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.

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Operationalize fraud analytics in days, not months

  • Direct linkage to ISO ClaimSearch®
  • SaaS delivery with no IT lift
  • Standard implementation in less than a week

Improve claims triage with our AI-powered models

ClaimDirector combines predictive analytics and industry-based rules to analyze claims and identify fraud indicators within ISO ClaimSearch. It generates an accurate score to help adjusters decide whether to process a claim or triage it, along with reason codes to inform SIU teams about specific details that warrant investigation. The solution uses AI algorithms to determine the likelihood of claims fraud:

  • Compares claims to 1.3 billion records in ISO ClaimSearch plus NICB data
  • Evaluates claims by type, line of business, loss date, and loss type
  • Provides scores and reason codes for both claim and entity
  • Revises scores in real time as claims are updated
  • Customizes claim triage based on company preferences
  • Provides access to financial, criminal, and civil records


Property/casualty insurance fraud costs insurers $34 billion a year

Does Your Claims Operation Look Like Easy Prey to Fraudsters?

SIU and business intelligence dashboards highlight fraud insights

ClaimDirector displays dynamic visual analysis of scored claims.

  • Investigators can review scored claims in real time and identify fraud characteristics faster using the SIU triage page.
  • The business intelligence dashboard provides deeper insights into the rules and data that calculate scores for claims.


Leverage comprehensive and customizable rules

The ClaimDirector automated score is generated from predictive models and an extensive set of customizable rules, including:

  • More than 300 claim and involved-party rules
  • More than 1,000 rule combinations

For more Verisk claims fraud solutions, check out: