Claims Data Solutions

5/12/2021 - 1 min read

Insurers protected from fraud, waste, and abuse in P-Stim procedures

Medical provider fraud, waste, and abuse— which have largely eluded most insurers—is an insidious, often unseen, problem that can damage insurers’ margins.

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4/22/2021 - 2 min read

Tips to improve match report results in ClaimSearch

Every day, claims professionals are challenged with evaluating and processing claims quickly and accurately.

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12/8/2020 - 3 min read

What do you know about the claimant? Simple ways to find third-party details

Adjusters can quickly find claimant details from policy information and verify the parties involved in an accident are who they say they are in Decision Net.

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11/2/2020 - 4 min read

Why improving subrogation may be more valuable than adding a policyholder

Investing in subrogation operations can yield a better ROI than acquiring a new policyholder.

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10/23/2020 - 3 min read

Maximizing recovers boost customer satisfaction better subrogation

An effective subrogation operation is built on data and analysis.

8/17/2020 - 4 min read

5 claims lessons from the COVID-19 pandemic

Today, we can examine insurance trends that are likely to continue post-COVID-19. Here are some key takeaways for insurers as a new chapter unfolds across the industry.

8/12/2020 - 4 min read

Simplify the lender-insurer information exchange

The manual process needs automation, which can benefit both lenders and carriers

7/15/2020 - 5 min read

Artificial intelligence in claims fraud: How AI is automating suspicious behavior detection

Insurers are turning to AI to detect claims fraud automatically – but to get the most from their analytics, they need to understand an anti-fraud system.

6/9/2020 - 3 min read

Insurance fraud detection in action: Identifying suspicious medical billing during the COVID-19 crisis

Taking a closer look at medical billing helps identify pandemic-related issues that can put patients at risk and negatively impact insurers’ bottom lines.

5/14/2020 - 4 min read

The critical role fraud scenarios play in advanced analytics

Neural networks, machine learning, multivariate random forest models, and various derivatives of the same are being used to create modern fraud detection models.

5/1/2020 - 3 min read

Medical-related fraud and theft increase during COVID-19 crisis

Unfortunately, crisis is fertile ground for fraud, whether it be the opportunistic kind or organized criminal activity.

4/15/2020 - 4 min read

Estimating claims remotely? Uncover potential fraud in digital loss images

Claims adjusters are now working at home, relying on customer-submitted images and videos to inspect and appraise damages for the foreseeable future.

2/27/2020 - 4 min read

Five data-driven strategies for fighting insurance claims fraud

As we enter 2020, the insurance industry looks much different than it did ten years ago.

1/27/2020 - 3 min read

Picture this: Get critical claim insights from vehicle location photos

As claims fraud persists—costing insurers approximately $30 billion a year—adjusters play an important role in identifying questionable claims early.

1/16/2020 - 5 min read

How to find fraud in insurance claims

For insurers looking to stem the $30 billion-a-year insurance claims fraud problem, early detection is key.