Industry leader fights fraudulent claims with new technology based tools - Live Insurance News


Live Insurance News
Industry leader fights fraudulent claims with new technology based tools
Live Insurance News
The resulting inconsistent processes and inefficient data management sap resources and slow turnaround times, which leads to negative customer experiences. Predictive insurance claims processing, or claims analytics, is the process to analyze the ...

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Top 9 fraud and abuse areas big data tools can target - Government Health IT

Top 9 fraud and abuse areas big data tools can target
Government Health IT
In a similar manner to how credit card fraud is identified, our healthcare system needs to constantly and automatically seek out suspicious activities at all levels. Pattern tracking, anomaly detection, and link analysis techniques need to be perfected ...

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For Some, Security is a Starting Point for Big Data - Wall Street Journal (blog)

For Some, Security is a Starting Point for Big Data
Wall Street Journal (blog)
That's just one example of the kind of analysis done by data scientists to detect potential fraud before it happens, and Carges says there's been a “measurable decrease in fraud” since the organization began using this technology.

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New SAS Release Designed to Save Time in Fraud Investigations - PropertyCasualty360

New SAS Release Designed to Save Time in Fraud Investigations
PropertyCasualty360
To detect more fraud, reduce false positives, and improve investigator efficiency, insurers now have the latest version of SAS Fraud Framework for Insurance. Enhancements include streamlined social network analysis, pre-built insurance content for ...

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Historic Medicare Fraud Strike Force Takedown - Federal Bureau of Investigation (press release) (blog)

Historic Medicare Fraud Strike Force Takedown
Federal Bureau of Investigation (press release) (blog)
A nationwide takedown by Medicare Fraud Strike Force operations in seven cities has resulted in charges against 107 individuals, including doctors, nurses, and other licensed medical professionals, for their participation in Medicare fraud schemes ...

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One Customs facility misused: Huge quantity of auto parts imported as 'scrap' - Business Recorder

One Customs facility misused: Huge quantity of auto parts imported as 'scrap'
Business Recorder
ISLAMABAD: Directorate General of Intelligence and Investigation Inland Revenue (IR) Federal Board of Revenue has detected a unique kind of fraud at the import stage where huge quantity of auto parts are being imported under the cover of scrap and ...

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ThreatMetrix and Aite Group Announce Joint Webinar: "Implementing FFIEC ... - San Francisco Chronicle (press release)

ThreatMetrix and Aite Group Announce Joint Webinar: "Implementing FFIEC ...
San Francisco Chronicle (press release)
Sophisticated fraud techniques include account takeover attempts, identity theft, data breaches and man-in-the-middle, man-in-the-browser, phishing, session hijacking, key-logging and other malware driven attacks. FFIEC banking guidelines recommend ...

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