Operations KPIs, Advanced
Claims Handling Cost Per Claim
Calculate the in-house cost per claim handled — useful for benchmarking against a TPA (third-party administrator).
Formula: annual_handling_hours = annual_claims_count * avg_handling_hours; cost_per_claim = (annual_claims_count * avg_handling_hours * staff_hourly_rate + annual_software_admin) / annual_claims_count, when annual_claims_count > 0; annual_total = annual_claims_count * avg_handling_hours * staff_hourly_rate + annual_software_admin
Calculate the in-house cost per claim handled — useful for benchmarking against a TPA (third-party administrator).
Inputs
Results
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Formula
annual_handling_hours = annual_claims_count * avg_handling_hours; cost_per_claim = (annual_claims_count * avg_handling_hours * staff_hourly_rate + annual_software_admin) / annual_claims_count, when annual_claims_count > 0; annual_total = annual_claims_count * avg_handling_hours * staff_hourly_rate + annual_software_adminUse for estimation. Verify safety-critical calculations with qualified review.