Claims Fraud
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.
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.
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.
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.
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.
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.
NYCM Insurance implements Verisk’s ClaimDirector and NetMap fraud detection solutions
NYCM has implemented Verisk’s newly enhanced ClaimDirectorSM and NetMap for ISO ClaimSearch® solutions to assist in accurate and early detection of insurance fraud.
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…
5 questions to ask before building a claims fraud analytics system
With the industry focus on data analytics in insurance, many SIU leaders are considering enhancing team’s investigative capabilities with a fraud analytics solution.
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…
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.
Spotting the unseen menace: Medical provider fraud, waste, and abuse
Although the insurance industry is constantly plagued by suspicious claims activity, the unseen menace is medical provider fraud, waste, and abuse.
Four Billion Car Sightings to Inform Investigations
Endless investigative possibilities open up when you access ISO ClaimSearch® Decision Net® platform