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Claims Fraud Detection

AI-Powered Claims Fraud Detection for P&C Insurers

The first AI platform focused specifically on the needs of Insurers, enabling them to stop claims fraud and make fast, fair, and accurate decisions

$5B+

Claims Fraud Identified in 2021 Alone

6/10

Top US P&C Insurers

4/10

Top Global P&C Insurers

10K+

Fraud Networks Identified

110+

Customers Globally

200+

Insurance Focused Data Scientists

$5B+

Claims Fraud Identified in 2021 Alone

6/10

Top US P&C Insurers

4/10

Top Global P&C Insurers

10K+

Fraud Networks Identified

110+

Customers Globally

200+

Insurance Focused Data Scientists

Claims fraud costs U.S. insurers $308 billion a year. Let’s fix that.

From opportunistic individual fraud to organized networks, insurers face an array of claims fraud efforts. Shift enables insurers to find more fraud, empowers investigators, and improves insurers’ loss ratios.

files-lightBG_Accurate Decisions

Insurers know that better data means better fraud decisions. Partnering with Shift provides access to the best external data sources, delivering over a third increase in fraud stopped.

Global data approach

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We identify and integrate the best local data sources across the globe to create maximum tailored impact.

Pre-built integration

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Strategic partnership strategy

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Helping Insurers Win the Fight Against Fraud

“Fraudsters are taking increasingly sophisticated steps to avoid detection. This technology will give insurers the edge they need to identify patterns and connect the dots across a huge pool of claims data over time, leading to more investigations and prosecutions.”
Stephen Frank, President and CEO of Canadian Life and Health Insurance Association (CLHIA)

Shift is trusted by leaders of the world’s leading insurers to effectively identify fraud and increase investigation efficiency resulting in more than $5B in claim fraud identified in 2021 alone.

The three pillars of data integration

Data integration is a critical component to finding more fraud, but it needs three things in order to work - ownership, retrieval, and analytics. These elements work together allowing insurers to fully access and utilize their data.

In this report, Shift's data experts discuss these three pillars of data integration and how they impact fraud detection maturity

  1. Ownership - Managing internal and external data 
  2. Retrieval - Retrieving and linking data
  3. Analytics - Analysis automation and decision
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Customer Success Stories

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Validated more claims than ever before

“Shift does in a matter of minutes what would take days for a team of analysts to complete, and Shift does it with incredible accuracy.”
Alex Punsalan
Senior Vice President, Assurant
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$12M in fraud stopped

“Using Shift Claims Fraud Detection we are able to identify suspicious activities in real time, at FNOL and throughout the claims process.”
Samuel Klaus
Head of Fraud, AXA Switzerland
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Reduced Time to Process

“[Shift] improves our ability to detect fraud by reducing the number of false positives and provides our claims handlers with the right tools for investigations.”
Janny Druon
Head of Claims Analytics, L’olivier
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Fighting Fraud at an Industry Scale

“By harnessing Shift’s fraud detection technology, our members can now identify connections between people, providers and claims - it’s a game changer in our collective fight against fraud.”
Ho Kai Weng
CE, GIA
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Learn how Shift can help you successfully identify, investigate and prevent more fraud