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Insurance Fraud Detection and Risk Analytics Systems

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Find Insurance Fraud and Risk Analytics systems on our financial technology solutions research platform. Use the directory for vendor discovery and use our guide to analyze, research, compare, and evaluate software including reports and RFIs on functionality used by financial institutions including insurers. An insurance fraud detection solution helps insurance companies identity fraud in the insurance process (application to claims) and consequently plan actions to mitigate them. They may utilize sophisticated analytic tools such as network analysis or text analysis. In the long run, an insurance fraud detection system's purpose is to improve the overall claims ratio of an insurance company by reducing refund in case of fraudulent claims.
  • SHIELD is a system that automates claims medical adjudication, detects potential fraud, waste and abuse, and justifies denials. It combines rule…
  • Sometimes a quick risk assessment or validation is all you need. Clearspeed Express provides a quick and clear primary measure of application an…
  • Cogitate Claims Fraud Network Analysis (CFNA) allows proactive protection to insurers against fraudulent claims, using artificial intelligence,…
  • Make real time claim decisions based on real time data to pay out legitimate claims in minutes and instantly flag those ones that are potentiall…
  • Whether you build predictive models internally or with a third party, there remains the equally important step of implementation and integration…
  • Based on AI and machine learning techniques, the underwriting solution leads to a real-time intelligent and objective risk evaluation. In order…
  • Combine the power of data analytics and unprecedented speed to enable your commercial underwriters with 100% actionable insights and information…
  • FraudKeeper is a digital platform based on automation rules and Machine Learning that allows detecting, preventing and managing fraudulent trans…
  • BayesFraud is a market-leading predictive analytics solution that provides insurers with advanced, automated fraud detection capabilities during…
  • Verisk (Nasdaq: VRSK) provides data-driven analytic insights and solutions for the insurance industry. Through advanced data analytics, software…
  • ​Sherlock is designed to deliver, in one click, counter-fraud intelligence to the investigator. By consolidating best of breed data sets on a si…
  • The insurance bureau suite of services helps insurers assess risk in order to confidently provide policy premium quotations and automatically de…
  • Sherlock Platform is a state-of-the-art AI native platform to digitize and automate end-to-end claims process. Sherlock is trained on millions o…
  • Financial criminals are constantly seeking new avenues to commit fraud. To meet this challenge, financial service providers are requiring increa…
  • Metromile, a market leader in pay-per-mile auto insurance, has built the leading insurtech by creating a sophisticated Claims AI platform on to…
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