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 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:
Streamline case management with customizable investigative workflows
Eliminate mundane administrative tasks with AI-driven automations
Access data from ClaimSearch® or any third-party system through seamless integrations
Agile solution easily adapts to changing business needs
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
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 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
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
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. 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
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
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.