Case Manager™

POWERED BY SEQUEL™

Improve investigation case management and eliminate inefficiencies

Special investigations units are experiencing new challenges with complex cases, increased fraud, and stringent regulatory requirements. Case Manager™ is a fully configurable fraud management solution that improves productivity and efficiency by automating triage, assignment, and compliance reporting.

Case Manager helps your SIU become a lean, efficient, and effective operation

Case Manager

Case Manager helps your SIU become a lean, efficient, and effective operation

Learn how the solution can lower expenses by simplifying investigations and vendor management.

Manage investigative, intelligence, and regulatory functions in one place

Case Manager is an innovative platform that handles all your SIU operations from end to end. Its dynamic features help SIU managers:

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Streamline case management with customizable investigative workflows

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Eliminate mundane administrative tasks with AI-driven automations

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Access data from ISO ClaimSearch® or any third-party system through seamless integrations

Agile solution easily adapts to changing business needs

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Whatever workflows you need, Case Manager can conform—even for managing complex, multi-jurisdiction case investigations. The solution’s modern interface and digital Kanban tool make it easy to manage and prioritize your work. Plus, it’s a SaaS platform with minimal IT lift

Expedite case investigations and improve your bottom line

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Expedite case investigations and improve your bottom line

  • Shorten cycle times with automated intake and triage, compliance, and administrative tasks
  • Track cases in real time and get insights on business performance
  • Improve customer satisfaction by resolving meritorious claims faster

Case Manager overview

Case Manager Guide

Case Manager overview

Find out how Case Manager helps investigators achieve highly productive investigations through automated workflows and streamlined processes and compliance.

For more Verisk claims fraud solutions, check out:

Detect claims fraud quickly and accurately with predictive analytics

Claimdirectore V2

Detect claims fraud quickly and accurately with predictive analytics

Insurers need to determine quickly and efficiently whether a claim is likely to be fraudulent—or if it can be fast-tracked for settlement. ClaimDirectorSM uses the power of predictive analytics to score claims with greater accuracy and reveal questionable attributes.

Identify medical provider fraud quickly and accurately

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Identify medical provider fraud quickly and accurately

Insurers need to detect unethical medical billing practices early to reduce claim leakage and process legitimate bills faster. ISO MedSentry® uses predictive analytics and expert clinical analysis to uncover fraudulent medical provider fraud in your billing data. It also delivers detailed reports to help guide investigations.

Fight organized insurance fraud with advanced link analysis

Netmap

Fight organized insurance fraud with advanced link analysis

Discover the hidden connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud.

Get missing details to complete claims

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Get missing details to complete claims

Find the critical data you need at FNOL (first notice of loss) to help complete claims quickly and spot potential fraud. Decision Net® helps fill in the gaps with supplemental claims information from best-in-class sources. This extensive resource helps claims teams improve decision making, expedite meritorious claims, and increase the impact of SIU referrals.

Contact Us to Learn More

Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

  • Chat Now

    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489
    When calling from the UK, please dial 00 800 4897 7489

For service or support

Get all the information you need in one place—from customer support to sales, operations, and more.