Claims Fraud

11/4/2019 - 3 min read

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.

8/26/2019 - 2 min read

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.

3/8/2019 - 1 min read

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.

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10/16/2018 - 3 min read

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 others, the intent is different—fraud. These individuals try to pass off preexisting vehicle issues as a covered warranty claim.

7/30/2018 - 3 min read

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.

7/11/2018 - 3 min read

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 losses to validate a claim.

4/25/2018 - 3 min read

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.

9/21/2017 - 2 min read

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, waste, and abuse.

12/1/2015 - 2 min read

Four Billion Car Sightings to Inform Investigations

Endless investigative possibilities open up when you access ISO ClaimSearch® Decision Net® platform

2/4/2015 - 2 min read

ClaimSearch® User Compliance Dos and Don’ts

We take extensive measures to protect data entrusted to us and relies on ClaimSearch users to do the same for data we entrust to them.

10/31/2014 - 1 min read

ISO ClaimSearch still qualifies as a central reporting agency for New York State

The (NYDFS) recently made changes to Regulation 96 however ISO ClaimSearch still qualifies as a central reporting agency.

1/11/2014 - 2 min read

5 Reasons Workers' Compensation Adjusters Need ISO ClaimSearch

ISO ClaimSearch® has helped property/casualty claims departments streamline claims handling, identify suspicious activity, and comply with various state regulations.