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Detecting fraud manually or through simple business rules often leads to delays, missed insights and false positives. Risk Detect helps insurers simplify fraud detection across the insurance life cycle using advanced multi-layered analytics. By automating investigations and reducing false positives, insurers can respond faster and more accurately to both opportunistic and organized fraud, improving operational effectiveness and delivering greater economic benefits.
Leverage advanced analytics and machine learning to instantly help detect opportunistic fraud, policy misrepresentation and organized fraud networks. Uncover hidden connections and fraud schemes across business lines.
Improve fraud detection by combining your claims, policy and third-party data into an enriched set. Our system provides a single view, identifies suspicious activities and simplifies case assignments to help boost potential.
Detect fraud early in the claims lifecycle to help prevent fraudulent payments and reduce indemnity costs. By consolidating your claims, policy, and third-party data into a single view and automating investigating processes and tools, our platform improves cycle times and operational effectiveness.
Our solution uses multi-layered analytics, including risk indicators, generative AI, machine learning and third-party data. It helps reduce false positives, increases the quantity and quality of fraud referrals, and provides overall transparency and explainability into each analytic score.
Identify and visualize organized fraud networks, reducing manual work. By uncovering hidden connections across claims and policies, our system enables faster, more effective investigations, helping insurers act quickly.
Our AI-driven approach offers transparency and explainability. Our platform provides customizable, detailed fraud indicators with clear reasoning behind each score, helping insurers make informed decisions and support investigative workflows.