Claims Management and Fraud Prevention

Our comprehensive suite of tools supports you at every step of the claims life cycle — from claims reporting and analysis through claims adjustment and investigations. Our tools, software, and analytics help you streamline your workflow, control costs, and fight fraud.

We created the industry’s premier claims reporting and management system, along with complementary databases, to help you quickly identify meritorious claims for processing. We offer a variety of tools to help detect and prevent fraud, including software that uses visual link-analysis technology to uncover suspicious patterns that would otherwise go undetected.

Our specialized tools help you streamline the subrogation process; manage complex bodily injury, workers compensation, and comparative liability claims; and automate SIU case management. We even help you estimate repair costs for structural repairs and personal property.

We provide services and national databases to prevent cargo and heavy equipment theft and improve recovery rates. And our background checks and employee screening services help you mitigate risk, protect your assets, and remain compliant by maintaining rigorous hiring practices.

 

Products and Services

ISO MedSentryTM is the industry’s first integrated model to detect medical fraud. ISO MedSentry combines the strength and efficiency of advanced analytics with the quality and vigor of our clinical experts’ analyses to set a new standard in the early detection of fraud. Medical fraud: A critical problem Medical fraud…
ISO ClaimSearch Medicaid Reporting Service Use the ISO ClaimSearch® Medicaid Reporting Service to keep in compliance with the Medicaid reporting and verification requirements in Rhode Island. Find out more about how the service works ISO developed the ISO ClaimSearch Medicaid Reporting Service to help you respond to the Medicaid reporting and verification requirements in Rhode…
FlatCat Flexible, customizable PCS® catastrophe data delivery FlatCat® puts the entire Property Claim Services® (PCS®) catastrophe-history database right at your fingertips. It offers you a flexible delivery method that gives you fast, easy access to severe weather and catastrophe incident information from as far back as 1950. You can customize,…
RISK:check Renewal - Rating Integrity for Renewal Policies RISK:check® Renewal is a sophisticated system that can help you uncover flaws in rating data quickly and efficiently. It helps you correct costly errors and restore profitability to your auto book of business. How does it work? RISK:check Renewal uses Verisk’s sophisticated data analytics to compare individual…
RISK:Check Point of Sale - Fight Underwriting Fraud and Promote Premium Accuracy for New Business — with Virtually Zero IT Impact The best way to detect fraud is to integrate a screening model into your point-of-sale process – when you have the opportunity to take action that will improve your bottom line. Verisk's RISK:check® Point…
MSA Clinical Review Containing pharmaceutical costs and driving MSA savings An MSA Clinical Review from ISO Claims Partners is an analysis of the pharmaceutical costs associated with a Medicare Set-Aside (MSA) case. The review defines — in collaboration with the treating physicians — the appropriate current and long-term pharmaceutical regimen,…