APD TRENDS

Triple-I/Milliman estimated the P&C industry’s net combined operating ratio (NCOR) at 99.4% in October 2024 – slightly improved but still strained – prompting the industry to find new ways to manage claims and keep costs down while meeting the needs of an evolving vehicle fleet. (Figure 1)

APD Figure 1: P&C Industry Net Combined Operating Ratio (2017-2026)

SOURCE: INSURANCE INFORMATION INSTITUTE & MILLIMAN (UPDATED OCTOBER 2024)​

APD Trend #1:
Economics & Vehicle Costs

Vehicle Sales & Vehicles in Operation

While reduced new vehicle availability at the onset of the pandemic led to decreased new vehicle sales, those challenges have largely been replaced by a different set of economic barriers.

According to the Federal Reserve Bank of St. Louis, Total New Light Weight Vehicle Sales remain below 16 million vehicles on a 12-month moving basis. The U.S. averaged 17.26 million new lightweight vehicles sold on a 12-month moving basis from September 2015 through February 2020. (Figure 2)

APD Figure 2: 12 Months – Moving New Light Weight Vehicle Sales (Not Seasonally Adjusted)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

A recent report from Cox Automotive stated that new vehicle inventory exceeded three million units in November – the first time since the pandemic – and is up by over 677,000 units year-over-year. Consumers continue to face elevated new vehicle prices; October average transaction price was $48,623. And, for almost two years, the average new vehicle financing rates had been 7% or higher.

For the first time in almost two years, the average new vehicle APR dropped below 7%, as Edmunds reported rates at 6.8% for November; the average used vehicle APR was 11%, down from 11.5% in June.

Consumers continue to confront the long-term effects of vehicle-related cost increases. 17.4% of new auto loans have a monthly payment of $1,000 or more, down slightly from 17.9% in Q4 of 2023. Edmunds reported that as of Q3 2024, 24.2% of new vehicle sales with a trade-in had negative equity, and that consumers who are upside down in their auto loans owe an average of $6,458. 22% of consumers with negative vehicle equity owe $10,000 or more on their loan.  It is notable that 30% (or more) of new auto loans had negative equity between Q1 2018 and Q2 2021.

As of Q3 2024, auto loans accounted for 9.2% of total household debt (the quarterly average has been 9.3% since 2016). Total auto loan debt in the U.S. exceeds $1.6 trillion.

According to the New York Federal Reserve Bank, 2.9% of auto loans became 90+ days delinquent in Q3 2024, up from 2.5% in Q3 2023. Though high, delinquency rates are below those of the financial crisis era, where rates were as high as 3.48% (Q2 2009).

According to Experian, 291.1 million total vehicles were in operation through Q2 2024. Experian also reported that 11.9 million vehicles were taken out of operation. According to S&P Mobility, the average U.S. vehicle age has now increased to 12.6 years, reinforcing the trend toward a more mature U.S. vehicle pool.

66% of vehicles in operation are seven years or older.

Paid Claims Frequency Trends

According to FastTrack’s paid claim frequency trends, through Q2 2024, Auto Collision frequency has decreased to 5.17, the lowest since Q4 2021 (5.12). It is noteworthy that annualized collision exposure units – measured by earned car years – are down 2.0% year over year, while paid collision claims are down 5.7%.

Liability (Property Damage) claims frequency has also flattened out over recent quarters and remains well below historic norms.  Liability exposures are down 2.7% year-over-year and paid claim volume is down 3.6%.

Comprehensive paid claim frequency remains at or near historic levels, much of which can be attributed to weather events. The underlying metrics for comprehensive frequency reveal a 2.4% decrease in exposures and a 2.8% decrease in paid claim volume year-over-year.  (Figure 3)

APD Figure 3: Paid Claim Frequency Trends

SOURCE: INDEPENDENT STATISTICAL SERVICE (ISS) FASTTRACK (TOP)  |  U.S. DEPARTMENT OF TRANSPORTATION FEDERAL HIGHWAY ADMINISTRATION (BOTTOM)

Miles driven are +0.8% YoY through Q3 and +0.6% compared to 2019 (pre-pandemic). However, dangerous driving behaviors – speeding, distracted driving, aggressive driving, and impaired driving – continue to plague America's roadways. Following Amazon's announcement which will bring employees back into the office full time in January 2025, many major firms have followed suit, which could imply an increase in miles driven, congestion, and potential crash frequency over time.

