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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.
  • Claims Fraud Network Analysis Cogitate Technology Solutions, Inc.
    Cogitate Claims Fraud Network Analysis (CFNA) allows proactive protection to insurers against fraudulent claims, using artificial intelligence,…
  • SHIELD - Software for Health Insurance Eligibility Detection Munich Re HealthTech
    SHIELD is a system that automates claims medical adjudication, detects potential fraud, waste and abuse, and justifies denials. It combines rule…
  • FrauDe Gamco
    In an environment where fraud represents a constant threat to insurance companies, prevention is paramount. Our company specializes in providing…
  • Detector Kube Partners
    Detector is an innovative software platform for detecting, analysing and managing insurance fraud. Created by claims experts with 35 years of ex…
  • Verisk's Anti-Fraud Solutions Verisk
    Verisk (Nasdaq: VRSK) is a leading strategic data analytics and technology partner to the global insurance industry. It empowers clients to stre…
  • ClaimsX Ultra Carpe Data
    In a digital world where fraudsters continuously adapt, ClaimsX Ultra is the essential tool for comprehensive fraud detection from FNOL to settl…
  • Insurance Fraud Detection and Risk Analytics Systems EIS Group, Ltd.
    The ClaimSmart anti-fraud module, ClaimGuard™, leverages AI and machine learning and a unique scoring system to assess fraud risks early on, so…
  • Clearspeed Express Clearspeed
    Sometimes a quick risk assessment or validation is all you need. Clearspeed Express provides a quick and clear primary measure of application an…
  • FRISS Claims Analytics FRISS
    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…
  • Insurity Predict Insurity
    Whether you build predictive models internally or with a third party, there remains the equally important step of implementation and integration…
  • FRISS Policy Analytics FRISS
    Based on AI and machine learning techniques, the underwriting solution leads to a real-time intelligent and objective risk evaluation. In order…
  • Underwriting Insights FRISS
    Combine the power of data analytics and unprecedented speed to enable your commercial underwriters with 100% actionable insights and information…
  • FraudKeeper FraudKeeper
    FraudKeeper is a digital platform based on automation rules and Machine Learning that allows detecting, preventing and managing fraudulent trans…
  • Bayes Fraud Hugin
    BayesFraud is a market-leading predictive analytics solution that provides insurers with advanced, automated fraud detection capabilities during…
  • Sherlock CRIF
    ​Sherlock is designed to deliver, in one click, counter-fraud intelligence to the investigator. By consolidating best of breed data sets on a si…
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