ClaimSearch
Fast-track meritorious claims while improving fraud detection
ClaimSearch® is more than the world’s largest database of property/casualty claims—it’s also a robust claims intelligence platform. Its claims-matching technology is an essential first step in fraud detection, and the results can help facilitate fast-tracking. The platform also provides seamless access to integrated claims fraud-detection and investigative analysis tools.
More than 90% of the property/casualty insurance industry relies on ClaimSearch.
Matching: Important first check against insurance claims fraud
Matching: Important first check against insurance claims fraud
When an adjuster enters a claim into ClaimSearch, it's compared to more than 1 billion claims. If there's a match, the adjuster gets an alert with details. This match report is a vital first check against claims fraud because it can turn up:
- multiple policies on the same vehicle
- prior SIU involvement
- several addresses for the same individual
- Social Security number used for more than one person
- a number of other insurance claims fraud indicators
Historically, 80% of claims entered into ClaimSearch have returned matches.
Visual ClaimSearch - Claims Alerts Dashboard speeds decision making
Visual ClaimSearch - Claims Alerts Dashboard speeds decision making
Determine if claims can be fast-tracked or if they require a closer look with at-a-glance insight.
Each claim is color-coded (next to the claim number in the upper left-hand corner) to reflect whether it has the following:
Alerts (with or without additional matches) – 
Matches, but no alerts – 
Neither matches nor alerts – 
The dashboard includes a list of specific alerts (if applicable) as well as a timeline of any matching claims with loss type. You can drill down to learn more about both alerts and matches.
If claim status is green, consider fast-tracking. Yellow claims with matches may need a quick review—or more, depending on the matching claims found. Red claims with alerts may need to be slowed down for evaluation and possibly referred to SIU.
ISO ClaimSearch Dashboard
ClaimSearch adheres to the highest data security standards. Learn more about our commitment to data privacy and security.
Uncover fraud and improve efficiency for life insurance claims
Life insurers can use the advanced claims-matching technology of ClaimSearch to help:
- Detect point-of-sale misrepresentation at the point of claim
- Identify claims filed by insureds after a death claim
- Find missing beneficiaries
- Automatically check and report claims for potential fraud, child support liens, and OFAC
Learn more about the ways ClaimSearch can mitigate life insurance fraud.
Powerful claim insights for insurers, self-insureds, TPAs, and more
Powerful claim insights for insurers, self-insureds, TPAs, and more
ClaimSearch serves thousands of insurers, all 27 workers’ compensation insurance funds, more than 400 self-insureds, numerous third-party administrators (TPAs), and many state fraud bureaus and law enforcement agencies involved in insurance fraud investigation and prosecution.
Full suite of claims solutions provides compliance, claims development, and deeper fraud analysis and tools
Claims matching and alerts are just the beginning. The ClaimSearch full suite of claims solutions assists with:
Decision Net
Find critical data to complete claims quicker, spot potential fraud, and fill in gaps to improve decision-making.
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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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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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NetMap Analytics
Identify organized insurance fraud activity in your claims with network analytics built on robust industry data.
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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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Subrogation Solutions
Get essential data to identify subrogation opportunities faster, initiate the recovery process, and improve customer satisfaction.
Learn moreDetect fraud in digital loss images
Detect fraud in digital loss images
ClaimSearch customers can detect preexisting damage and uncover potential image fraud with the digital media database. This free enhancement gives you access to prior-loss photos on match reports and cutting-edge image forensics to detect suspicious images.
Access foreclosure information in ClaimSearch
Access foreclosure information in ClaimSearch
ClaimAlert™: Foreclosure reports foreclosure activity users report to ClaimSearch. It alerts you when a claimant has a property in foreclosure, giving you an opportunity to investigate cases where moral hazard could be an issue.
Quickly access ClaimSearch in Guidewire
Quickly access ClaimSearch in Guidewire
ClaimSearch customers can access all the functionality of the visualized claim intelligence platform in Guidewire ClaimCenter. The ClaimSearch accelerator allows users to access claim history insights without leaving their claims management system.
Access claim insights on the go
Field staff can access loss history insights onsite while inspecting a loss through the ClaimSearch mobile app. The intuitive app—available on iOS and Android—allows you to collect data, run searches, and conduct investigations while on the go.
For more Verisk claims solutions, check out:
Involve the policyholder. Improve the process.
Involve the policyholder. Improve the process.
Now claims representatives can truly collaborate with policyholders. Involving the policyholder more deeply in the claims process can help improve customer satisfaction and reduce claims-handling costs.
Respond
Respond
Respond® predictive analytics help you correlate each storm’s severity and anticipate the storm's effects more accurately. You can better mitigate risk, improve service, and optimize response resources.
With Respond, Verisk is changing the way insurers react to damage from natural hazards. Respond lets you visualize the effect of each peril in the context of local policies. The near real-time weather analytics are tailored to your needs and integrated into your workflow.