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Fraud
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Insurers are responding to increased fraud activity with more anti-fraud technology budget, aimed at detecting potentially fraud as early as possible in the claims lifecycle.Be the first to comment
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Insurers have lots of data, and they are finding new ways to leverage it. High-performance analytics technology is inspiring a whole new set of fraud detection capabilities.
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Among a roster of recent appointments and promotions announced by Selective Insurance were George Neale as SVP, Chief Claims Officer, and John Bresney as SVP, Application Delivery Services.
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Genworth U.S. Life Companies reduces new policy cycle times from about 25 days to an average of eight by adopting Aplifi's multi-carrier electronic settlement platform.
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The software business of Xchanging is offering an end-to-end module-based solution built on a single data model.
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Implementing a consolidated litigation management solution helps insurers trim claim expense costs, streamline and automate workflows, and enforce best practices throughout the claims discipline.
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Over the last few years, there has been increasingly industry buzz about capability models, enterprise business frameworks, reference models, etc. What are they, how can organizations benefit from them, and what types of projects can leverage them?
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Text analytics can bridge the gap between structured and unstructured data, opening up the benefits of text mining for fraud detection.
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Universal American has saved millions using a FICO predictive modeling tool to uncover fraud. Here's how.
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Former Senator Ben Nelson brings legislative, regulatory and executive experience to CEO role.
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From personal experience, I've long known that insurance fraud was what might be called a "burning issue" for insurers and society at large, so it is perhaps appropriate that Mercury Insurance should torch a car — and send us a pretty awesome image — to call attention to the problem.
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The software "networks and scores related entities and records within a company’s data to expose networks of suspicious activity," according to a statement
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Sebastian Pariath led a global IT transformation initiative for Manulife corporate before being named head of the company's US operations at John Hancock.
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While safety has increased and frequency of injury has decreased, severity of injuries has increased, suggesting that medical providers are shifting costs from government and private health payers to casualty insurers.
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The health of the U.S. economy has been central to the campaign for the White House, with both President Barack Obama and Republican challenger Mitt Romney seeking to convince voters they have a plan to usher in faster growth and job creation.
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Allstate and Allstate New Jersey say tropical cyclone and hurricane deductibles on property policies will not be applied for Northeast and several Mid-Atlantic states affected by last week's superstorm.
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Sandy's Aftermath: ispatches from Hoboken, New Jersey; reflections on community, loss, and the possible role of the insurance and banking industries.
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Sandy appears to be that once-in-a-lifetime storm; it's too early to know what the costs will be, but insurers' responses will be in the spotlight.
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Automated underwriting systems offer the promise of better information and greater efficiency But insurers considering such systems should prepare a checklist to make sure that the systems address the underwriters’ concerns.
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Humana's Brian LeClaire leads an organization deeply invested in leveraging the power of big data and advanced analytics to improve healthcare outcomes.
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For Builders Mutual CIO Graeme Boddy, the recession offered an opportunity to build infrastructure for a new kind of insurance agent and customer. Today, the company is reaping the rewards.
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Other technologies highlighted as key to stopping fraud included link analysis, business rules and external databases.
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Combined with predictive analytics and link analysis, big data offers insurers a powerful antifraud tool.
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Effective leveraging of next-generation technologies was key to the companies being recognized.
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The fixed-income investment landscape has changed dramatically over the past 15 years, yet investment guidelines set out by the NAIC have stayed largely the same. Now, state regulators are starting to catch up, which means insurers must update their investment policies, compliance procedures, and the technology that supports them.
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