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Root Cause Analysis

Reclamia tracks the root causes AI assigns to claims. Over time, patterns emerge showing systemic issues. Use cases:
  • “Sensor calibration” appears 7 times → automate calibration
  • “Training gap” in safety → implement training program
  • “Supplier quality” repeated → change suppliers

Repeat Issue Identification

The system flags claims that appear repeatedly:
  1. Query: Find all claims with same category + similar description
  2. Pattern analysis: Group similar issues
  3. Trend line: How often occurring and changing
Example:
  • Conveyor belt tension issues: 5 times in 6 months
  • Solution: Automated tension monitoring prevents future occurrences

Category Performance

Deep analysis by claim type:
  • Volume trends
  • Average resolution time
  • SLA compliance by category
  • Most common causes
  • Seasonal patterns

Department Efficiency

Compare departments on:
  • Claims per person (productivity)
  • Average resolution time (speed)
  • SLA compliance (reliability)
  • First-time fix rate (quality)

Benchmarking

Compare your organization against:
  • Previous periods (trending)
  • Other departments
  • Industry standards
  • Best practices

Using Analytics

Weekly Analysis

  • Review top 3 issues
  • Check SLA trends
  • Identify quick wins

Monthly Deep Dive

  • Root cause analysis
  • Category performance review
  • Department comparison
  • Staffing needs

Quarterly Strategic

  • Major trend analysis
  • Process improvement plans
  • Hiring/resource decisions
  • Capability investments

Next Steps