FRISS’ add-on tackles insurance fraud by helping insurers automatically check claims for potential fraud and risks at multiple stages of the claim workflow in Guidewire ClaimCenter. Claim scoring results, including actionable insights, are available to claims adjustors directly within ClaimCenter. As an integrated part of an established workflow, this add-on ensures claims are screened consistently and processed automatically and quickly. In addition, claims adjustors or investigators can provide feedback on the scoring that supports ongoing training and improvement of the fraud models employed.
Insurers using FRISS’s Guidewire integration can:
- Provide straight-through claims processing for meritorious claims by automating fraud scoring capabilities in real-time within the claim’s workflow;
- Trigger automated actions (workflows) within ClaimCenter based on a FRISS fraud score; and
- Help claims adjusters and investigators focus on suspicious claims and provide support to detect and investigate fraudulent claims.
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You may also be interested in:
On-demand webinar: Reducing Fraud with Guidewire ClaimCenter
Press release: FRISS offers DevConnect Add-on for Fraud Detection
Guidewire Marketplace: FRISS Add-on and Accelerators