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Shift is on a mission to imagine and invent solutions that will transform insurance decisions for the benefit of all. Shift’s insurance industry experts and thought leaders share what that means to them, and to our clients and partners.

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Agentic AI is the future, and the future is now

Discover how Shift Technology is revolutionising the insurance industry with agentic AI, enhancing automation and decision-making for insurers.

Eric Sibony, Chief Scientist and Product Officer, Shift Technology
Four questions with Eric Sibony: Shift's agents

Explore how Shift's embrace of agentic AI is transforming insurance processes, enhancing decision-making, and addressing industry challenges.

Jeremy Jawish, CEO and Co-Founder, Shift Technology
Four questions with Jeremy Jawish: Why agentic? Why now?

Discover how agentic AI is transforming the insurance industry, enhancing efficiency, and bridging talent gaps for insurers in our interview with Jeremy Jawish.

The Modern Payment Integrity Buyer’s Guide: Essentials for Speed, Accuracy & Transparency

Explore how modern payment integrity solutions leverage AI and prioritize transparency to enhance accuracy and efficiency in payment integrity.

Document Fraud in the Age of GenAI: practical defenses for investigators, SIUs and IT teams

GenAI has industrialized document fraud. This article gives practical, multi-layered defenses that insurers can deploy today to detect, triage and investigate high‑volume, high‑fidelity attacks.

Executive brief: United against fraud. Are you part of the solution?

Accelerate subrogation with AI to drive efficiency and recover millions. Discover how AI modernizes complex subrogation processes for insurers of all sizes.

Executive brief: accelerate subrogation recovery with AI

Accelerate subrogation with AI to drive efficiency and recover millions. Discover how AI modernizes complex subrogation processes for insurers of all sizes.

Black-box-with-two-people-looking-at-it
The Hidden Costs of Black Box Payment Integrity

Learn why transparent, explainable decision-making is crucial for modern payment integrity teams to build trust, reduce friction, and enhance accuracy.

The State of AI in Insurance
The State of AI in Insurance (Vol. VIII): Reasoning Models

Explore the impact of reasoning models in AI applied to insurance, focusing on performance, cost, and latency across various use cases.

Shift Insurance Perspectives
Shift Insurance Perspectives: The AI Hallucinations Edition

Explore how addressing AI hallucinations can enhance the reliability of insurance AI, ensuring more accurate claims automation and fraud detection. Learn the importance of enabling AI to say, "I don't know."

Four questions with Alexander Villanueva: LATAM trends

Explore Alexander Villanueva's insights on his career journey, AI adoption, and the future of the LATAM insurance market in this engaging interview.

Uncovering unbundling and overpayments in continuous glucose monitoring

Discover how Shift Technology's AI uncovered unbundled CGM billing, identifying $430K in recoverable overpayments and helping health plans strengthen payment integrity.

doctor or physician using technology
How Shift AI is raising the bar for payment integrity performance

Learn how Shift's AI solutions are recognized by Everest Group for transforming healthcare payment integrity with increased accuracy, speed, and transparency.

The State of AI in Insurance
The State of AI in Insurance (Vol. VII): Data Extraction from European Accident Reports

Discover how advances in OCR and Gen AI are transforming data extraction from European Accident Reports, enhancing efficiency and accuracy in insurance claims processing.

Shift Insurance Perspectives: The Fraudulent Image Analysis Edition
Shift Insurance Perspectives: The Fraudulent Image Analysis Edition

Explore how generative AI tools both aid insurers in detecting fraudulent claims and pose new challenges in sophisticated image manipulation. Main Point Summary: The blog discusses how generative AI (Gen AI) is a double-edged sword in the insurance industry. While it helps insurers detect ...

Eric Sibony, Shift Technology
Four Questions with Eric Sibony: Agentic AI

Discover how Agentic AI revolutionizes insurance claims with advanced automation, multi-step reasoning, and enhanced decision-making capabilities in this insightful Four Question with installment with Eric Sibony.

3 Examples of the effective use of genAI in auto subrogation
3 Examples of the effective use of GenAI in auto subrogation

Generative AI (genAI) is an extremely effective capability when applied to subrogation. GenAI analyzes free-form, unstructured text buried in claims notes and loss descriptions.

Michael Loiseau - Subrogation expert with Shift Technology
Find quick wins in subrogation modernization

Discover how to get a quick win in subrogation modernization leveraging claims fraud, and boost recovery efforts for insurers. Learn more in our latest blog post.

prioritize-insurance-fraud-detection
2025: The year US P&C insurers must modernize fraud detection–here’s why

Discover why 2025 is crucial for US P&C insurers to modernize fraud detection systems. Learn about the urgent need for advanced solutions and the risks of outdated methods

Capturing-Cloudy-Billing-Patterns-in-Topical-Oxygen-Wound-Therapy
Capturing cloudy billing patterns in topical oxygen wound therapy

Discover the complexities payers face with Topical Oxygen Wound Therapy and how AI-driven solutions can help uncover improper payments related the treatment.

Four Questions with Amy Johnson: The intersection of payment integrity and operations

Explore Amy Johnson's journey in healthcare, her insights on payment integrity, and how AI can transform payer operations for greater efficiency and better member outcomes.

Four Questions with Lisa Hornick: The future of payment integrity

Discover Lisa Hornick's journey in payment integrity, the evolution of the industry, and how AI is revolutionizing healthcare payment practices.

Insurance fraud detection metrics: 5 core KPIs and why you should be tracking them

Preventing, detecting and recovering payments on fraud claims are key objectives. Learn what analytics can do for your insurance fraud performance.

Three essentials for a modern dental claims editing strategy
Three essentials for a modern dental claims editing strategy

Three pillars for smarter, faster, and more agile dental claims editing strategies to keep wasteful spending in check.

