JD
Claim TAT
4.2 days
↑ Target: ≤5 days
Auth Response
1.8 days
↑ Target: ≤3 days
Call Volume / Day
1,247
↑ +3% vs last week
First Call Resolution
87%
↑ Target: 85%
Claims Processing Throughput (Today, Hourly)
8am 10am 12pm 2pm 4pm 200 100 0
Staff Productivity
Claims / FTE
47
78% of target (60/FTE)
Auth Reviews / FTE
23
92% of target (25/FTE)
Backlog Aging
>30 days >60 days >90 days 89 23 7
SLA Compliance (Donut Gauges)
98%
Claims TAT
96%
Auth Response
87%
Call FCR
94%
Grievance TAT
AI Assistant

The Operations Dashboard monitors claims processing throughput, staff productivity, backlog aging, and SLA compliance metrics in real time.

SLA gauges show the percentage of work items completed within required timeframes. Green = meeting target, Amber = at risk, Red = missing SLA.

  • Items >30 days: Priority review queue
  • Items >60 days: Escalate to supervisor
  • Items >90 days: Regulatory risk — immediate action

Productivity targets are set per role. Claims processors target 60 claims/FTE/day. Auth reviewers target 25 reviews/FTE/day. Trends below 80% trigger coaching review.