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Fraud Detection


Fraud is a major business issue. According to the Insurance Institute, it accounts for 10 percent of the property/casualty insurance industry’s incurred losses and loss adjustment expenses or about $30 billion each year – and it’s on the rise. The Internet has made fraud detection a much more difficult undertaking. Fraud is becoming increasingly complex and difficult to detect. Insurers know they must respond, and have invested in technologies to help them root out the problem.  Unfortunately, many of these investments are aimed at traditional structured data, not the vast amount of unstructured data that resides on the internet and within their walls.  Accessing this information is a challenge.  The bigger challenge though is making sense of it - quickly and efficiently. 
 
Analysts spend countless hours searching for information and then pouring over it, trying to piece together facts and understand complex relationships.  They use tools that are too narrowly focused and provide limited value.  The enherent –IxReveal Fraud Detection solution changes that, by allowing analysts to spend significantly less time searching for information and more time analyzing and understanding the meaning of the structured and unstructured information they have reviewed.  Our Fraud Detection solution:
  • Analyzes information contained in traditional structured and unstrucutured data sources such as call center notes, claim reports, transcripts, loss records
  • Uncovers valuable information, trends, patterns and relationships significantly impacting operational effectiveness and delivering bottom-line results.
With our industry experience and understanding of advanced analytic solutions we are poised to help you harness the Internet's potential to enhance detection and understand the intricacies of fraudulent activities – improving productivity, recoveries and risk management.
 
 
 
 
Please contact us to learn more about our Fraud Detection Solutions.
 


Solutions in Action

Major Insurance Company
Business Challenge
-         Increase the effectiveness of fraud detection
-         Reduce workload of over burdened claims analysts
-         Improve efficiency of Special Investigation Unit (SIU)
 
Solution
-         Implement uReveal to analyze claims notes and flag and alert suspicious activity
 
Results
-         Saved over $1.5 million on analyzing 2 months of claim data
-         Increased accuracy rating of claims referred to SIU from 15% to 80%
-         IxReveal is now the foundation for an automated process
 
For more information, please read the full case study,