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Fraud Detection at Claims

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Overview

Claims segmentation and Touchless Claims with AI Powered Insurance Fraud Detection.

Make real time decisions based on real time data. Score your claims within seconds. Determine follow-up directly. Add external data sources. Enable claims automation. Pay out genuine claims faster. Reduce your loss ratio.

Key Features

AI Powered Intelligent Detection

Automated Fraud Scoring

Actionable Insights

Integrated Case Management

Key Benefits

As a proven standard, the FRISS Score is the core of the solutions and indicates the risk for each claim. It provides a white box, holistic view on fraud and risks, delivering actionable insights. The FRISS Score is based on a hybrid detection method. It combines insurance expert business knowledge, out of 15+ years of experience, with external data sources and AI.

The detection system provides an accurate estimation of the fraud and risks with the aid of expert rules, profiles, predictive models, text mining and link analysis together with all available information in more than 100 external data sources. Based on this estimation, a risk score is given (FRISS Score). The higher the score, the higher the potential risk of fraud.

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