Showing results for "Claims Fraud Detection"

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 […]

According to the Coalition Against Insurance Fraud, an estimated $80 billion is lost annually to scams and other malfeasance. And as our industry marks International Fraud Awareness Week, it only makes sense to look at how this scourge has evolved over time and how insurers can stay vigilant when fraud is in a constant state […]

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 […]

In line with such thinking, Shift Technology strongly believes in the potential of AI to unlock the future of insurance. The company works to create AI-native solutions that can help insurers to deliver amazing customer experiences. Estelle Lebar, the company’s Global Offering Leader, Travel Insurance & Assistance, explains, “Consumers have shown repeatedly that the convenience […]

L’olivier – assurance auto, an auto insurer and French subsidiary of the English group Admiral, a European leader in automobile insurance, is joining InsurTech Shift Technology to fight against car insurance fraud. THE IMPLICATIONS OF INSURANCE FRAUD  According to insurance magazine l’Argus de l’Assurance, in 2014 fraud represented 2.5 billion Euros in damages, only €219M […]