Consecutive years of poor loss performance continue to drive auto insurance costs higher. The October consumer price index for motor vehicle insurance is +9.0% YTD, +14.0% YoY, and +51.4% compared to 2019. Inflation for all items has increased by 2.3% YTD, +2.6% YoY, and is +50.9% compared to January 2022. (Figure 4)

APD Figure 4: CPI – U.S. City Average, All Urban, 12-Month Percent Change, Not Seasonally Adjusted

SOURCE: U.S. BUREAU OF LABOR STATISTICS

The Insurance Research Council reported that 14% of drivers are uninsured and J.D. Power reported that 5.7% of American households with at least one vehicle do not have insurance. (Figure 5)

Factoring in the aging car parc, consumers with older vehicles could be more prone to increasing deductibles or dropping first party coverages, decreasing policy limits, or electing to go without insurance altogether. In fact, 22.1% collision claims had a $1,000 deductible in Q3 2024 – up from 19.7% in Q1 of 2023 – while those with a $500 deductible have decreased from 52.9% of collision claims to 48.6%.  For comprehensive claims, $1,000 deductibles represented 17.4% of claims in Q3 2024, up from 13.6% in Q1 2023.  The share of claims with deductible amounts of $500 or less all declined during this same period.

APD Figure 5: Percentage of Uninsured Motorists (2017-2022)

SOURCE: INSURANCE RESEARCH COUNCIL

APD Trend #2:
Used Vehicles

Used Vehicle Values

Through October, the CPI for used cars and trucks is –3.4% YoY. Wholesale indexes, which generally serve as leading indicators for retail pricing, reflect any further decreases. Year-over-year, the Manheim Used Vehicle Value Index is -3.2% through October, and the Black Book Used Vehicle Retention Index is -8.6% during that same period. (Figure 6)

APD Figure 6: Used Vehicles Retention Index, Values, and Consumer Price Index

SOURCE: BLACK BOOK (RETENTION INDEX), MANHEIM WHOLESALE (VALUE), AND U.S. BUREAU OF LABOR STATISTICS (CPI)​

Total Loss Frequency

Year-over-year through October 2024, CCC data indicates a 2.0% increase in vehicles flagged total loss in 2024 relative to 2023, primarily due to the continued erosion of used vehicle values and an increasingly mature vehicle pool, as almost 72% of valuations across all loss categories are for vehicles 7 years or older. (Figures 7 and 8)

APD Figure 7: CCC National Industry Total Loss Share of Claim Count (CY 2013-2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

APD Figure 8: CCC National Industry Total Loss Share of Claim Count (CY 2016-2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

An increased total loss frequency will, conversely, decrease the ratio of repairable vehicles. Higher physical damage severity losses, which might have been repaired a year ago, are more likely now to be totaled, increasing shop capacity and lowering overall cycle times.

While these appear to be promising signs for consumers, used vehicle price volatility is not without its pitfalls in the current economic conditions. As used vehicle prices continue to decrease, the possibility of consumers being underwater due to unfavorable loan terms increases. Transunion reported in November that the share of used vehicle loan originations with a loan-to-value (LTV) ratios over 120% has more than doubled over the past three years – from 25% in Q3 2021 to 54% in Q3 2024.

Between 2020 and 2022, the average adjusted vehicle value increased by almost 49%, from $10,184 to $15,134, according to CCC's total loss valuation data. Through October 2024, CCC has seen an overall decrease of -6.4% YoY, with an average adjusted vehicle value of $13,612. (Figure 9)


APD Figure 9: Total Loss Values & Mix

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

As vehicle values decrease, segments of ancillary coverages, such as GAP (guaranteed asset protection) coverage, could be required to cover larger payouts than anticipated.  Understanding how asset values are shifting could be an additional step product, pricing, and underwriting departments could undertake to ensure pricing adequacy amidst market fluctuations.

Vehicle Theft

According to NICB, there were 1,020,729 vehicle thefts in 2023, a 1.2% increase relative to the revised total for 2022 of 1,008,756 thefts. 208,668 (20.4%) of thefts were in California, followed by 115,013 (11.3%) in Texas.  States with the largest YoY increases include:

  • Washington DC (+64%)
  • Maryland (+63%)
  • Connecticut (+33%)

The percentage of total losses because of theft continues to remain above historic norms yet following peaks in 2022.  Some vehicle segments do indicate subtle increases in total loss thefts of recent. (Figure 10)

APD Figure 10: CCC National Industry Thefts as Percent of Total Loss Valuation Counts (CY 2016-2024, by Quarter)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

* Learn more about CCC's ADP solutions here.

