Anti-Fraud

1/27/2020 - 3 min read

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.

1/16/2020 - 5 min read

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.

12/20/2019 - 4 min read

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.

11/6/2019 - 2 min read

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.

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.

7/18/2019 - 4 min read

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 others are new—like changing customer expectations and disruptive innovations such as on-demand policies and selfie underwriting (yes, that’s a thing).

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.

2/25/2019 - 1 min read

CMS to mask health insurance claim number and social security number on contractor correspondence starting April 2019

Starting 4/1/19, CMS’s Coordination of Benefits and Recovery Program program will mask the social security number (SSN) and SSN-portion of the health insurance claim number on all ongoing letters.

11/27/2018 - 4 min read

Uncover key claim details with social media

The average user spends 2 hours a day on social media. Hidden within the sea of tweets, snaps, and posts on these social platforms is information for the claims process.

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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.

7/16/2018 - 4 min read

Can insurance mitigate GDPR-related risk?

In the wake of the implementation of the European Union’s General Data Protection Regulation (GDPR), businesses worldwide are developing policies and processes to address compliance. Organizations might also consider asking: Can insurance help my U.S. business avoid the risks associated with this new regulation?

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.

6/19/2018 - 5 min read

Blockchain security scrutinized

Blockchain technology has been getting a lot of attention recently, beyond just its role as the technology underlying “virtual currencies” like Bitcoin. Some have enthusiastically claimed that blockchains have the potential to help streamline insurer operations and improve data security—but, as with many new technologies, it’s also being met with skepticism.