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Claims Fraud

Fraud
August 26, 2019

Getting serious about fighting medical provider fraud

Complex medical bills can make it difficult for adjusters—already overloaded with cases—to find potential fraudulent or excessive billing.

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March 8, 2019

NYCM Insurance implements Verisk’s ClaimDirector and NetMap fraud detection solutions

NYCM Insurance has implemented Verisk’s newly enhanced ClaimDirectorSM and NetMap for ISO ClaimSearch® solutions to assist in accurate and early detection of potential…

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October 16, 2018

Uncovering fraud in auto extended warranty insurance

For most drivers, purchasing an extended automotive warranty for their vehicle means peace of mind in the event their vehicle malfunctions and needs critical repairs. For…

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July 30, 2018

5 questions to ask before building a claims fraud analytics system

With the industry focus and media attention on data analytics in insurance, many SIU leaders are considering enhancing their team’s investigative capabilities with a…

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July 11, 2018

How a professional’s reputation can expose inflated claims

Trusting information at face value is a thing of the past. Claims professionals know this well, because they must gather information on a claimant and research prior…

Claims Blind Spots
April 25, 2018

Looking beyond the blind spots to get the whole claims picture

Missing details can be key to settling insurance claims. What insurers don’t know can definitely hurt them.

Verisk Medical Provider Fraud
September 21, 2017

Spotting the unseen menace: Medical provider fraud, waste, and abuse

Although the insurance industry is constantly plagued by suspicious claims activity, the unseen menace that’s leading to diminished profits is medical provider fraud,…

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