Cloud

Key challenges and priorities for GRC leaders in 2021

As enterprises move their critical workloads to cloud and regulators tighten the norms in the wake of security breaches, the job of Governance, Risk and Compliance (GRC) professionals has become increasingly important and extremely difficult at the same time. We inspect the escalating cost pressures and reflect on some of the key priorities that GRC […]

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Analytics at Work in Detecting Insurance Fraud

With analytic techniques such as business rules, statistical models, and machine learning it can be difficult to understand the role of each approach in identifying fraud. Analytical techniques used in identifying fraud There are a variety of techniques that are used to detect fraud, many of which fall under the umbrella of business rules, statistical […]

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IDC ranks IBM #1 FinTech in Top 25 Enterprise category for fourth consecutive year

Based on its research and market analysis, IDC Financial Insights announced its annual FinTech Rankings 2020, recently, in two categories – The IDC FinTech Rankings Top 100 and Top 25 Enterprise. We’re proud to share that IBM is identified #1 FinTech in the Top 25 Enterprise category for the fourth consecutive year in the annual […]

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Claims data quality critical for analyzing insurance fraud

As the old saying goes “garbage in, garbage out.” Applying this mentality regarding the quality of the data is critical when building fraud risk detection systems.  While it may seem like a no-brainer, the characteristics of typical insurance data increase the requirement to perform basic data hygiene before any analytics can be executed. A critical […]

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Delivering effective analytics with limited or no ground truth

Insurance companies are continually subjected to questionable claims, whether that be actual fraud, waste, or just abuse. Insurance fraud in the U.S. alone represents a USD 32 billion in P&C and USD 84 billion in health care costs per year loss to insurance companies. Each carrier has tens and even hundreds of thousands of claims processed, yet […]

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The importance of analytic insights for claims fraud prevention

149, 542, 782, 974 . . . what do those numbers mean to a claims handler or to an investigator? When analytics programs evaluate claims and/or other insurance objects such as policy holders, body shops, providers, etc., the analytics generate a score to reflect the level of risk of the evaluated objects. That score is […]

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Risk management in the cloud: A strategic imperative

For financial institutions, the benefits of moving away from legacy in-house systems to the cloud are obvious. A cloud environment offers financial institutions greater speed and agility than their current environments. But while mobile devices give us great power and convenience, they also create new security and privacy challenges. Financial institutions face a similar dilemma […]

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Your everything IBM at Sibos guide

Welcome to Sibos 2018 in Sydney! Day one of the conference has begun, and I hope you’re booking plans to meet with IBM at the conference. Each day, I will update and revise this blog several times with news, announcements, videos, and blogs live from the floor at Sibos. Return often and let it serve […]

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