The power of AI-powered document fraud detection
How advanced AI and document analysis is helping insurers fight digital risk

Shift Technology's AI-powered document fraud detection: How advanced AI and document analysis is helping insurers fight digital risk

The State of AI in Insurance (Vol. VI): Claims Decisioning and Liability Determination in Subrogation

Explore the latest advancements in AI for insurance, analyzing 21 LLMs to optimize claims processes, subrogation, and liability assessments. Discover which models excel in specific tasks.

The impact of IDN and shared claims data in fraud detection and prevention
The impact of IDN and shared claims data in fraud detection and prevention

IDN is a multi-insurer data exchange that provides real-time insights to enhance fraud detection. On average, detected fraud networks increase 3x in size with IDN

Document Fraud - FWA - AI
Infographic: Using advanced AI and insurance expertise to find and stop document fraud in healthcare

Shift Technology uses advanced AI and insurance expertise to detect and prevent document fraud and FWA (Fraud, Waste, and Abuse), doubling fraud detection by analysing and classifying insurance documents with precision.

Frost & Sullivan Recognizes Shift as a 2025 Customer Value Leader

Discover how Shift Technology leverages AI to enhance claims accuracy, reduce fraud, and streamline insurance processes, saving billions annually. Download the full report now.

Recover more: insurance-grade AI unlocks the power of subrogation teams
Recover more: Shift's insurance-grade AI unlocks the power of subrogation teams

Learn how Subrogation can be improved by Generative AI

Generative AI in insurance: a deep-dive into the technology and its impact
Generative AI in insurance: a deep-dive into the technology and its impact

The power of generative AI in insurance is no longer up for debate. Here, we highlight those cases and examples, and explore the functionality driving results for insurers.

Recover More with AI-Powered Subrogation
Shift Subrogation: Recover More with AI-Powered Subrogation

Subrogation revenue smooths the volatile chaos brought during uncertain economic times and more frequent natural disasters. At the same time subrogation teams are under pressure.

Shift Insurance Perspectives: The Shared Data Edition
Shift Insurance Perspectives: The Shared Data Edition

An examination of three key insurance data models: third-party data aggregators, consortium-based sharing, and cross-carrier data sharing networks.

AI for health plans: a closer look. Infographic summarizing how AI for health plans can benefit payment integrity
AI for health plans: a closer look

Here are the ways AI for health plans can benefit payment integrity and give a competitive advantage

Revolutionizing the Insurance Industry with the Insurance Data Network (IDN)
Revolutionizing the Insurance Industry with the Insurance Data Network (IDN)

Learn how the secure sharing of claims and related data is revolutionizing fraud prevention and claims management

Jeremy Jawish, Shift Technology
Insurance Data Network (IDN) sets a new standard for data sharing

IDN is a groundbreaking initiative for cross-carrier data sharing, enhancing fraud and risk detection throughout the claims lifecycle

AI-in-underwriting-how-ai-underwriting-drives-profitability-with-examples
AI in insurance underwriting: use cases and results from leading insurers

Benefits of AI in insurance underwriting with two case studies; learn how best in class underwriting risk detection can add up to 4% to the combined ratio

Definitive drug testing and the value of state-specific claims edits
Definitive drug testing and the value of state-specific claims edits

Examine the complexities of definitive drug testing billing and how state-specific claims edits prevent overpayments (cpt codes G0480, G0481, G0482, G0483)

The State of AI in Insurance: A Comparison of LLM Performance (Vol. V)

Brand new LLMs and extensions of existing model families bring with them new questions about cost, performance and appropriateness for different use cases

modernize-claims-editing-woman-working-at-computer
Three essentials for a modern claims editing strategy

Learn how modern claims editing systems, enhanced by AI and robust testing enviornments, streamlined workflows can improve payment accuracy, adapting to the evolving landscape and regulatory demands.

The-power-of-AI-in-insurance-claims-for-unprecedented-speed-and-accuracy
How AI in claims is driving unprecedented speed and accuracy for top insurers

AI for insurance claims: Benefits, capabilities, real examples and results, and advantages of ai claims solutions over rules-based automation.

The State of AI in Insurance: The Power of Fine-Tuning (Vol. IV)

Fine-tuning shows incredible promise in boosting the performance of LLMs and can deliver “big model” performance at “small model” prices.

4-Questions-with-Tatsuji-Fujii
Four Questions with Tatsuji Fujii: AI and the Japanese insurance market

Shift Technology Country Manager for Japan addresses key AI/Gen AI trends impacting the Japanese insurance market.

Infographic: Stopping High Cost Policy Fraud Networks with Shift’s Advanced Network Detection

Fraud networks are hard to spot because they look like ideal policies. Learn how Shift’s Advanced AI uncovers hidden network connections to stop fraud.

Untangle-those-Hard-to-Find-Subrogation-Opportunities
Untangle those hard to find subrogation opportunities

Discover how to effectively identify subrogation opportunities during the season. Learn key strategies to maximize recovery in complex claims scenarios.

build-vs-buy-what-you-should-consider
Considering Building Your Own AI-Based Insurance Solution? Read this First

Discover the pros and cons of building vs. buying AI solutions for insurers, and access our infographic to guide your decision-making process

AI-in-insurance-buzzword-to-bottom-line
The role of AI in insurance: From buzzword to bottom line

Learn how AI in the insurance industry is being used to drive profitability, improve efficiency, and provide outstanding customer experiences

don't-let-recoveries-suffer
Don’t Let Recoveries Suffer After a Hurricane

Discover how modernizing subrogation processes with AI and automation can secure revenue, streamline operations, and address talent shortages in the insurance industry.

rising-costs-of-fwa-in-healthcare
Rising costs of healthcare FWA in the wake of a changing policy landscape

Urgently secure payment integrity in healthcare. Discover how to combat rising fraud, reduce waste, and protect your organization from financial risks

generative-ai-analyzing-a-healthcare-policy-or-healthcare-guideline-document
How Shift Payment Integrity uses genAI to analyze health policy and optimize claims edits

See how Shift's GenAI streamlines the process of tracking policy updates for health plans, ensuring accurate claims edits and stronger payment integrity.

