Fraud Detection & Prevention

SEC Probes Cutter Financial Over Misleading Exoneration Claims
Regulatory & Compliance SEC Probes Cutter Financial Over Misleading Exoneration Claims

As the financial landscape continues to emphasize transparency, Cutter Financial Group LLC has found itself under scrutiny by the US Securities and Exchange Commission (SEC) following controversial post-verdict statements. The SEC's recent move to involve a federal court is a development drawing

Evolving Strategies in Micro-Captive Insurance Amid IRS Scrutiny
Data Analytics Evolving Strategies in Micro-Captive Insurance Amid IRS Scrutiny

In recent years, micro-captive insurance has garnered significant attention due to its intricate balance between legitimate tax advantages and increased regulatory scrutiny. Central to this discussion is the 831(b) tax election, part of the 1986 Tax Reform Act, originally designed to support small,

Insurers Turn to Automation to Combat Rising Claims Costs
AI & Automation Insurers Turn to Automation to Combat Rising Claims Costs

The insurance industry has been facing a relentless onslaught of challenges, where rising claims costs threaten profitability and efficiency. Driven by inflation, unpredictable weather patterns, and increased fraud, these mounting expenses are forcing insurers to reevaluate their operations.

Are You Using Your Medicare Summary to Prevent Fraud?
Data Analytics Are You Using Your Medicare Summary to Prevent Fraud?

In an age where fraudsters constantly evolve their tactics, Medicare beneficiaries have a key tool at their disposal to combat health care fraud: the Medicare Summary Notice (MSN). Each MSN provides a detailed record of services and supplies billed to Medicare, effectively serving as a valuable

Festina Finance Transforms UK Pension Market with New Platform
Data Analytics Festina Finance Transforms UK Pension Market with New Platform

Imagine a bustling world where traditional sectors are seamlessly integrating new technologies, enhancing their operational effectiveness drastically. In this technological era, a transformative wave has hit the UK pension market, promising a revolution that modernizes and revitalizes established

Can Collaboration and AI Transform Insurance Fraud Detection?
Data Analytics Can Collaboration and AI Transform Insurance Fraud Detection?

The Canadian Life and Health Insurance Association (CLHIA) initiated a transformative approach toward combating insurance fraud, particularly provider claims fraud, through a data pooling program launched a few years ago. The initiative brings together numerous stakeholders within the industry to

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