Claims Fraud
Make your suspected fraud referrals stand out to law enforcement
How can you ensure your suspected fraud referral will grab the attention of law enforcement?
Navigating Florida’s complex market with extensive, current roof data
Homeowners insurers and their customers in Florida are navigating a turbulent market, and roof coverage figures prominently in the turmoil.
Why data is the key differentiator in fraud detection
Organizations have been investing heavily in AI recently, and the insurance industry is no different.
Is your organization vulnerable to emerging provider fraud trends?
The concept of new and emerging provider fraud trends doesn’t only apply to recent medical providers showing up on your radar.
Low-exposure medical provider fraud may be costing you millions
Low-exposure medical provider fraud may be costing you millions
Uncovering digital media fraud with advanced forensics
Straight-through processing is considered the holy grail of digital claims—where insurers can intake, process, and pay claims automatically
Why embracing ethical AI is critical for insurers
As insurers’ interest in artificial intelligence (AI) grows, we must not only embrace its immense capabilities but also work to mitigate its potential risks.
Is that loss photo legit? Fighting digital image fraud
Photo-based claims estimates have been a growing trend the past few years in the insurance industry, and once the pandemic hit, that trend accelerated significantly.
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.
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. Technological advancements, InsurTech innovations, and customer experience…
Picture this: Get critical claim insights from vehicle location photos
As claims fraud persists—costing property/casualty insurers approximately $30 billion a year—adjusters play an increasingly important role in identifying questionable…
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. But with caseloads rising and hundreds of thousands of…
Property/casualty medical fraud: 5 strategies for reducing your exposure
It seems like every month there’s news of another medical fraud bust, often involving rings of various types of providers. But that’s just the tip of the iceberg. There’s…
Want to reduce cycle times? Find missing claim details faster
Claims adjusters are charged with a difficult task: They have to process claims quickly and efficiently, but sometimes they don’t have the necessary information to do so.…
3 keys to stopping medical provider fraud, waste, and abuse
It’s no secret that medical fraud is a big problem, with some sources estimating the cost at more than $200 billion annually. But knowing the problem is one thing.…