Fraud
Insurers protected from fraud, waste, and abuse in P-Stim procedures
Medical provider fraud, waste, and abuse— which have largely eluded most insurers—is an insidious, often unseen, problem that can damage insurers’ margins.
Personal auto research: Application integrity down, fraud up
Application integrity for personal auto insurance has deteriorated more than 20 percent over the past eight years, according to Verisk research.
Three ways motor insurers can squeeze more value from vehicle data
The use of external data can help insurers identify potential fraud, but also shorten the customer journey by validating information more efficiently.
What do you know about the claimant? Simple ways to find third-party details
Adjusters can quickly find claimant details from policy information and verify the parties involved in an accident are who they say they are in Decision Net.
The future of claims: Delivering at the moment of truth
The future of claims is about elevating the customer experience, and insurers that aggressively pursue digital enablement today will be primed to excel tomorrow.
From real-time fraud detection to remote claim assessments – how lockdown has changed priorities for insurers and policyholders alike
Digital technology has become critical to provide core claims services during lockdown. Verisk is at the forefront in this field with a full range of claims solutions.
5 claims lessons from the COVID-19 pandemic
Today, we can examine insurance trends that are likely to continue post-COVID-19. Here are some key takeaways for insurers as a new chapter unfolds across the industry.
Artificial intelligence in claims fraud: How AI is automating suspicious behavior detection
Insurers are turning to AI to detect claims fraud automatically – but to get the most from their analytics, they need to understand the four components of an effective…
Insurance fraud detection in action: Identifying suspicious medical billing during the COVID-19 crisis
Taking a closer look at medical billing helps identify pandemic-related issues that can put patients at risk and negatively impact insurers’ bottom lines.
The critical role fraud scenarios play in advanced analytics
Neural networks, machine learning, multivariate random forest models, and various derivatives of the same are being used to create modern fraud detection models.
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.
Estimating claims remotely? Uncover potential fraud in digital loss images
Claims adjusters are now working at home, relying on customer-submitted images and videos to inspect and appraise damages for the foreseeable future.
COVID-19 – ISO Claims Partners keeping you updated
As the industry (and nation) continue to deal with the challenges of the current health crisis, ISO Claims Partners wanted to provide you with some resources which you…
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…