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.
Part two of Verisk's study delved deep into public perceptions and attitudes toward what motivates them to commit insurance fraud.Read the article
A study Verisk conducted delved deep into public perceptions and attitudes toward insurance fraud. The results shed light on certain beliefsRead the article
Uncover why using AI-driven predictive models and advanced analytics in a hybrid approach can help you easily identify fraudRead the article
Annually, insurance fraud steals roughly $308.6B from American consumers. Self-insureds could be vulnerable to insurance fraud and undetected leakage.Read the article
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.
Anti-Fraud One – Government (AF1-Gov) leverages a combination of the solution sets already utilized by most property and casualty carriers, TPA, and self-insureds.
Implementing a tailored and agile fraud referral scoring system, AF1-Gov, fits the needs of state fraud bureaus and prosecutors.
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