Detector Claims

“One clue is a clue,
two clues are a coincidence,
but three clues provide proof.”

Hércule Poirot

GENERAL OVERVIEW

Detector Claims is a comprehensive web-based solution that provides 360° claims detection.

Detection efficiency

Our customers have enjoyed a 400% improvement in the number of cases successfully investigated and a 300% improvement in fraud detection efficiency.

Expertise

Platform developed by the leading claims outsourcing TPA in Italy and by seasoned claims’ experts.

Innovative alert rules

Evaluation of the risk of fraud in claims through the use of independent indicators from different approaches, such as machine learning, relational analysis and socio-economic analysis.

Efficiency of the operating model

Workflow to manage operations and processes.

Response

Big data approach to manage high volumes of data in real-time.

DETECTOR INDICES

Scoring Accuracy

Kube Partners recognises the expertise of seasoned decision-makers in detecting and examining insurance fraud. Claims handlers who, supported by Artificial Intelligence and Machine Learning algorithms, can enhance their fraud decisioning acumen to improve accuracy and efficiency in combatting fraud and ultimately reduce overall costs. Detector Claims includes hundreds of different criteria to establish how dangerous a claim can be. It can ingest external data to further deepen the analysis. The criteria used are organised into five groups:

Heuristic

Technical experience of claims handlers combined with historical data and external data feed

Photo-Docs

Multiple approaches to detect altered photos & docs

Geographical

Geographical analysis of the claim and of the counterparts

Network

Identification of complex relationships between claim and counterparties to identify hidden connections & anomalies

Predictive

Advanced and independent Machine Learning algorithms

Our commercial team
is keen to hear from you

Spain / Portugal

Guido Romani
+34 636 094 778

UK / Ireland

Philip Keith
+44 746 849 9801

Poland / Eastern Europe

Krzysztof Trojak
+48 691 111 665

International

Agni Zygner
+39 333 118 90 04

Italy

Andrea Guerra
+39 335 75 16 282