Reduce Fraud. Provide Better Service. Keep Premiums Low.
The goal of insurance companies is to pay the claims that they owe. Unfortunately, insurers face a constant number of claims that are fraudulent. Industry guidelines estimate that 10 percent of filed claims contain fraud. Exactly which claims are suspect, however, is hard to discover.
Fraudulent claims impose a number of costs beyond just an unwarranted settlement. Charging higher premiums to cover fraudulent claims erodes competitive advantages. The labor, time, and resources for investigating claims drive up operating expenses. And the company’s reputation suffers when a slow claims adjustment process leads to customer complaints, negative press, and regulatory scrutiny.