Fraud
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 an anti-fraud system.
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,we want to provide you with some resources which you may find helpful.
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.
Why data is critical to countering insurance fraud in Ireland
Insurers in Ireland need to look at how they can use data from a wide variety of sources to significantly reduce the risk of fraud at the application and claims stage.
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.
Life insurance fraud: A holistic claims view key to detection
Life insurers can face a myriad of challenges today. Some of those issues have plagued the industry for years—such as stagnant premium growth and low interest rates—while…
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.