VEHICLE REPAIR TRENDS

The vehicle repair industry has shown signs of improvement following the apex of prolonged cycle times and elevated costs that bled into 2023 after an especially challenging Q4 2022.

Historically, auto physical damage loss development is relatively swift; however, recovering backlogs and prolonged cycle times continue to delay the maturation of data. The average TCOR through Q3 2024 currently stands at $4,667 – a 3.7% increase relative to Q3 2023 ($4,501).  2024 trends indicate that TCOR increases are beginning to fall back in line with inflationary trends. (Figure 1)

Vehicle Repair Figure 1: CCC National Industry, Average Total Cost of Repairs - All Loss Categories Repairable Appraisal Statistics

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Vehicle Repair
Trend #1:

Parts Costs Stabilize

Parts Costs

Following years of 7.3% and 5.4% increases in average parts costs, the average price per part increased a modest 0.2% in 2023.  Through Q3 2024, the average price per part is +1.4% year-over-year following increases of +2.0% and +1.2% in the second and third quarters of 2024. (Figure 2)

Vehicle Repair Figure 2: National Industry Repairable Appraisals - Average Cost per Part (all parts, including attachments across all part types)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

The rate of change for the average number of parts per appraisal has reversed slightly after consecutive years of large increases. The average went from 11.2 parts per appraisal in 2020, to 12.2 in 2021, 13.2 in 2022, and 13.7 in 2023.  Year-to-date 2024 currently stands at 13.4 parts per repair. (Figure 3)

Vehicle Repair Figure 3: CCC National Industry Non-Comprehensive Repairable Appraisals - Average Number of Parts Replaced per Claim

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Total Cost of Repair (TCOR) Contribution

Total repair costs jumped double-digits in 2021 and 2022. When indexed against 2020, parts contributed at least 50% to the increased repair costs. Parts costs, however, have been trending down in their overall contribution to repair cost increases. The largest increases in contribution have been from labor and miscellaneous costs, which often include diagnostics. (Figure 4)

Vehicle Repair Figure 4: Average TCOR Change vs 2018 – Contribution by Type (2019-2024, Collision & Liability)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Labor Rates

The average number of labor hours per appraisal in 2023 increased slightly to 27.6 hours, also following large jumps in back-to-back years (2021 and 2022).  Through Q3, labor hours are down slightly year-over-year at 27.3 hours. (Figure 5)

Vehicle Repair Figure 5: National Industry Non-Comprehensive Repairable Appraisals - Average Number of Labor Hours per Claim

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

The primary driver of overall repair cost increases in 2023 and 2024 has been labor rates, which were up 7.5% in 2023 and a 4.7% increase year-over-year through Q3 2024. What's notable here is this labor rate increase began in 2022 and continued through 2023 into 2024, whereas the number of labor hours, parts volume, and parts prices saw their largest increases a year prior – in 2021 and 2022. (Figure 6)

Vehicle Repair Figure 6: CCC National Industry Average Labor Rates per Labor Category CY2018-CY2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Mean labor rates from estimates are lagging 9 months behind general inflation - the consumer price index for all items. YoY labor rate increases peaked in February of 2023 as opposed to general inflation, which reached its apex in June of 2022. (Figure 7)

As inflation began to level out entering Q4 of 2023, prior trends indicate that we could see labor rate increases continue to decline or flatten as we conclude 2024.

Vehicle Repair Figure 7: Labor Rates vs. Consumer Price Index Inflationary Trends Comparison
(YoY% Change by Month)

SOURCE: CCC INTELLIGENT SOLUTIONS INC., U.S. BUREAU OF LABOR STATISTICS​

Productivity and Cycle Times

Cycle times – including time between appraisal completion, vehicles going into the shop, and repair time – continue to improve, though both productivity and cycle times still lag pre-pandemic levels. Based on the current data, Q3 2024 continued to see incremental decreases in cycle times, as vehicles were able to get into shops for repairs nine days less than in Q3 2023. Also, average repair times are down by 1.4 days per repair. While these trends are likely to develop further, they are indicative of decreased shop backlogs, lower severity repairs, and continued, albeit slight, improvements in productivity. (Figure 8)

Vehicle Repair Figure 8: CCC National Industry DRP Repairs - Quarterly Cycle Times Comparison

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Q3 2024 data currently reveals consistent quarter-over-quarter drops in average time for vehicles to go into a shop for repairs following estimate completion. While we should anticipate recent results to increase slightly for this metric as the data develops, the general trend reflects continued improvements in shop backlogs. (Figure 9)

