Insurance | Claims Operations
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Claims Fraud Case Management

Proactively control claims fraud

In a mobile-first, data-driven world, claims fraud continues to escalate as insurers search for the best way to manage fraud detection on an ongoing basis. Effective claims fraud case management optimizes information sharing across departmental silos to ensure that all stakeholders can access the same data, easily add new information or make changes, and collaborate to produce actionable results.

Insurers need to proactively take control of claims fraud by enabling them to view all relevant case details, improve collaboration, keep better records, and empower actionable insights.

  • Include fraud detection in the workflow of claims without disrupting processing, via automated exception handling
  • Unify data from all sources in a 360 degree view to detect fraud easily and coordinate further within the claims process
  • Integrate Artificial Intelligence into the claims management process to determine the potential fraud cases

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