Showing results for "Abuse"

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 simply does not care about labels. Professional and amateur fraudsters – whether in good times or bad – will always look for ways to take advantage of the system. […]

Insurer to Benefit from Using Artificial Intelligence to Uncover Potential Fraud PARIS and BOSTON – April 9, 2020 – Shift Technology, a provider of AI-native fraud detection and claims automation solutions, today announced that it is partnering with Cigna, a leading global health service company to strengthen its fraud detection capabilities within the claims process. […]

What do the following have in common? Patients misrepresenting a non-covered procedure as medically necessary to get insurance to reimburse the cost; unbundling, or billing separately for component pieces of a single procedure; doctors billing the insurance company for a procedure that was never done; providers who are offered incentives to write prescriptions for certain […]

Recently, Shift Japan hosted more than 120 insurance-industry professionals at its inaugural Shift Seminar Tokyo event. Covering the theme “AI strategies to accelerate innovation in the insurance business,” the seminar addressed the increasing interest among Japanese insurers in how the global InsurTech ecosystem can benefit their businesses. And among the InsurTechs getting the most attention […]