Vehicle Repair Figure 9: CCC National Industry DRP Repairs Estimate Sent to Vehicle In Days Average by Drivable Flag

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

This is also reflected in Crash Network’s U.S. National Collision Repair Scheduling Backlog, which was reported at 2.1 weeks for Q4 2024. Backlogs apexed at 5.8 weeks in Q1 of 2023 and have plummeted in 2024; Q1 of 2024 was 4 weeks. (Figure 10)

Vehicle Repair Figure 10: U.S. National Collision Repair Scheduling Backlog in Weeks

SOURCE: CRASH NETWORK​

Additionally, shop productivity – measured in labor hours per repair day – continues to see slight improvement quarter-over-quarter. Productivity should remain a focal point for the collision repair industry. As compared to pre-pandemic levels, productivity can add up to four additional days for drivable vehicles and up to eight days for non-drivable vehicles. (Figure 11)

Vehicle Repair Figure 11: DRP Repairs Comparison

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Vehicle Repair
Trend #2:

Electric & Hybrid Vehicle Segments Continues to Grow

Despite evolving customer sentiment, slow infrastructure execution, and relatively high average new vehicle prices, the electric vehicle segment continues to grow. Electric Vehicles (EVs) now make up 1.1% of vehicles in operation (~3.3 million vehicles) while internal combustion engine vehicles account for 92% of the mix. EVs represented 2.5% of all repairable claims through Q3 of 2024, as EV repairable claims volume is up 27% year-over-year. (Figure 12)

Vehicle Repair Figure 12: EV and Non-EV CCC National Industry Estimate Volume (2018-2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

The mix of claims for vehicles three years or newer continues to evolve as EV and hybrid vehicles increase market share. Internal combustion engine vehicles (ICE) represented 95% of claims for vehicles three years or newer at the beginning of 2020 and now represent 80% of claims. Hybrid share has increased from less than 4% to over 13% over the past five years. And, EVs three years or newer account for almost 7% of claims, up from 1.4%. (Figure 13)

Vehicle Repair Figure 13: Claims Mix by Fuel Type, All Conditions, Vehicles 3 Years Old or Newer

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

The EV car parc remains relatively young in comparison to the mature U.S. vehicle pool. Through Q3, 79.4% of repairable EV estimates are for vehicles three years old or newer; 60.3% of repairable hybrids are three years old or newer. Only 26.3% of repairable ICE vehicles are three years or newer; in fact, 47.4% of repairable ICE vehicles are seven years or older. (Figure 14)

Vehicle Repair Figure 14: EV, Hybrid, and ICE Vehicle Age and TCOR

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

EV and Hybrid Repair Costs

According to Cox Automotive, the average new vehicle transaction in October 2024 was $48,623 while the average electric vehicle was $56,902 (17% higher than the average transaction price). The average EV costs 49.8% more than the average ICE vehicle to repair and ~22% more than the average hybrid vehicle. However, as we must emphasize, this is not an apples-to-apples comparison.

The internal combustion engine segment of the car parc, as noted previously, is larger and more mature than the emerging EV and hybrid segments.

For vehicles three years old or newer, the average TCOR through Q3 2024 for EVs was $6,939.97, which was 23.5% higher than ICE vehicles and 8.6% more than hybrid vehicles within the same age group. The average hybrid TCOR for vehicles three years or newer is 13.7% more than ICE vehicles – a gap that continues to increase. (Figure 15)

A complete high-level summary comparing EVs, hybrids, and ICE vehicles by age can be found in Figure 16.

Vehicle Repair Figure 15: CCC National Industry EV, Hybrid, and ICE: 3 Years Old or Newer (2022-2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Vehicle Repair Figure 16: CCC National Industry EV, Hybrid, and ICE Repairable Vehicle Age Comparison (Q3 2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Cycle Times

For 2024, the average time between last estimate and vehicle out has declined to 37.6 days for electric vehicles, down from 59.3 days in 2020. Hybrids have an average cycle time of 30.9 days, while combustion engine vehicles are averaging 32.3 days. These improvements can be attributed to the increase in total losses, decreased backlog, and improved productivity. In the case of electric vehicles, familiarity with the EV platform, as well as the continued growth of the EV segment with legacy manufacturers, are likely factors contributing to the cycle time improvements. (Figure 17)

Vehicle Repair Figure 17: CCC National Industry DRP Repairs Cycle Time Comparison (Updated Through Q3 2024)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Valuation Trends

A comparison of the percentage of vehicles flagged total loss by age for EVs, hybrids, and ICE vehicles indicates that, overall, EVs are being totaled less than their non-EV counterparts.

