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.
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 1.5 billion claim records, ClaimDirector accurately scores all incoming claims and provides reason codes to enhance investigations.
Unfortunately, crisis is fertile ground for fraud, whether it be the opportunistic kind or organized criminal activity.Read the article
As we enter 2020, the insurance industry looks much different than it did ten years ago. Technological advancements, InsurTech innovations, and customer experience…Read the article
As claims fraud persists—costing property/casualty insurers approximately $30 billion a year—adjusters play an increasingly important role in identifying questionable…Read the article
For insurers looking to stem the $30 billion-a-year insurance claims fraud problem, early detection is key. But with caseloads rising and hundreds of thousands of…Read the article
Manage 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.