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mgt415a6
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| A6: The Insurance Claim Team (Updated 08/08/2007 05:37 PM ) MGT 415 Note: The following problem is fictitious but employs names of, and news from, real organizations. The idea is to increase the reality of the situation, and to improve your awareness of various industries and organizations. You are a project manager for Ohio Casualty Group. Recently, you've been named to a quality improvement team that has been formed to reduce the number of insurance claims with errors. These claims are generated by Ohio Casualty claims representatives upon obtaining information from personal and business clients directly or through agents. Early in the process, the team decided to examine data related to what is going on currently related to error rates, types of errors, etc (see tables below). The team has asked you to analyze this data and to bring a report of your findings to the next team meeting. The team also asked you to bring some ideas about the causes of erroneous insurance claims to the next meeting. Some things to consider during your analysis:
Table 1: Claims Processing Rate vs. Claims with Errors
Table 2: Types of Claim Errors and their Frequency
Table 3: Daily Count of Claims with Errors
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