Whether it’s hard fraud (e.g., staged accidents) or soft fraud (e.g., embezzlement), there are always indicators that can suggest a high-risk claimant — while these are often subtle, if they are uncovered they can provide a significantly positive impact on an insurer’s bottom line.
Benefits for the company
Fraudulent activity costs the insurance industry billions annually.
Type of expertise/ AI domain
Deep Neural Networks, Support Vector Machines, Clustering, Anomaly Detection
Internal data required
Historical Payment and User Activity Data