ForceTM Insurance Fraud Detection

With over 100 MILLION P&C claims analyzed and myriad alerts EVALUATED and CLASSIFIED by fraud handlers, Shift’s AI benefits from a vast DATA SUPPLY and INDUSTRY EXPERTISE rendering Force™ increasingly POWERFUL with time. While other fraud analytics offer rudimentary claims scoring, Force™ GOES BEYOND simple RISK PROVISION by furnishing clear, ACTIONABLE INSIGHTS on which indicators make the claim suspect.

What you get

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Security
Security

Shift datacenters are state of the art, with SOC-1, SOC-2, and ISO 27001 certifications. Our applications and systems are regularly assessed by third party security firms. Likewise, employees are thoroughly trained on proper treatment of sensitive information in both its physical and virtual forms.

Simplicity
Simplicity

Results are displayed on an ergonomic web interface designed to facilitate a fraud handler’s investigations and promote collaboration within teams. Alerts can be sorted, filtered, reassigned, and qualified. Based on proven fraud scenarios, explanations for suspicion are clear, concise, and actionable.

Optimization
Optimization

The Force™ interface provides clients with quantitative and qualitative claim reviews. This multipronged analysis increases a fraud handlers productivity allowing them to focus on only the most suspicious of their cases with preidentified paths for investigation. Furthermore, our SaaS model runs independently; all future maintenance, updates, and enhancements to the solution are deployed without any client intervention.

Ai Expertise
Ai Expertise

Shift’s renowned research team is making ground-breaking progress in insurance-related machine learning. Our clients reap the benefits of the most advanced detection methods, tailored specifically for their unique fraud environments. We don’t simply send alerts, our data scientists work alongside fraud management teams to constantly improve scenario algorithms and ensure accurate modelling of ever-evolving fraud landscapes.

How it works

How it works

Data transfer

Send claims data in your preferred format

DATA ANALYSIS

Force uses AI to analyse and score your claims

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ALERT SEND

Real-time alerts for suspicious cases sent to your fraud handling team

Pay as you go

No engagement, pay as you go and stop at any time!