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Lesson 2: Core Concepts

5 min

About This Lesson

Define Standard Work, learn the three elements, and distinguish from protocols.

Video 1: What is Value Stream Mapping?

1 min

Complete the definition of Value Stream Mapping:

Test your understanding of the core concept.

Value Stream Mapping documents the entire journey of a claim from
to
, capturing every
and measuring how long claims
between steps.
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Creating both a Current State and Future State map

VSM projects always produce two maps: how work flows today, and how it should flow after improvements.

Video 2: The Metrics That Matter

1 min

Calculate the efficiency ratio:

A claim takes 30 days (lead time) with 6 hours of actual work (processing time).

Efficiency Ratio = Processing Time / Lead Time = 6 hours /
hours =
%
1-2%
Typical Claims Efficiency Ratio

Most claims operations have efficiency ratios between 1-2%. This means 98-99% of lead time is waiting, not working. Best-in-class operations reach 8-10%.

Source: Insurance Industry Benchmarks
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Video 3: The 8 Wastes in Claims

2 min

Identify the Waste Type

Match each claims scenario to the correct waste category.

Defects
Waiting
Overproduction
Motion

A claim sits in the assignment queue for 5 days before an adjuster is available.

An estimate is returned because the coverage code was entered incorrectly.

Three managers review and approve every claim over $5,000, even routine ones.

An adjuster logs into 4 different systems to gather information for one claim.

Explore: Identifying Waste in Claims Operations

Click each tab to see different perspectives (1/3 viewed)

How do we spot waste in claims operations?

Use process observation, timing studies, and queue analysis.

  • Count handoffs between departments
  • Measure wait times at each step
  • Track rework rates and error frequencies
  • The VSM makes waste visible through data boxes and inventory triangles

Technical analysis reveals the data that drives improvement decisions.

Get a personalized example based on your role

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