How we helped a tier 1 insurer detect and prevent fraud, waste and abuse cases
By Shift Technology
Fighting fraud, waste and abuse is a complex problem to solve without the help of AI. Historically, high health claims volumes, siloed data, and existing rules based systems made it difficult to identify ever-evolving fraud patterns. Over several years, we partnered with this tier 1 health & life insurer to help position them well as a leader in the fight against health insurance fraud by implementing Shift's Fraud, Waste and Abuse Detection.