Milliman Nodal Predictive Analytics

Nodal is a predictive modeling and decision-support solution used for early claim resolution. It analyzes a wide range of claims data to predict claims that are high-risk to improve claim performance and reduce costs.

Nodal is for insurers, self-insureds, and third party administrators (TPAs) who would like to use predictive analytics to identify at-risk claims, which are likely to incur high costs.

Nodal utilizes artificial intelligence (AI) and machine learning (ML) to proactively identify low and high cost claims shortly after the claim is reported. Nodal will triage low cost claims so they can be automatically closed or paid with limited adjuster action.

Unstructured data is information that has not been organized and arranged according to a pre-set data model. Nodal utilizes text mining and AI to extract under-utilized data from the adjuster notes and claims descriptions.

No. We tailor our solution to your needs. Our team constructs models utilizing a client’s own detailed claim, medical, and text data while leveraging Nodal’s database as support.

Our clients are seeing savings between three to 10 percent in claims costs.

We work with commercial lines such as workers’ compensation, auto liability, and general liability.

Artificial Intelligence (AI) refers to the ability of a computer to mimic human intelligence and precision. AI has the ability to reason, discover meaning, or learn from past experience (predictive qualities).

It examines large databases to generate new information. Data mining turns raw, unstructured data into useful information by looking for patterns and anomalies.

With claims automation and claims triage, we send high-risk claims to senior adjusters for intervention and cost containment. We identify low risk claims for straight-through processing if possible.

Nodal provides reports on insurance claim trends, automated daily emails for claims triggering specific thresholds, and an interactive dashboard of results that is refreshed daily.

After integrating your data into our predictive models, we provide a high-level summary output for your review noting insurance claim trends. Also, each quarter, we provide a report that summarizes claims scored to-date with specific focus on model accuracy and ROI.

We include on-site training time with our insurance claims consultants to develop a strategy to address claims identified by Nodal.

Nodal is a fully managed software-as-a-service solution—no need for your IT staff to install or manage software. We assemble data from unstructured sources, build predictive models using cutting-edge machine learning techniques, and implement with experienced claims consultants to ensure successful implementation and maximize ROI.

Our team of claims consultants, actuaries, and data scientists continue to support you after implementation. We will continue to monitor model results, track ROI, and act as a resource for any additional needs.

Call or email Trever Mertz at 262-796-3347 or [email protected].