While the ICE vehicle segment skews older, hybrids also represent an older mix than EVs. In taking a closer look at more recent model years, EVs are flagged total losses slightly more frequently than non-EVs for current year or newer vehicles in 2024. In all, only 11% of EVs have been flagged total loss in 2024. (Figure 18)

Vehicle Repair Figure 18: Percentage of Claims Flagged Total Loss by Fuel Type

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

* Learn more about CCC ONE® Total Repair Platform here.

CASUALTY Trends Summary

While material damage inflation has cooled, the combined effects of auto medical billing inflation and social inflation continue to adversely affect auto casualty lines. Impact severity is tracking slightly higher than prior year as speeding and distracted driving trends persist despite improving safety technology. Both first and third party auto medical billing inflation continues to outpace CPI for medical care.

Radiology, Surgery, and Eval & Management continue to increase as a percentage of all procedure dollars, driven by gains in both frequency and cost of high dollar procedures such as CT Scans, Steroid Injections, and ER Physician bills. Outpatient surgery and radiology (MRI) procedures continue to appear earlier in the treatment cycle than previously observed.  Platelet-rich plasma therapy (PRP) continues to increase rapidly in frequency within auto billing. Auto premium increases continue to fuel unusually high rates of policy shopping and switching, as well as growth in uninsured and underinsured motorist (UM/UIM) injury claim submissions.

Casualty Trend #1:
Third Party Claims

Impact Severity

The average Delta-v has increased slightly as of 2024 YTD. (Figure 1)

Casualty Figure 1: Average Delta-v by Claim Create Date | Collision and Liability Claims

SOURCE: CCC INTELLIGENT SOLUTIONS INC.


Claims Frequency

Paid bodily injury frequency has been increasing very slowly since 2022 although remaining roughly 15% below pre-pandemic baseline. (Figure 2)

Casualty Figure 2: Paid Claim Count by Quarter | Personal Auto Bodily Injury

SOURCE: ISS FAST TRACK


Claims Indemnity

Average third party bodily injury paid outcome is now $27K per injured party, which represents an 8.3% increase since Q2 2023 and a 38% increase since Q2 2020. (Figure 3)

Casualty Figure 3: Average $ Paid Per IP by Quarter | Personal Auto Bodily Injury

SOURCE: ISS FAST TRACK

Casualty Trend #2:
Medical Care Inflation

Auto Medical Billing vs CPI Health Care

Both first and third party auto medical billing inflation rates have been consistently outpacing the Consumer Price Index for health care. (Figure 4)

Casualty Figure 4: Inflation | % Change Over 12 Months

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Third party bill line severity has increased 4.7% since Q3 2023. (Figure 5)

Casualty Figure 5: Average Medical Bill $ per Bill Line Excluding Duplicates

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

The largest severity increases in key volume states since Q3 2023 have occurred in California, Pennsylvania, Arizona, and North Carolina. (Figure 6)

Casualty Figure 6: Key States Avg Medical Bill $ Submitted per Bill Line | % Change Q3 2023 vs Q3 2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Procedures

Distribution of procedure dollars shows increases in Radiology, Evaluation & Management, & Surgical as of Q3 2024 (Figure 7). Drilling further into procedure category gains, price increases occurred in nearly all subcategories, with bill frequency increases also occurring for CT Scans, MRIs, X-Rays, Surgeries, Injections, and most Eval & Management. (Figure 8)

Casualty Figure 7: Percentage of Medical Bill $ Submitted by Procedure Category

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Casualty Figure 8: Frequency and Avg Medical Bill $ Per Line Frequency Q3 2023 vs Q3 2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Earlier Outpatient Surgery & Radiology

The average days between date of loss and treatment continues to decrease for outpatient surgery and diagnostic procedures, with notable cost increases on those same procedures. (Figure 9)

Casualty Figure 9: Average DOL to Service Date (Days) & Average $ Billed Per Line | Service Dates Q3 2023 vs Q3 2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Rising PRP Treatment Frequency

The PRP procedures continue to increase rapidly in frequency. PRP code 0232T is now the 6th highest surgical procedure by total dollar amount billed. (Figure 10) And the largest concentration of PRP utilization is in California, followed by Georgia, Florida, and Texas. (Figure 11)

