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Modern Commercial Building

Healthcare Claims Consulting Experts

Transforming raw claims data into an asset used to drive business results for our clients

Modern Commercial Building

Our Services

ProActuarial Insights is an actuarial consulting firm expert in healthcare claims reporting, analytics, and forecasting.  We create tailored solutions to help health plans and at-risk provider groups leverage their claims data to optimize their business and drive results.  The process through which we do this is the Claims Control Cycle: Accurate Reporting, Insightful Analytics, and Transparent Forecasting.

Accurate Reporting

  • Data Optimization

Organize and classify claims data to create a single source of truth for all downstream processes​

  • Claims Dashboards

User friendly forward-facing tools providing summary and detail views of historical claims for all claim types

Insightful Analytics

  • Drilldown Tools

Tools used for additional research into trend drivers, usually for a specific service such as Chemotherapy or Surgery

  • Executive-Level Presentations

Clear and concise monthly readouts to senior leadership highlighting trend drivers and actionable insights

Transparent Forecasting

  • Trend Projection Models

Projects future cost and use trend for each service category to be used in pricing and corporate budgets

  • Budget A-E Waterfalls

Tracks emerging actual experience to expected on a monthly basis and determines drivers of variance from budget

Modern Commercial Building

How to Get Started

Book a free 1-hour consultation using Calendly or email us directly at info@ProActuarial.com to learn more about how we can create a tailored solution for your business

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