Build vs Buy - Pros and Cons

Explore the pros and cons of building versus buying AI-based solutions for insurance fraud detection. Understand the benefits and challenges.

The State of AI in Insurance: A Comparison of LLMs (Vol. III)

The state of the art for LLMs is advancing at a rapid pace and we are coming to a confluence point where several models achieve comparable results.

uw-profitability
Improve Underwriting Profitability by Stopping Fraud at the Door

Learn how enabling insurance underwriters with analytics and AI can stop fraud from entering the book and is a proactive approach to improve the loss ratio.

Top 3 reasons to modernize fraud detection in P&C Insurance
Top 3 Reasons to Modernize Fraud Detection in P&C Insurance

Three compelling reasons why C-suite executives need to upgrade their fraud detection now

policy-fraud-trends-ebook
Policy Fraud Trends: How Advanced AI is Helping Underwriters Fight Digital Risk

Learn how advanced AI is helping underwriters combat digital policy fraud, uncovering sophisticated schemes like false declarations and hacking networks. Download the ebook now.

enhancing-claims-edits-with-generative-AI-webinar
Enhancing claims edits in healthcare with generative AI

Hear how GenAI can help find key details in policy & guideline docs to enhance claims edits in seconds. Watch the webinar clip.

In a challenging market, claims fraud can no longer be thought of as a cost of doing business.
Claims Fraud Detection and its Impact on Combined Ratios

Combined ratio gains that come from automation initiatives can easily be wiped out by corresponding claims fraud.

Shift Insurance Perspectives: The Digital Fraud Trends Edition

AI is allowing fraudsters to create convincing photos, documents and other “evidence” required to establish illegitimate policies and falsified claims.

collusion-in-healthcare-confronting-the-escalating-threat-of-fraud-rings
Collusion in healthcare: confronting the escalating threat of fraud rings

Discover the urgent need to combat organized healthcare fraud networks. Learn about the risks, notable cases, and essential measures to protect the system now.

Four Questions with Jesse Montgomery: GenAI and the future of payment integrity

In this installment of the “Four Questions with” series we talk with Jesse about his career path, current challenges in the healthcare payment integrity landscape, and his best advice for health plans getting started with AI/GenAI in payment integrity.

The State of AI in Insurance (Vol. II): A Comparison of LLMs

Advances in the use of AI and GenAI to improve critical insurance processes continue to captivate the industry.

central-insurance-the-benefits-of-ai-in-subrogation
Central Insurance: The benefits of AI in subrogation

Hear Callie Byrne, Claims Recovery Supervisor from Central Insurance describe the benefits of Shift’s AI-powered Subrogation Detection.

accelerating-payment-integrity-with-generative-AI-whitepaper
Accelerating Payment Integrity with Generative AI

Boost your payment integrity strategy with GenAI. Tackle policy changes, medical record reviews, and claim analysis swiftly, accurately. Read the white paper.

animation-of-x-ray-analysis-to-detect-dental-fwa
Analyzing X-Rays for Dental FWA

Watch how Shift Technology’s AI enhances dental X-ray analysis. Discover advanced solutions for more accurate and efficient dental diagnostics.

from-data-to-decisions-the-power-of-genAI-in-insurance
Shift Market Forces: From Data to Decisions - The Power of GenAI in Insurance

Explore the power of Generative AI in insurance. Discover how it transforms processes and enhances decision-making in Shift Technology's latest perspective piece.

shift-market-forces-darkside-gen-ai
Shift Market Forces: Navigating the dark side of generative AI with strategic AI partnerships

Unmasking AI misuse by bad actors and strategies for defense. Discover the threats, risks, and countermeasures against malicious exploitation of Generative AI.

healthcare-fwa-industry-survey-results
Where Can Health Plans Leverage AI? See What Our Industry Survey Found

Health Payor FWA industry survey reveals the power and uses of advanced AI to improve the bottom line.

The State of AI in Insurance (Vol. I): Large Language Models for Insurance - How do They Compare?

Shift Technology's data scientists and researchers explore what happens when the industry's leading LLMs are applied to insurance claims scenarios.

Four Questions with Romain Haimez: Tech Connect and the power of the tech community

Join Romain Haimez as he answers four key questions about innovation in insurance. Gain insights into industry trends and Shift Technology's vision

Beyond the hype: Shift leaders discuss generative AI and the insurance industry

genAI transforms insurance and addresses challenges such as labor shortages, IT modernization, and enhancing user experience. Watch the video to learn how.

Stylized Shift Insurance Perspectives Health Payor Edition cover
Shift Insurance Perspectives: Health Payor Edition

Explore the impact of fraud on health payor organizations, the importance of data in detecting fraudulent behavior, and the role of AI in fighting against healthcare fraud in this insightful blog post.

The power of AI in subrogation and recovery
AI-Powered Subrogation Detection and its Impact on the Combined Ratio

Learn how best-in-class subrogation and recovery efforts can positively impact the combined ratio by up to 4%

Shift Microsoft Azure OpenAI Video
Empowering Insurance Professionals: A journey with Shift Technology and Azure OpenAI Service

Watch the 'Shift + Azure + OpenAI' video by Shift Technology. Discover how these technologies collaborate to innovate and transform the insurance industry.

Four Questions with Brenda Amwayi: Harnessing the collective wisdom of the workforce
Four Questions with Brenda Amwayi: Harnessing the collective wisdom of the workforce

Shift's Talent Acquisition Specialist, Brenda Amwayi, explores her career background and the pivotal moments shaping her personal and professional journey.

