Detect (AI Fraud Detection)

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Overview

Metromile, a market leader in pay-per-mile auto insurance, has built the leading insurtech by creating a sophisticated Claims AI platform on top of standard claims management software. In 2018, Metromile started licensing the Claims AI platform to other insurers and has a number of successful deployments across the world.

Detect, a machine learning based fraud solution scans all incoming claims and detects the likelihood of fraud. It enables claims handlers and SIUs to understand the machine learning predictions to reduce loss leakage.

Key Features

AI-native, SaaS-based solution that provides near-real time fraud scores and reasons via an intuitive dashboard throughout the claim process, starting at FNOL

Continuous Fraud Assessment: monitor a claim throughout the claim lifecycle and at all transaction points, continuing to learn variables of each new claim information in the claims process and update fraud score and reason.

Proprietary ML Decision Engine - it scores every claim based on hundreds of evolving fraud scenarios to detect fraud patterns.

Light-weight SaaS solution that generates business value quickly and minimize IT cost of upfront implementation and maintenance.

Easy, seamless integration with your existing claim management system(s)

Key Benefits

Identify more frauds with greater investigation efficiency. Achieve lower positive and false negative rate, ROI under 6 month