathering.
Predictive Risk Triggers
Identify high-risk claims through pattern recognition and predictive signals from historical data.
OUTCOME:
Early warning system that alerts teams to preventable scenarios before they impact loss ratios.
Reserve & Settlement Oversight
Analyze reserve patterns, closures, and payment behaviors across adjusters and geographies.
OUTCOME:
Improved reserve accuracy and reduced leakage through pattern recognition and adjuster performance insights.
Fraud Detection Support
Leverage pattern recognition, outlier detection, and LLMs for claim comparison.
OUTCOME:
Enhanced fraud detection capabilities that identify suspicious patterns humans might miss.
Litigation & SIU Visibility
Track legal involvement, subrogation opportunities, and SIU referral trends.
OUTCOME:
Strategic oversight of litigation exposure and proactive SIU workflow management.
Audit-Ready Lineage
Full traceability across data, calculations, and decision paths.
OUTCOME:
Complete transparency and documentation for regulatory compliance and internal audit requirements.
Operational Control Across Every Claim
DataHaven delivers the predictive triggers and unified visibility claims teams need to identify preventable scenarios and maintain control over loss ratio drivers.
Results
Measurable outcomes that demonstrate the operational and financial impact of predictive triggers and unified claims intelligence.
Reduced Claims Leakage
Systematic identification and prevention of avoidable claim costs
Direct impact on loss ratios and operational profitability
Earlier Risk Identification
Predictive triggers that identify preventable scenarios before they escalate
Proactive intervention capabilities that prevent loss ratio increases
Higher Reserve Accuracy
Data-driven reserve setting based on historical patterns
Improved financial forecasting and regulatory compliance
Lower Litigation Rates
Proactive identification of litigation-prone claims
Reduced legal costs and settlement volatility
Better Fraud Detection ROI
Predictive pattern recognition and outlier identification triggers
Enhanced fraud prevention through early warning signals
Financial Impact Through Operational Excellence
DataHaven enables claims teams to demonstrate measurable value through reduced leakage, improved efficiency, and enhanced risk management capabilities.
Governance & Collaboration
DataHaven connects Claims with critical departments across the organization, enabling seamless collaboration and unified insights.
Finance
Reserves, Payments, Recoverables
Unified visibility into reserve adequacy, payment patterns, and recovery opportunities across the portfolio.
COLLABORATION OUTCOME:
Enhanced financial reporting and improved cash flow forecasting through integrated claims and financial data.
Actuarial
Development, Severity Analysis
Real-time claim development patterns and severity trend analysis for pricing and reserving models.
COLLABORATION OUTCOME:
More accurate loss projections and pricing models based on comprehensive claims data insights.
Reinsurance
Reporting and Recoverables
Predictive triggers for reinsurance reporting and recovery optimization across treaty and facultative arrangements.
COLLABORATION OUTCOME:
Enhanced reinsurance intelligence and maximized recovery identification through early warning systems.
SIU
Investigations and Fraud Scoring
Intelligent fraud scoring triggers and case prioritization signals for investigation teams.
COLLABORATION OUTCOME:
Enhanced fraud detection capabilities through predictive triggers and early warning systems.
Unified Platform, Enterprise-Wide Impact
Claims becomes the central hub for operational intelligence, driving value across Finance, Actuarial, Reinsurance, and SIU through shared data and predictive triggers.
Let's explore how we can help you take control of your claims lifecycle
Schedule a consultation with our claims specialists to see how DataHaven's predictive triggers can help you identify preventable scenarios and maintain control over loss ratio drivers.
Trusted by claims professionals at leading carriers