Mark Starinsky, AHFI, CFE, CHC, SA
Four Questions with Mark Starinsky, AHFI, CFE, CHC, SA: Making Prepay Work

Mark Starinsky, AHFI, CFE, CHC, SA, addresses the technology considerations health payer organizations must take when adopting prepay improper payment/FWA strategies.

Shift Technology's Mandy Fogle
Four Questions with Mandy Fogle: The Business Case for Prepay Improper Payment Detection

Unlock the business potential of prepay improper payment detection. Explore insights and strategies on Shift Technology's perspectives

AI in Underwriting Risk Detection and its Impact on the combined ratio
Underwriting Risk and its Impact on the Combined Ratio

Learn how the use of AI in underwriting risk detection is improving combined ratios and driving long-term profitability

Drew Whitmore, Head of Global Partnerships, Shift Technology
Four Questions with Drew Whitmore: Shift's Partner Ecosystem

Shift Technology's Drew Whitmore provides his thoughts on successfully developing a robust partner ecosystem to support AI-powered insurance decisioning.

Paying the Costs of Complacency in Healthcare FWA

Yesterday's solutions are no match for today's challenge of protecting your plan’s bottom line. If plans don’t keep up, what are the costs of complacency?

Jeremy Jawish @ ITC
Jeremy Jawish discusses the combined ratio problem at ITC Vegas

Jeremy Jawish explores how AI-powered solutions can help solve the combined ratio problem.

Arnaud Grapinet of Shift Technology
Arnaud Grapinet: Generative AI Presentation at ITC Vegas

Shift's Arnaud Grapinet presents Generative AI capabilities for company's AI-powered insurance decisioning solutions.

Shifting Paradigms: A call to action for C-level executives in general insurance

Discover the future of insurance with our thought-provoking piece on industry transformation. Learn how SHIFT brings independence, tech mastery, and efficiency. Dive in now!

The Imperative for Insurers to Combat Fraud, Waste, and Abuse in Healthcare

Unlock the secrets of US healthcare fraud. Discover hidden risks, shocking stats, and decisive strategies for a fraud-resistant future. Don't be caught off guard—explore now.

A Framework to Quantify Value Offered by AI Fraud Solutions

Unlocking the Future: AI in Insurance - Discover the Power of Fraud Detection, Efficiency Gains, and Business Impact. Dive into Quantifiable Value and Transform Your Insurance Strategy

Information Security Best Practices for Artificial Intelligence Vendors

Explore the critical security features AI vendors must provide in fraud detection platforms, from certifications to secure access protocols.

AI's impact on key processes influencing the combined ratio
The Combined Ratio Problem: Closing the Gap Between Claims Costs and Premiums Using AI

The use of multiple complementary AI-powered solutions can be incredibly impactful, shaving between 3-6 points off your combined ratio.

Shift Technology Insurance Perspectives: 2023 Generative AI Edition

Shift shares what the insurance industry is thinking about Generative AI

Four Questions with Malike Bouaoud: Information Security

Shift’s CISO Malike Bouaoud discusses the evolution of information security and how it impacts the delivery of AI-powered insurance decisioning solutions.

Shift Market Forces: What’s Driving Medicare and Medicaid Fraud and How Can We Stop it?

What does Medicare/Medicaid Durable Medical Equipment look like and how can AI help stop it?

Infographic: A Path to Improve Combined Ratios with Shift AI

Partnering with Shift can mitigate profitability challenges and deliver material improvements to combined ratios. The combined ratio problem insurers are currently facing is not going away anytime soon. With Shift, insurers can improve profitability by applying AI to various processes ...

Tawinder Singh, Global Head of Data Partnerships, Shift Technology
Four Questions with Tawinder Singh: Third-party Data

Shift's Global Head of Partnerships addresses the role of third-party data in AI-powered insurance decisioning.

Shift Market Forces: Overcoming the Labour and Skills Gap - EMEA Edition

Can AI help insurers bridge the skill and labour gap facing the insurance industry? Read to find out.

Medical insurance claim forms scattered on a surface with a calculator, a pen, and a stethoscope.
How Healthcare Fraudsters Are Taking Advantage of the Behavioral Health Crisis and How to Stop Them

The ongoing behavioral health crisis in the US is a problem to address from many angles. Learn how health plans can detect and prevent fraud with AI.

ai-is-everywhere-including-insurance
Shift is AI for Insurance

This video describes how Shift AI takes a variety of data, interprets it in the context of the insurance policy lifecycle, and provides insurers with outputs that improve their decisions.

Infographic: A Closer Look at AI (Artificial Intelligence) for Insurers

We outlined 5 benefits of artificial intelligence for insurers throughout the policy lifecycle. Get a look at our AI infographic.

Infographic: AI Insurance Solutions - To Build or to Buy?

Explore the critical considerations insurers face when deciding between building internal tools or investing in an AI vendor for fraud detection. Discover the often-overlooked factors, potential challenges, and the value of partnering with experts dedicated to the insurance industry. Make ...

Graphic of common and overlooked considerations when deciding whether to build or buy an AI solution.
AI Revolution in Insurance: To Build or to Buy?

Explore the critical factors insurance carriers must weigh when deciding between building an in-house fraud detection system and opting for a pre-built solution. Dive into considerations like total cost of ownership, integration, and the advantages of vendor partnerships for maximizing fraud ...

AI-based Subrogation Detection: Real World Applications

Learn the value insurers are achieving with AI-powered subrogation detection. What does AI-based subrogation detection look like in the real world? Here are examples that illustrate the value insurers are achieving today with this approach.

How to Choose the Right Vendor for Insurance AI

Adopting artificial intelligence in insurance can enhance various aspects of operations and customer interactions. As insurers face increasing competition and regulatory challenges, leveraging AI can be a game-changer in gaining a competitive edge and providing superior services to ...

