Combating Insurance Fraud with Analysis, Reporting and Prevention

Original price was: € 199,00.Current price is: € 0,00.

WHAT IS IT ABOUT?

Gather the critical data needed to detect and prevent insurance fraud with this comprehensive questionnaire. Get insights on the most effective strategies to protect your organization from financial losses.

SKU: 6f0d7826-e186-4712-a9c9-7f7660b6d8dd Category: Tags: , , , , ,
Theme:
Available in: English, Dutch, French, German, Spanish
  • The Risk Management department that needs to identify fraudulent patterns and mitigate corporate risk.
  • The Legal team who wants verifiable evidence to prosecute and reduce crime.
  • The Compliance manager who is interested in helping his team by preventing and deterring fraudulent activity.
  • The Data Analytics department that requires a systematic approach to recognize suspicious behaviors determining risk levels.
  • The Audit team looking for objective tools that assist with the proper investigation of reported claims.
Detection
Identifying red flags in claims data

Analysis
Monitoring and investigating trends

Prevention
Implementing fraud proof processes

As you can see, you're not asking your respondents for opinions, satisfaction or agreement. Our scientific research has shown that these are very bad fuel for algorithms. Instead, we ask for verifiable facts or -behaviour. For further reading, you can download our AMAIZE magazine dedicated to this topic or discover the scientific papers in the Resources section.

After you have downloaded this questionnaire, you can - in your Toolbox - edit, add/delete, and translate questions & answers to your liking. Clicking the "Help me PRAIORITIZE" buttons in the Toolbox activates our A.I. to help you finish your masterpiece..

Q. How do you identify sources of fraudulent data?
  1. We do not track or analyze it.
  2. We use basic monitoring tools.
  3. We have sophisticated analytics capabilities.

Q. What data sources have you used to connect related claims?
  1. We have no data sources.
  2. We use manually collected data.
  3. We employ automated data matching.
The artificial intelligence creating the questionnaires for the store has been inspired by over 11.000 whitepapers from more than 100 noted consultancy firms. Algorithms selected the 20% best papers and grouped papers from different consultancy firms into specific questionnaires. Why settle for less? Here is a summary how we did it.

If you feel you need outside support after conducting your assessment, we recommend the firms that have written the below mentioned whitepapers. Not having a paper selected does NOT mean that a firm does not give good advice.
NAMETITLE PAPER
oliverwymanOW Reflections From CES 2015.pdf
bluematterconsultingmedicines-in-development-report-rare-diseases.pdf
infosyscomplex-multilayered-architecture.pdf
pearlmeyerreevaluating-short-and-long-term-incentive-plans-during-crisis.pdf
oliverwymanOW_En__EGY_PUBL_2009_EnsuringRecoverybyBolsteringthBottomLine.pdf
leklek-global_smart_metering_report_2009-2010.pdf
pwcpwc-fit-for-growth-insurance-survey.pdf
boozallenmobile-application-security.pdf
You will download so much more than a set of questions and answers. This questionnaire contains everything for the full consultancy experience:
  • Respondent profiles for a helicopter view of your audience.
  • A maturity model with which algorithms calculate a six times smarter improvement target (compared to when you leave that to a human).
  • Improvement suggestions (per question) how to move from one answer to another
  • Suggested follow-on projects. After all, moving your organization from A to B might require more than just doing an assessment.
This English questionnaire is also available in Dutch, French, German, and Spanish.

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