Get equipped to fight claims fraud
10 percent of claims are fraudulent. Ready to stop the leakage?
Unmatched industry data and leading analytics are the core of Verisk’s comprehensive suite of anti-fraud solutions. It’s why we’re uniquely equipped to empower SIU to fight claims fraud with greater speed, precision, and efficiency.
Celent’s Insurance Fraud Detection Solutions: Property and Casualty Insurance report connects insurers with innovative tools that excel in advanced technology and breadth of functionality. See why Verisk is a 2022 Celent “Luminary” in the property/casualty market.
Medical billing data is complex. That’s why it’s the perfect place for unscrupulous providers to hide fraud, waste, and abuse. Our provider fraud solution uses predictive analytics and expert clinical analysis to identify fraud in your medical billing data.
Want better results from your fraud analytics? Boost your organization’s models with out of-the-box, predictive mini-models developed from the industry’s most comprehensive loss history database.
Automated fraud analysis at FNOL not only identifies questionable claims early—it also helps expedite legitimate losses. Leveraging machine learning predictive models and 1.6 billion claim records, ClaimDirector accurately scores all incoming claims and provides reason codes to enhance investigations.
The Zipf-Mandelbrot Law has rarely been used in insurance—until now.
Read the articleRecent reports of inflated vehicle market values, exorbitant loan-to-value ratios
Read the articleThe insurance industry has experienced tremendous change in the past few years.
Read the articleHow can you ensure your suspected fraud referral will grab the attention of law enforcement?
Read the articleManage all investigative, intelligence, and regulatory functions from end to end with our fully configurable case management platform. The innovative solution helps SIU increase productivity and efficiency by using AI to automate routine tasks such as intake and triage, tracking, auditing, and compliance.
Sometimes a simple claim can be part of a larger fraud scheme. Our network analysis software helps you uncover hidden connections among claimants, providers, and businesses by analyzing 1.5 billion claims, plus vetted third-party data.