Making Generative AI Work for the Insurance Industry
Shift Market Forces: Making Generative AI Work for the Insurance Enterprise

How can insurers avoid the potential pitfalls of generative AI? Partner with an expert in insurance-industry AI-powered solutions.

Infographic: Why It's Easy to Succeed with Shift Technology

Shift Technology empowers global insurers of every size with AI-based decision-making. Our secure platform guarantees fast & proven outcomes. Read the infographic.

cfd-guide-to-buying
Buying Guide for Claims Fraud Detection

What are you missing out on? Be sure to include this criteria when evaluating Claims Fraud Detection Solutions.

AI in Healthcare: The Value and Importance of Explainability

Discover how AI is transforming healthcare fraud, waste, and abuse detection. Gain valuable insights from Shift Technology's perspectives.

Four Questions with Eric Sibony: Generative AI

In this -Four Questions With- entry, Shift Technology's Eric Sibony gives his take on generative AI for the insurance industry.

AI-powered subrogation detection can help avoid $20 billion annually in recovery losses
Shift Technology Insurance Perspectives: 2023 Intelligent Subrogation Detection

Missed subrogation opportunities mean insurers are leaving money on the table. AI can help. Learn how by downloading Shift Insurance Perspectives: Intelligent Subrogation Detection.

Data silos impact efficacy of health payer SIUs
Shift Market Forces: The Impact of Data Silos on Health Payer SIUs

How can health payers bring disparate data sources together to better fight fraud? AI may be the answer! Read more to find out why.

rfp-guide-fwa
Your RFP Guide for Healthcare Fraud, Waste and Abuse

What are you missing out on? Be sure to include this criteria in your next RFP for an FWA vendor to take advantage of today’s technology.

Vector image of AI bias ethics
Shift Market Forces: Avoiding Unconscious Bias in AI - a European Perspective

Avoiding conscious and unconscious bias in insurance AI doesn't have to be daunting. Shift Technology is here to help.

Shift’s AI-Powered Insurance Fraud Detection Solutions For Associations

Executives from Shift discuss how its AI-powered solutions are supporting the unique role of Associations with insurance fraud detection.

Power of the Collective: Collaboration Between Associations & Insurers With Insurance Fraud Detection

Senior executives from some of the world’s leading insurance Associations discuss the importance of collaboration for insurance fraud detection.

Generative AI for the Insurance Enterprise

Shift CTO Marc Jones tackles the topic of generative AI in the insurance industry and ai-powered insurance decisioning.

A piece of paper with info about subrogation and old glasses.
Why insurers are missing subrogation recovery potential

How can insurance providers capitalize on the subrogation potential of an insurance claim? Learn why you might be leaving subrogation recovery on the table.

Genuine Insureds and Bad Actors: Their Insurance Lifecycle and Where AI Can Help

In 2022, composite insurers are stepping up their digitalisation and transformation efforts. However, in doing so, they are encountering numerous and diverse challenges.

Insurance Fraud Detection & The Role of International Insurance Associations

Explore the pivotal role of international insurance associations in fraud detection. Watch Shift Technology's insightful video for valuable perspectives.

Shift Market Forces: Employing Artificial Intelligence to Amplify the Health Payer SIU

Explore how AI is revolutionizing healthcare SIU investigations. Discover insights on leveraging artificial intelligence to enhance fraud detection and streamline claims processes on Shift Technology's resource hub

AML strategies for P&C Insurers
AML in P&C Insurance | Strategies & AI Tools

Discover AML strategies for P&C insurers. Learn how AI enhances detection of financial crimes and protects policyholders. Read now for insights!

Types of insurance fraud
Policy fraud detection and the power of a unified approach

Understand the types of insurance fraud, the gap exploited by fraudsters, and how underwriting and claims are teaming up to create a unified approach

Vector illustration showing AI and ChatGPT in the insurance industry
Shift Market Forces: ChatGPT & the Insurance Industry — The Hype vs. the Reality

Discover how ChatGPT empowers professionals to make optimal decisions for companies & policyholders. Click to learn about ChatGPT in the insurance industry.

Shift Powerful AI for Insurance Fraud

Shift Technology’s AI solution delivers more fraud impact by reducing losses and automatically detecting potentially fraudulent claims.

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The Overlooked Waste in Fraud, Waste and Abuse

Uncover hidden inefficiencies in fraud, waste, and abuse detection. Gain insights to optimize processes with Shift Technology's perspectives.

Service technician surveys repair parts for motor claim
Shift Market Forces: AI, the Supply Chain, and the Bottom Line - a European Perspective

How applying AI to claims, from FNOL to settlement, maximises the process and positively impacts the bottom line.

Infographic: A Real-World Scenario for Financial Crime Detection

Organised crime is always one step ahead of manual checks and investigation, with infinite data sources and increasing expectations to serve customers quickly it is becoming impossible to keep up. As a result, insurers are forced to cut back on investigations and accept unchecked business ...

Shift Market Forces: AI in insurance and the great resignation

A growing labor imbalance is one of the key aspects of economic uncertainty the insurance industry must solve to remain successful in 2023 and beyond.

Matt Gilham from Whitelk Fraud Performance Consulting on AI and evolving technologies

Shift Executive Perspectives is a series of conversations with insurance industry leaders and visionaries on topics related to the present & future of insurance.

The Policyholder Experience
Shift Market Forces: The Policyholder Experience - Why CX is Critical to Success in the Highly Competitive Auto Insurance Market

Satisfying clients minimizes churn and leads to increased renewals, expansion of services, and positive relationships. Learn how to leverage cx in insurance.

Shift Technology Insurance Perspectives: 2023 SIU Claims Fraud Benchmark Report

In April 2020 we published our very first Shift Technology Fraud Insights Report. Using our unique view into the global insurance industry we examined several fraud schemes impacting carriers and how technology could be used to effectively thwart them. One year later, recognizing that Shift’s ...

