This whitepaper talks about how organized criminals and lone fraudsters are continuously adapting to the ever-changing world we live in. Through IBM solutions for insurance fraud prevention, both enterprise and industry-wide financial institutions can prevent future fraud.
The IBM Counter-Fraud Management for Insurance solution is designed to help insurers prevent and intercept attempted fraud while detecting, identifying, and building the case against past fraudulent activity and improper payments.
By taking full advantage of the integration and advanced capabilities currently being offered by leading counter fraud solution providers - including predictive analytics and cognitive computing - enterprises can expect to achieve significantly better outcomes.Aberdeen Group's analysis helps to quantify the value of counter fraud analytics in the insurance industry.
The insurance industry stands on the precipice of change, with waves of innovation and disruption driving new possibilities across all departments, including pricing, underwriting, claims, and fraud.
This webinar recording of a live panel debate is ideal for insurance professionals wanting to understand how best to unlock the possibilities created by advanced analytical techniques such as Artificial Intelligence (AI), Machine Learning (ML), and others.
This TIBCO and Marketforce webinar on “The Fourth Industrial Revolution in Insurance” includes speakers Ian Thompson, chief claims officer at Zurich; David Williams, chief underwriting officer at AXA; and Clare Lunn, GI fraud director at LV=. The panel discusses:
Moving towards the algorithmic insurer: the opportunities created by AI and ML
How insurers can become more agile in the face of new innovations and disruptive technologies
How the industry can turn structured and unstructured data into insights
"ACG Michigan, a large auto insurance underwriter in the US state of Michigan, needed a user-friendly system that would enable its agents (internal and independent) to churn out precise and consistent policy quotes and underwriting decisions. They turned to FICO Blaze Advisor decision rules management system to create an enterprise decision management framework to execute decisions.
Learn more on how FICO Blaze Advisor helped ACG Michigan automate its underwriting
FICO (NYSE: FICO), formerly known as Fair Isaac, is a leading analytics software company, helping businesses in 90+ countries make better decisions that drive higher levels of growth, profitability and customer satisfaction. The company's groundbreaking use of Big Data and mathematical algorithms to predict consumer behavior has transformed entire industries. FICO provides analytics software and tools used across multiple industries to manage risk, fight fraud, build more profitable customer relationships, optimiz
Read this paper to learn how to combine powerful analytical techniques with your existing fraud detection and prevention efforts and deploy results to the people who can use the information to eradicate fraud and recoup money.
Insurers lose millions each year through fraudulent claims. Learn how leading insurance companies are using data mining techniques to target claims with the greatest likelihood of adjustment, improving audit accuracy and saving time and resources. Read this paper to learn how to combine powerful analytical techniques with your existing fraud detection and prevention efforts; build models based on previously audited claims and use them to identify potentially fraudulent future claims; ensure adjusters focus on claims most likely to be fraudulent; and deploy results to the people who can use the information to eradicate fraud and recoup money.
The insurance industry is facing multiple forces of change - rapid digitization, changing demographics, rising customer expectations, challenging economic environment and expanding risk of sophisticated fraud.
Insurance fraud has existed wherever insurance policies are written, taking different forms to suit the economic times. Today the magnitude of insurance fraud is not only startling but increasing. Recent studies by the US National Insurance Crime Bureau (NICB) reported a 24 percent rise in questionable claims for the period 2011 to 2013. The full scale of insurance fraud is not known. And if fraudulent behavior is not discovered at the time the claim is submitted, the insurer may never know it occurred. Consequently, an uninvestigated claim can’t be labeled as fraudulent to investigate.