“Claim Best Practices” audits work fine in Excel spreadsheets.  But what do you do with them from an analytical standpoint.  And what about the actual capturing of the data?  How easy is it to generate a random sample of claim, ask the right questions and capture the right answers.  Imagine a system that allows the auditor to enter filters (e.g. all Texas claims with lost time plus all claims that have large reserve changes plus claims that stayed open for more than 3 months etc.) and then push a button to generate a random subset of claims to be added to the audit.  Additional filters can be applied and additional random subsets are added to the overall list.

This list of claims is automatically imported to the audit scoring system and the Claim Auditor scores each custom question for each claim. The scoring system allows for weighting and will run as a touch app on any mobile device. The system generates detailed audit score and summary reports.  In fact, full, professional looking audit presentations can be generated by one click of the mouse.

This technology exists today and makes a claim audit about as simple as it can be.