The uphill battle facing state insurance fraud bureaus
With personnel retention at an all-time low, the volume of referrals frequently overwhelms investigators. Manual processes impede case prioritization, leading to delays in investigations and prosecutions. When coupled with limited access to industry data for connecting the dots, the odds are stacked against state fraud investigators, until now
Get the industry’s premier solution for insurance fraud bureaus
Anti-Fraud One – Government boosts efficiency, and allowing you to help more people and fight crime in your state with less resources.
Integrate quickly and easily with little to no IT lift
Anti-Fraud One – Government combines ClaimSearch®, Claims Scoring℠, and Network Analytics™ into one seamless, easily deployed solution.
Access the industry’s largest database
ClaimSearch is the world’s largest P&C claims database, giving state fraud bureaus unparalleled, automated insights into more than 1.8 billion claims.
Leverage Verisk’s longstanding relationship with the NICB
We’ve worked with the National Insurance Crime Bureau since 1998, allowing mutual clients to refer suspicious claims to the NICB and receive automated questionable claim alerts.
State fraud bureau process
From referral to investigation:
Features and capabilities
Referral scoring
Score and triage industry fraud referrals with expert business rules and the ability to customize rule sets.
Link analysis
Analyze vast data sets to quickly identify criminal fraud rings.
NICB service
Regional analysts from NICB offer proactive monthly intelligence reports and studies using Verisk's data and link analysis capabilities.
Industry-based data assets
Verisk’s vast, industry-based datasets can proactively fuel insights across the insurance lifecycle, and our experts can help strategize how to leverage these assets to meet critical needs.
Related resources
Keep up with the latest news and our forward-thinking insights.
Case study
Making Florida a leader in the fight against claims fraud
Learn how Florida’s Division of Investigative and Forensic Services transformed to embrace automation and handle high volumes of referrals by leveraging industry data.
Webinar
Boosting Efficiency in Fraud Investigations
This webinar explores how to build a robust business case for improving efficiency in fraud investigations and analyzing the impact of this investment.
Flyer
Score referrals and investigate with efficiency
Anti-Fraud One – Government automates processes and provides state fraud bureaus with access to industry-wide data.
Article
Who Commits Insurance Fraud, part 1: “But is insurance fraud even a crime?”
Everyone in our industry knows that insurance fraud is a serious problem that costs Americans more than $308 billion annually. But does that awareness extend to the people who purchase insurance policies? Possibly not.
Article
Who Commits Insurance Fraud, part 2: What motivates insurance fraud?
The prevalence of insurance fraud raises important questions about its status as a criminal act. In a recent study we conducted jointly with the Coalition Against Insurance Fraud, we delved deeper into perceptions and attitudes toward insurance fraud.
Do more with the Verisk ecosystem
Anti-Fraud One – Government is part of a full suite of claims solutions that provide compliance, claims development, and deeper fraud analysis and tools.
The world’s largest P&C claims database
Fast-track claims while improving fraud detection with access to data from more than 1.8 billion claims.
Claim scoring through predictive analytics
These models deliver enhanced claim scores and reason codes to detect potential fraud and support investigations.
Advanced link analysis to fight organized insurance fraud
Discover the hidden relationships and connections among claimants, providers, and businesses.
Missing details to complete claims
Get hundreds of supplemental data reports to enhance claim analysis and investigations.
Fraudulent images in claims identified
This automated process applies a series of algorithms to every customer-submitted loss photo to expose anomalies.
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