“What we see in the insurance industry is that fraud is becoming a bigger and bigger problem. Detecting fraud alerts is the first step in combatting fraud. The follow up of these suspicious cases is just as important. Fraud managers prove the value of a fraud alert when they assess the risk and start an investigation.”
More data, bigger workload
We see more screenings in the claims process at insurers worldwide. We see an increasing amount of data used in these screenings and we see an increasing amount of work for the fraud managers.
When we talk to fraud managers, they are asking us to help them cut through the clutter. They want to be more effective and they want to be faster at assessing the risk of a fraud alert. They want to see more related information to the alert and they want the ability to share their investigation with their colleagues.
Connecting the dots
We needed to remove the burden of registration. Extra information stored in the system is re-used in the screening process, which leads to a better quality fraud alerts; which in turn reduces the workload for fraud managers.
We make it possible to connect the dots between existing fraud cases and reveal the bigger picture. This way, we can detect a network of individuals working together in a fraud scheme.
Experience
Over the past eight years we have collected the experiences of fraud managers at about 50 insurers worldwide. We have used this knowledge to create a complete new case management module. This module helps you to become more effective in your fraud management.”