Casualty Figure 10: Platelet Rich Plasma (PRP) Procedures | Frequency and Average $ Billed, Less Duplicates

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​


Casualty Figure 11: Platelet Rich Plasma (PRP) Procedures | Percentage of All Units Billed by State 2024 Through Q3

SOURCE: CCC INTELLIGENT SOLUTIONS INC.​

Casualty Trend #3:
Affordability

Uninsured or Underinsured Motorists

The percentage of third party claims submitted for injuries caused by an uninsured or underinsured motorist remains elevated (+11% since Q3 2023). This is consistent with unusually high inflation of personal auto premium costs driving increased policy shopping and higher uninsured/underinsured rates. (Figure 12)

Casualty Figure 12: Percentage of 3rd Party Features Submitted as Uninsured or Underinsured Motorist (UM/UIM)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.

Casualty Trend #4:
First Party Frequency and Indemnity

PIP claim frequency is down 3.1% since Q2 2023, although it increased slightly since prior quarter. (Figure 13) PIP claim paid outcome per injured party increased 3.6% from Q2 ‘23 to Q2 ’24. (Figure 14)

Casualty Figure 13: Paid Claim Count by Quarter | Personal Auto PIP

SOURCE: FAST TRACK ISS


Casualty Figure 14: Average $ Paid Per Injured Party by Quarter | Personal Auto PIP

SOURCE: FAST TRACK ISS

Medical Billing Costs

First party bill line severity has increased 9% since Q3 2023. (Figure 15)

Casualty Figure 15: Average Billed Per Line Less Dups by Client Received Date (excludes bills > $250K)

SOURCE: CCC INTELLIGENT SOLUTIONS INC.

For key volume states, the most notable line level increases since Q3 2023 have occurred in Michigan, Colorado, Minnesota, North Carolina, California, New Jersey, and Florida. (Figure 16)

Casualty Figure 16: Key States | % Change in Average Billed Per Line Less Dups Q3 2023 vs Q3 2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.

Distribution of procedure dollars shows notable increases in Radiology, Surgical, and Eval & Management as of Q3 2024. (Figure 17)

Casualty Figure 17: Procedure Categories | % of $ Billed by Client Received Date

SOURCE: CCC INTELLIGENT SOLUTIONS INC.

Drilling further into Radiology,  Surgical, and E&M growth, movement is driven by both cost and frequency increases within most procedure subcategories. (Figure 18)

Casualty Figure 18: Procedures | Frequency and Average $ Billed Q3 2023 vs Q3 2024

SOURCE: CCC INTELLIGENT SOLUTIONS INC.

Crash Course Author Bios

Crash Course Author Bios

Kyle Krumlauf brings more than 20 years of industry experience to his role at CCC, having served in various leadership and individual contributor positions at Nationwide and Grange Insurance. He was awarded a CEO Award at Nationwide in 2014 for Innovation & Continuous Improvement, and an Accolade Award at Grange in 2019 for his work in Innovation. Kyle earned a BA in Political Science and History from Ashland University and an MBA from Ohio Dominican University. He also holds the CPCU and ARM designations.
Kyle Krumlauf
Director of Industry Analytics, CCC
Erik Bahnsen has spent 20 years in the insurance industry, first holding several auto- and casualty-focused claim roles on the insurer side before moving into technology. Erik joined CCC in 2012, with numerous roles in account management, leadership, and product innovation, with a focus on casualty. Erik also participates in the ongoing development of CCC's industry-leading analytics and AI products. Since joining the industry analyst team in early 2022, Erik’s industry analysis and thought leadership content has been presented and featured in numerous industry meetings and influential publications.
Erik Bahnsen
Director of Industry Analytics, CCC

© 2024 CCC Intelligent Solutions Inc. All Rights Reserved. The information and opinions in this publication are for general information only, are subject to change and are not intended to provide specific recommendations for any individual or entity. Although information contained herein has been obtained from sources believed to be reliable, CCC does not guarantee its accuracy and it may be incomplete or condensed. CCC is not liable for any typographical errors, incorrect data and/or any actions taken in reliance on the information and opinions contained in this publication.

Note: Where CCC Intelligent Solutions Inc. is cited as source, the data provided is an aggregation of industry data related to electronic appraisals communicated via CCC’s electronic network or from total loss valuations processed by CCC. Where CCC Casualty is cited as a source, the data provided is an aggregation of industry data collected from claims data communicated via CCC Casualty’s electronic network.