Force Fraud Detection
Make Decisions on Suspicious Claims More Quickly and Accurately.
Force detects fraud with twice the accuracy of other solutions.
Scenario: The insured submitted a picture of the damage already used in another claim from another policyholder. We suspect they are inflating their loss.
- The insured already had a similar claim recently
- Pictures of the claim have already been used in a past claim in the area
- The metadata indicates the picture has been taken before the date of the loss
Force is a powerful, AI-powered fraud detection solution. This automated, SaaS-based solution flags potentially fraudulent insurance claims across all lines of business with a 75% hit rate.
Analyzing claims in real time or in batches, Force makes reviewing flagged claims and taking informed, data-driven actions easier for claims handlers. With Force, you’ll see a comprehensive, prioritized set of suspicions underlying each fraud alert in a single, easy-to-navigate dashboard.
- Force effectively identifies:
Individual claims fraud suspicions across all lines of business
Network fraud from organized crime groups and others
Potential provider fraud
Likely internal fraud and other suspicious behaviors
- Force helps insurers:
Stay ahead of emerging fraud scenarios
Improve investigative efficiency
Reduce fraud losses
Lower false positives
Force takes a global view of insurance fraud.
Force has analyzed hundreds of millions of insurance claims globally since its inception in 2014. This extensive dataset gives Shift clients unmatched insight into the techniques and tools fraudsters are using — knowledge that helps them defeat fraud more effectively every day.
Shift Technology is a strategic partner for us and we are working together to achieve our goals.
Accurate fraud detection is the key to automated claims decisions.
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