Claims Management and Fraud Prevention

 

real talk.png

Real Talk with Mark Popolizio

The world is experiencing extraordinary adversity due to the COVID-19 pandemic, and property/casualty insurance – like so many other industries – is majorly impacted. Insurers face tough challenges right now as they try to safeguard the well-being of their staff and provide their insureds with the best possible service – all while surmounting unprecedented operational difficulties.

One solution — End-to-end claims handling

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.

claims management panel 1.jpg

claims management panel 2.jpg

Spot claims fraud early and consistently

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.

Tools and apps built by and for the claims industry

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.

claims management panel 3.jpg

claims management panel 4.jpg

Protect your business and comply with industry regulations

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

Information is the lifeblood of risk and capital management, especially for catastrophes and weather events. With PCS, you'll get immediate access to the severe weather data you need to manage your business effectively and efficiently.

ISO claims services provide a wide variety of integrated tools to help you at every step of the claims process. ISO's claims-management, analysis, investigations, and support services can help you improve and streamline your workflow and increase service, productivity, and profitability.

ISO MedSentry is the industry’s first integrated model to detect medical fraud, which has become increasingly problematic for property/casualty insurers.

ISO's Premium Audit Advisory Service (PAAS) offers comprehensive training manuals for beginning premium auditors and reviewers. The self-contained manuals are available for workers' compensation, general liability, and commercial auto.

To help premium auditors and reviewers in their day-to-day work, PAAS® offers three publications that summarize important rating information state by state.

ISO circulars deliver information on ISO filings for loss costs, rules, forms, and statistical plans.

Xactimate is a software system for estimating the cost of repairs and reconstruction for residential and commercial structures.

XactContents is available as a module within our Xactimate estimating software or as a completely online system.

XactAnalysis is a powerful set of analytical and reporting tools for insurance claims and underwriting departments.

The Marine Index Bureau (MIB) is the first line of defense against fraud in maritime injury claims.

RISK:check Point of Sale screening technology is the most advanced predictive model for underwriting available to the personal auto market today.

FlatCat puts the entire 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.

RISK:check Renewal is a sophisticated system that can help you uncover flaws in rating data quickly and efficiently.