Insurance Claim Processing

Insurance claim from lodgement through assessment to settlement

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Lead Time

514.1h

Cycle Time

6.1h

Wait Time

508.0h

PCE

1.1%

Stages

9

Bottleneck

Assessment / Site Visit

Value-Add vs Non-Value-Add

Value-Add (VA)

An activity is value-add if it meets all three criteria:

  • The customer is willing to pay for it
  • It transforms the product or service
  • It is done right the first time

Examples: Assembly, diagnosis, treatment, coding, machining, testing

Non-Value-Add (NVA)

Activities that consume time or resources but don't add value from the customer's perspective:

  • Waiting — queues, approvals, batching delays
  • Transport — moving materials or information
  • Motion — unnecessary movement of people
  • Rework — correcting defects or errors
  • Over-processing — doing more than required

Note: Some NVA is necessary (compliance, safety). Target unnecessary NVA first.

Process Timeline

Value-Add vs Non-Value-Add

Bottleneck Analysis

Stage Efficiency

# Stage Cycle (h) Wait (h) VA Resource Defect % Efficiency
1 Claim Lodged (online/phone) 0.5 0.0 VA Customer 15.0% 100.0%
2 Claim Registered & Acknowledged 0.25 4.0 VA Claims Clerk 5.0% 5.9%
3 Document Collection & Verification 1.0 72.0 VA Claims Officer 20.0% 1.4%
4 Assessment / Site Visit 2.0 120.0 VA Assessor 10.0% 1.6%
5 Liability Determination 1.0 48.0 VA Claims Officer 8.0% 2.0%
6 Settlement Calculation 0.5 24.0 VA Claims Officer 5.0% 2.0%
7 Authority Approval (if threshold) 0.5 72.0 NVA Claims Manager 3.0% 0.7%
8 Settlement Offer & Acceptance 0.25 120.0 VA Customer 5.0% 0.2%
9 Payment Released 0.1 48.0 VA Finance 2.0% 0.2%