Shift for Healthcare: Any Data, Any Form

Hear from Shift Healthcare Subject Matter Expert, Ricky Sluder, discussing how Shift can ingest and analyze any data, in any form for more accurate, high-value investigations.

Explainable, AI-powered alerts and the value they bring to FWA detection

Entity resolution, predictive variables, natural language processing - these artificial intelligence terms sound great, but what value do they bring to detection of healthcare fraud, waste and abuse?

Four Questions with Steven Richardson: Customer Success Manager, Canada

Steven Richardson is a Customer Success Manager based in Canada. March is Fraud Awareness Month in Canada. We recently sat down with him to chat about his career background, how fighting fraud has evolved, and more.

Implementing Shift’s AI Solution for Payment Integrity: We’ll Take Any Data, In Any Form

Explore seamless implementation of Shift's AI solution for payment integrity. Harness the power of any data format with Shift Technology's perspectives.

Illustration of AI in insurance
Shift Market Forces: Mitigating the Impacts of Economic Uncertainty Using Artificial Intelligence

The rising costs of settling claims impact loss ratios, regardless of the presence of fraud. Explore the impact of AI on insurance in today's economy.

Ho Kai Weng from GIA on the role of technology in insurance

Shift Executive Perspectives is a series of conversations with insurance industry leaders and visionaries on topics related to the present & future of insurance. Here we talk with Ho Kai Weng, Chief Executive of the General Insurance Association (GIA) of Singapore about the role of technology ...

The Three Pillars of Data Integration

external data

Power of the Collective: The Rise of Insurance Associations

No single insurer is spared by fraud. Globally, fraud is estimated to cost the insurance industry hundreds of billions of GBP per year. This figure isn’t just fraud on an individual or opportunistic scale, but also the result of insurance fraud networks who represent an industry unto ...

Integrated case management with Shift Payment Integrity

Shift's Improper Payment Detection solution for healthcare integrates case management features that plans need to boost efficiency of their investigative teams.

Detecting complex fraud with Shift Payment Integrity

Shift's Improper Payment Detection solution for healthcare gives health plans the ability to uncover and understand relationships between providers, members, facilities and other entities.

Shift Payment Integrity: a 360° view in a single UI

Shift's Improper Payment Detection solution for healthcare brings health plan data and extensive external data sources together

insurance-perspectives-underwriting
Shift Technology Insurance Perspectives: December 2022

In this report, we will explore the underwriting risk trends Shift has observed and provide an analysis of what this may mean for insurers and policyholders alike.

Doctor and patient having discussion in doctor’s office.
Health Insurance Fraud Detection: Why Does Explainable AI Matter to Health Insurers?

SIUs need better solutions to fight health insurance fraud. Industry veteran Rick Sluder explains the benefits of Shift’s AI approach to fraud detection.

Four Questions with Marc Jones, CTO, Shift Technology

Shift CTO Marc Jones discusses Decisions Made Better and what that means to him.

The Intelligent Transformation of Fraud Protection

Combat insurance fraud using improved risk modeling to leverage the speed and scale of cloud

Insurance Fraud Detection Solutions: Property and Casualty Insurance, 2022 Edition

This report provides an overview of fraud-detection solutions for property-casualty insurance carriers. The report profiles 11 claims fraud-detection solutions providing an overview of their functionality, customer base, technology, SaaS capabilities, implementation, pricing, and support.

How Does Artificial Intelligence Make Subrogation Viable And Valuable?

Subrogation offers insurers the important chance to reduce claim costs by assigning full or partial responsibility to another party.

2022 Global Advanced Claims Solutions for Insurance Enabling Technology Leadership

Shift Technology earned a 2022 Frost & Sullivan award for innovating in the insurance claims industry and delivering consistent value to customers. Learn how.

Use AI to Align Complex Claims with Experienced Adjusters

Claims handlers and adjusters have varying levels of experience and a range of specialties. To utilize these abilities most efficiently, insurers need to match claims to the adjusters best prepared to deal with them. Insurers can rely on claims decisioning solutions to direct cases ...

Podcast: Powering health plans with machine learning

Shift Healthcare expert, Mark Starinsky, AHFI, CFE, CPC, discusses his past experience as an investigator, what machine learning means for health plans and the potential impact Shift can have on health plan FWA detection.

Infographic: Any data. Any form.

With Shift, insurers never overlook a single piece of data, no matter what form it takes - structured, unstructured, or semistructured. Whatever the format, Shift is able to integrate any data source that you have today or ones that you want to integrate tomorrow, be it claims data, invoices, ...

Wound care fraud is back on the rise: what to look out for, and where to be concerned
Wound care fraud is back on the rise: what to look out for, and where to be concerned

In certain areas of the country, patients are getting a surprise – boxes and boxes of gauze, dressings, and advanced skin substitutes designed for severe injuries. These patients usually have either minor wounds or no wounds at all.

Customer Satisfaction as a Driver for Policyholder Retention – How Does it Work?

Insurers haven’t seen a large amount of customer churn – yet. Can insurers recover their gains in customer satisfaction before their policyholders begin to decamp?

Challenges, Trends, and AI Opportunities for Insurance Carriers - A Guide for Leaders

The widespread and costly problem of fraud, coupled with insurance companies’ desire to meet the high-quality of service demanded by their customers, puts the industry at an inflection point. Insurers need to adopt effective fraud detection and provide high customer satisfaction.

Underwriters Need AI to get out From Between a Rock and a Hard Place

The insurance marketplace demands speed, ease of use, and high responsiveness. This means quick turnaround and accuracy during the underwriting process.

Underwriting Risk Detection at Critical Decision Points

Consumers want a friction-free quote and application process, and insurers have delivered on that expectation across the globe, standing up online quote and application platforms.

