Insurance

The Detica NetReveal® solution for insurance fraud enables insurers to reduce their exposure to organised and opportunistic fraud and improve customer service across all lines of business, including:

  • Auto insurance.
  • Home insurance.
  • Commercial insurance.
  • Health insurance.
  • Workers compensation / Employers liability.
  • Life and pensions.
  • Intermediary / broker.
  • Personal injury.
  • Public liability.

Types of fraud and criminality detected include:

  • Claims fraud.
  • Application fraud.
  • Staff / employee / broker fraud, including non-compliance.
  • Money laundering.

By applying the unique social network analysis and scoring techniques to national scale data sets of product customer data and transactions, Detica NetReveal®:

  • improves detection of fraud by up to 100% over other systems;
  • increases the return on investment per investigator by up to 400%;
  • reduces false positives by up to 70%;
  • enables faster decision making by allowing real-time identification of fraudulent activity;
  • reduces claim handling times and expedites valid claims.

The Detica NetReveal® solution for insurance fraud also adds a new dimension to fraud diagnosis and prediction by detecting new fraud modus operandi used by criminal networks.