Overview
Mitigate claims fraud
According to the Insurance Information Institute, the estimated cost of property and casualty insurance claims fraud is $32 billion in the US alone. And these losses are only growing.
Deter, prevent and intercept multiple types of insurance fraud with IBM Financial Crimes Insight for Claims Fraud.
Benefits
Expedite claims fraud detection
Avoid payment costs and reduce pay and chase situations arising from insurance claims fraud.
Increase fraud detection accuracy
Ingest large data volumes. Improve decision-making accuracy and cut false positive alerts.
Improve productivity
Give your claims fraud investigators the needed data and analytics to assess risk in holistic context.
Uncover staged accidents
Identify ghost claims, exaggerated injuries, crash for cash and swoop-and-squat scenarios.
Feature spotlights
Stop claims fraud
Expand the observation space in your company, speed investigations and enable faster claims resolution for customers without impacting legitimate policyholders.
End-to-end across fraud lifecycle
Unify user roles on a common infrastructure and data store. Configure and integrate once.
Integrated into core processes
Continuous entity deep analytics. Scores claims for fraud risk directly in the claim workflow.
Attractive pricing options
On-premises deployment with a traditional license, to fully managed and hosted solution.
Testimonial
“We process over 25,000 auto claims per month, and selected IBM to provide us with a structured anti-fraud solution that would improve and strengthen our Auto and Casualty fraud claims processes, through better alert accuracy and investigative efficiency.”
Claims executive
Brazilian insurance company
Resources
Webinar series
RegTalk webinar series: Hidden risks in insurance beyond claims fraud
Infographic
Cut through the web of insurance claims fraud with advanced analytics
Webinar
RegTech webinar: Insurers point to three changing trends in financial crime
Ready to get started?
Improve your risk and compliance program by scheduling a consultation with one of our experts.