Yachts, Villas, and Jets – Whose Property are you Really Insuring?

How do insurers know whether they’re safeguarding someone’s ill-gotten gains?

[Archived] Shift for Healthcare: Speeding Time to Value

Shift's integrated external data to reduce the investigative timeframe and increasing accuracy with continuous learning models. Learn more about the advantages with Shift Healthcare Subject Matter Expert Mandy Fogle.

Shift for Healthcare: a 360° view, all in one place

Mark Starinsky, Shift Healthcare Subject Matter Expert, explains how the Shift solution aggregates alert data into a single dashboard, adding context that can vastly accelerate investigation timelines.

Inside Decisions Made Better: What Does It Mean for Insurers to Make Good Decisions?

Our experts were asked to share their ideas on what it means for insurers to make good decisions with the help of artificial intelligence.

How Artificial Intelligence is Solving the Challenges of Premium Leakage

Discover how AI detects premium leakage and accelerates underwriting. Download our report for insights on reducing fraud and boosting investments!

The Impact of More and Different Data

When it comes to detecting fraud, Insurers know that better data means better fraud decisions.

Is the SIU Failing to Adopt Assistive Technology?

The SIU will act as a roadblock for claims if it can’t act at digital speed. Here are three ways around this problem.

AI and Digital Transformation in Insurance

Customers demand more and better digital channels to interact with insurers, and insurers have responded by investing in technology. This has led to benefits as well as obstacles: more fraud, and more costs. Our latest report explores how AI adoption can help insurers replicate and automate ...

SME Perspectives: Why Legacy Claim Platforms Can’t Handle Subrogation

More insurers have begun to realize that subrogation increases the bottom line, lowering loss ratios and increasing revenue.

Time to Shift Away From the Traditional FWA Detection Approach

Explore innovative approaches to insurance fraud detection. Shift away from traditional methods with our groundbreaking research.

SME Perspectives: Tackling PIP with AI-Based Decisioning

In theory, PIP should be a driver for customer satisfaction, but PIP claims are often cause for friction in practice.

Help policyholders recover from weather disasters

Extreme weather is tied to insurance fraud. How can insurers minimize costs and still serve legitimate policyholders?

Shift Perspectives Expert Spotlight: Matt Psichoulas, Subject Matter Expert, SIU

Get to know Shift SIU Subject Matter Expert Matt Psichoulas

SME Perspectives: Navigating Change Management Within the SIU

Even though the insurance sector is experiencing lots of growth towards AI adoption, there’s still a long road left to travel.

Shift Technology Insurance Perspectives: Q2 2022

Decisions. We make them everyday. Some are life- changing. Should I change careers? Should I buy a house? Should I get married? Should I have kids? Shift Technology Insurance Perspectives: Q2 2022

Top 10 Trends in Property & Casualty, 2022

Top 10 Trends in Property & Casualty, 2022

AI-Based P/C Claims Fraud Detection Solutions

AI-Based P/C Claims Fraud Detection Solutions

SME Perspectives Expert Spotlight: Mike Loiseau, Subject Matter Expert, Subrogation

Mike Loiseau is one of the most experienced SMEs at Shift. Mike’s knowledge allows us to advance the performance of our subrogation product.

Other Industries are Investing Heavily in AI – What can Insurers Learn From Them?

Although most of the top 50 insurers have AI implementations, there are still other industries where adoption is more mature.

Infographic: How did you spend your sick leave?

Infographic explores how one employee claimed nearly a year of sick leave due to a disability. As it turns out, the illness may have been faked.

A headshot of Alicia Holmes, an SME at Shift Technology.
SME Perspectives: How Fraudsters Create Fake Identities

Spotting fake identities is a crucial element for fraud detection in the insurance claims business. Learn how fraudsters get away with it and how to stop them.

SME Perspectives Expert Spotlight: James Tesdall, Subject Matter Expert, Underwriting

James Tesdall is a well-versed insurance professional with 25+ years experience working in the industry for large national insurance carriers in the United States.

Infographic: The AI Maturity Curve

Where do you fall on the AI maturity curve? Download the infographic now to find out!

A headshot of Kamala Wedding, an SME at Shift Technology who specializes in detecting emerging insurance fraud trends.
SME Perspectives: Keeping Abreast of New Fraud Trends

Learn how to identify insurance fraud trends before they turn into losses. In addition to some general guidance, here are 4 ways to detect emerging fraud trends.

Infographic: Intelligent Decisioning - Turning a Simple Claim Into a Touchless Claim

How intelligent decisioning reduces workloads and creates truly touchless claims.

SME Perspectives: Using AI to Enhance (Rather than Replace) your Workforce

How insurers can use AI tools as part of a strategy to reduce employee turnover

Transforming the Claims Process through Domain-Specific AI Decisioning

Claims automation is maturing, which means that advanced solutions are beginning to proliferate. How do insurers make sense of the marketplace and choose between solutions?

SME Perspectives: The Power of Context

How does artificial intelligence leverage the power of context to deliver faster and better claims decisions?

SME Perspectives Expert Spotlight: Kamala “Kam” Wedding, Claims Fraud

A Q&A interview with Shift Claims Fraud subject matter expert Kam Wedding

Beyond Business Rules: Using AI to Detect Elder Care Fraud

Today’s aging population is rising exponentially - not only in overall size but also in healthcare spend and complexity. Vulnerable to excessive billing, wasteful treatments and other suspect activity, health plans that rely on business rules and traditional detection methods is not enough to ...

SME Perspectives: Claims Decisioning - The Missing Ingredient for P&C Insurers

Traditional automation tools aren’t moving the needle for P&C insurers. How does adding AI-powered decisions affect outcomes?

SME Perspectives Expert Spotlight: Tom Harrington

An SME Perspectives Expert Spotlight with Tom Harrington.

