Claims Information and Services
Products
Anti-Fraud One
Learn how Anti-Fraud One can help insurance companies uncover, prevent, and resolve insurance fraud.
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Casualty Solutions
Proven predictive analytics improves workers’ compensation and liability claims management.
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ClaimAlert
ClaimAlert: Foreclosure lets you know when a claimant has a property in foreclosure, giving you the opportunity to further investigate a loss and mitigate risks.
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ClaimDirector
Fight claims fraud with the power of predictive analytics and leverage accurate claim scores to expedite meritorious claims for settlement.
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ClaimSearch
Get essential data to identify subrogation opportunities faster, initiate the recovery process, and improve customer satisfaction.
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ClaimSearch Accelerator for Guidewire
ClaimSearch customers can seamlessly access the platform via Guidewire ClaimCenter with this accelerator.
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Compliance Solutions
Save time and increase efficiency by automatically satisfying federal and state claims reporting compliance requirements through ClaimSearch.
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Decision Net
Find critical data to complete claims quicker, spot potential fraud, and fill in gaps to improve decision-making.
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Discovery Navigator
Discovery Navigator can distill important information from unstructured medical record data in minutes by leveraging Artificial Intelligence and deep industry experience.
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Future Allocation Solutions
Achieve compliance, manage expenses, and meet Medicare demands for future medical allocations related to injury claims.
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Image Forensics
Uncover fraud and preexisting damage in customer-submitted and third-party loss photos with the new digital media database and image forensics in ClaimSearch.
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Liability Navigator
Leverage predictive analytics to achieve consistent and accurate injury evaluations and settlements, and improve comparative liability and subrogation.
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Lien Services
Decrease Medicare and Medicaid recovery demands and facilitate seamless, worry-free compliance with conditional payment services.
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Medicare Compliance and Reporting
Our suite of workers’ comp allocation and compliance solutions provide seamless CMS reporting, comprehensive lien services, and cost containment for future medicals.
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MedSentry
Uncover medical provider fraud, waste, and abuse in your medical billing data with predictive analytics and expert clinical analysis.
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NetMap Analytics
Identify organized insurance fraud activity in your claims with network analytics built on robust industry data.
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PCS County-Level Losses
Access county-level industry loss estimates for catastrophes in all 50 states, as well as United States territories and possessions.
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Privacy and Security
From strict policies to test controls using SOC 2 Type 2 and SOC 3 reports ClaimSearch is committed to privacy and security of the industry's largest claims database.
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Section 111 Reporting
CMS reporting solutions enable insurers to identify and report Medicare recipients in claims and comply with ease.
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Subrogation Solutions
Get essential data to identify subrogation opportunities faster, initiate the recovery process, and improve customer satisfaction.
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wcCapture
Accurate, cost-effective workers’ compensation data collection system for states looking to launch new EDI reporting initiatives or move to a new IAIABC release.
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wcNavigator
Use predictive analytics to accurately identify workers' comp claim severity as early as day one.
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wcPrism
Complete suite of solutions to help insurers save time and improve workers' compensation reporting accuracy.
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Workers’ Compensation
Workers’ comp insurers are challenged with managing complex claims costs and reporting obligations. Manage workers’ comp claims better with data-driven solutions.
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