Insurance Claim Processing
Insurance claim from lodgement through assessment to settlement
InsuranceLead 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% |