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 MedSentry | An Integrated Model to Detect Medical Fraud

ISO MedSentry is the industry standard for fighting medical provider fraud. As part of the ISO ClaimSearch portfolio, ISO MedSentry uses Software-as-a-Service (SaaS) technology to provide a flexible, accurate, and quick solution for detecting fraud, waste, and abuse in medical billing data

PCS Overview

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.

NetMap for Claims

NetMap for Claims is powerful software that analyzes claims information and other data to reveal hidden patterns of activity across multiple claims. The system searches out and displays data from your internal databases, Decision Net public-records sources, and the ISO ClaimSearch database — the property/casualty insurance industry's comprehensive system for improving claims processing and fighting fraud.

ISOnet Tools for Insurers

ISOnet brings ISO's vast wealth of insurance information to you over the web. With ISOnet — the information service for insurance professionals — you can easily locate current and historical ISO documents, eliminating the time you'd waste tracking down misplaced or filed copies. And ISOnet has powerful search features — plus user-friendly navigation and hypertext linking — to put a huge collection of ISO information right at your fingertips.

Xactware | Estimating Software for Building and Repair

Xactware, a sister company of ISO, provides computer software for professionals involved in estimating all phases of building and repair. In 1986, Xactware opened for business with its flagship estimating system, Xactimate. Xactimate helps contractors and insurance adjusters estimate the cost of repairs and reconstruction faster and more accurately than ever before.

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.