A rapidly growing multi-line pan-Asian insurance company was experiencing an increasing amount of fraud, waste and abuse. To improve fraud detection, increase the number of claims that could be straight through-processed (STP), and enhance the customer experience this carriers implemented Force, Shift Technology’s AI-native fraud detection solution.

Identify fraud, waste and abuse cases in real-time

Processing over 500,000 claims annually an important factor in selecting Force was its ability to find fraud, waste and abuse cases quickly—prior to claim settlement and payment – resulting in considerable savings. According to the insurer “80% of the fraud cases identified as suspicious by Force would have gone undiscovered before”.

Read more on how this pan-Asian insurer is using Force to increase straight-through claims processing by detecting fraud, waste and abuse in real time.

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Going Beyond Business Rules to Improve Accuracy

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Accurate fraud detection is the key to automated claims decisions.

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