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

Medicare Secondary Payer Reporting Service ISO has developed the ISO ClaimSearch® Medicare Secondary Payer Reporting Service to help participants comply with mandatory claim reporting requirements of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173). The legislation, effective July 1, 2009, affects every settlement that…
  Marine Index Bureau Your first line of defense against fraudulent personal injury claims Ships and docks and oil rigs are dangerous places. With the machinery, the cargo, and the hazards of nature, the maritime and energy industries will always be subject to accidents. And because of the transient nature…
Append DS When you report a claim to ISO ClaimSearch, you should always include the claimant's Social Security number (SSN). SSN is a key field that significantly improves the effectiveness of your search and increases the amount of information you can get back from ISO ClaimSearch. But what if you don't know the claimant's SSN?…
ISO ClaimSearch DNATM Detect Suspicious Networks of Individuals and Businesses ISO ClaimSearch DNATM applies network analytics to detect proactively the networks of organized claims activity most likely to affect your organization. The tool applies network analytics to vast industry data sets, including the nearly 1 billion claims in the ISO ClaimSearch® database. ISO ClaimSearch DNA…
Catastrophe Experience for Homeowners Business Owners and Commercial Property ISO's Catastrophe Loss Development is an Excel-based tool that gives you easy access to catastrophe-specific experience for homeowners, businessowners, and commercial property. The tool shows how historical development patterns can vary across different catastrophes — and between catastrophe and noncatastrophe circumstances.…
hCast-SR Short-range hurricane forecasts to assess real-time risk ISO's AER, provides advanced probabilistic hurricane forecasts for customers evaluating and addressing their risk from a particular hurricane before it becomes a catastrophic event. Whether you’re buying or trading hurricane futures, planning your crew deployment, repositioning your assets, or monitoring potential hurricane…