Tag: Aite Group
Posted in Technology
Detecting Worker’s Comp Claims Fraud Through Technology
Author: admin Published Date: July 10, 2018
The struggling economy has hit insurers hard and has taken its toll in particular on the workers’ compensation system. In addition to premium abuses by employers, claims fraud and abuse by workers and service providers have produced significant losses. As a result, insurers are constantly seeking new understandings that will allow them to gain a competitive advantage, reduce costs and improve risk management. While there are numerous opportunities to improve processes using traditional business intelligence, new automated core systems are driving a shift particularly in worker’s compensation claims to focus on advanced analytics. Number of Comp Claims Decrease While Questionable…