Claims Fraud

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

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.

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.…

It’s no secret that medical fraud is a big problem, with some sources estimating the cost at more than $200 billion annually.

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

NYCM has implemented Verisk’s newly enhanced ClaimDirectorSM and NetMap for ISO ClaimSearch® solutions to assist in accurate and early detection of insurance fraud.

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…

With the industry focus on data analytics in insurance, many SIU leaders are considering enhancing team’s investigative capabilities with a fraud analytics solution.

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…

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

Although the insurance industry is constantly plagued by suspicious claims activity, the unseen menace is medical provider fraud, waste, and abuse.