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.
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