SME Perspectives Expert Spotlight: Jim Sorrells, Claims Decisions

Shift Subject Matter Expert Jim Sorrells talks insurance decisioning

Intelligent Decisioning for P/C Insurance

Industry analyst report offering a primer on the concept of insurance decisioning

Four Questions with Puja Agrawal

A Q&A with Shift Technology's Chief Commercial Officer Puja Agrawal.

How Telehealth Can Prepare us for the Next Healthcare Disruption

The adoption of telehealth is a huge benefit to healthcare. And while telehealth provides many benefits, it has also led to greater fraud.

Busting Ghost Brokers With Underwriting Risk Detection

Getting insurance is supposed to have gotten easier over the years. Online insurance brokerages and price comparison tools have made it easier to get the b

Shift's Healthcare Opportunity

I recently joined Shift Technology to lead the company’s growth strategy and investment in the healthcare market. I’m excited about building healthcare pro

Stronger Together

Recently, Shift was recognized by Microsoft for our contributions to their partner ecosystem. It’s not only a great honor, but also incredibly gratifying,

Better Decisions = Happier Policyholders and Employees

I am sometimes amazed by the sheer number of complex processes and sub-process that drive the insurance industry on a daily basis. And each of these proces

Fueling Innovation

When Shift received its Series D investment round, I started getting a lot of the same question, “So, what are you going to use the money for?” I understoo

Empowering Employees to "Be There" for Policyholders

For many customers, buying insurance is one of the most unique transactions they will ever make. It’s not that insurance, in and of itself, is a strange th

New Year's Musings

When I joined Shift Technology back in May, I knew I was getting into something special. Just how special was yet to be known. No one needs to be reminded

Data Security and Privacy at Shift

It’s well known that Artificial Intelligence (AI) is only as good as the data it uses. The more data available for the models, and the higher the quality,

Transforming the Insurance Industry Together

The insurance industry is driven by decisions. Is the claim legitimate, or does it show indications of fraud? Can a policyholder manage their claim online,

Frost & Sullivan Names Shift Technology 2020 Global Claims Solutions for Insurance Market Leadership Award Winner

Company Recognized for Providing an Invaluable Service to the Insurance Industry to which it has Completely Dedicated its Efforts. PARIS and BOSTON – May 2

Detecting Fraud in an Uncertain Future

Organizations and industries across the globe have been dramatically impacted by COVID-19, but few have been more effected than the travel industry. Unfort

Fraud, Waste, and Abuse During a Pandemic

While the world grapples with what it really means to be “essential” or “non-essential” in the context of the COVID-19 pandemic, there is one group that si

Shift + Guidewire = More Powerful Tools for Claims Professionals

When Shift first announced its partnership with Guidewire, my colleague Stuart Rose, head of Product Marketing, took a look at the importance of core trans

Shift Technology Responds to COVID-19 Outbreak

Like businesses around the world, Shift Technology is operating in uncharted waters. And while the COVID-19 outbreak is clearly impacting how business is c

What's Driving Innovation and Transformation in Insurance?

According to Gartner analyst Kimberly Harris-Ferrante, in the report Innovation Insight for Artificial Intelligence in Life and P&C Insurance*, “Adoption a

2020 – An outlook for the Future of Insurance

As one decade ends and another one begins, it’s the perfect time to look back over the last ten years and make a few predictions for the next ten years. In

It’s Always Been a Matter of Trust

The insurance industry is built on trust. Policyholders pay their premiums. From there, they trust fair compensation will occur quickly and efficiently if

Fraud, Waste & Abuse Detection: Is Your Health Insurance Data Ready?

Health care fraud is rampant, and health insurance companies are challenged with preventing a staggering amount of fraud, waste, and abuse cases. It is est

Still no Disruption?

Last month I attended yet another great and amazing InsurTech event. Perfectly organized by the DIA team and even providing attendees with one of the best

Fraud Awareness Week: The Many Faces of Fraud, Waste and Abuse

What do the following have in common? Patients misrepresenting a non-covered procedure as medically necessary to get insurance to reimburse the cost; unbun

Defeating fraud: the key to automating claims with confidence

Claims automation is great for consumers, but challenging for insurers! Shift's Chief Data Scientist @ArnaudGrapinet highlights the number one problem faci

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International Fraud Awareness Week: New Fraud Detection Solutions for Old Insurance Claims Tricks

AI fraud detection for fake insurance claims is key in the battle against rising fraud cases. Learn about it in our International Fraud Awareness Week blog.

Shift Seminar Tokyo: Providing Answers to the Questions on the Minds of Japanese Insurers

Recently, Shift Japan hosted more than 120 insurance-industry professionals at its inaugural Shift Seminar Tokyo event. Covering the theme “AI strategies t

100 Conversations About Just One Thing

Claims, claims, claims, claims and more claims. At InsureTech Connect 2019 it feels like we’re having 100 different conversations about just one thing, and

Unlocking the Future of Insurance at ITC

Next week, thousands of Insurance executives, IT professionals and solution vendors will gather at the annual InsureTech Connect Conference in Las Vegas. I

Detecting Insurance Fraud is Heating Up

An inflated value for stolen property. A body shop estimate that happens to include pre-existing damage. Medical charges for nonexistent conditions. It’s a

AI is Helping the Heart and Soul of Insurance Companies

Much is being been written about the impact artificial intelligence (AI) will have on the insurance industry. For example, according to an Accenture survey

Solving The Customer Claims Experience Puzzle

The moment of truth for any insurance company is the claims process. How an insurer handles its customer at the time of loss is telling. irrespective of wh

How Does FORCE Stack Up in Celent's Fraud Detection Vendor Spectrum?

Celent is a highly respected industry analyst firm covering the insurance and financial services space. Their stated purpose is to provide independent and

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