Fraud Detection & Prevention

How Are Canadian Insurers Fighting Group Benefit Fraud?
Data Analytics How Are Canadian Insurers Fighting Group Benefit Fraud?

The adage "crime doesn't pay" holds particularly true in the realm of insurance, where the deceptive practices of a dishonest few can have a ripple effect across an entire industry. In Canada, group health and dental insurance fraud—though often unseen—is a pervasive issue that ultimately costs

How Is AI Redefining the Fight Against Insurance Fraud?
Data Analytics How Is AI Redefining the Fight Against Insurance Fraud?

The ever-evolving landscape of insurance fraud has propelled the industry toward a technological revolution, and at the forefront of this battlefield is artificial intelligence (AI). As fraudsters become increasingly sophisticated, insurance companies like Zurich Insurance Group are leveraging AI

How Is AI Changing the Health Insurance Landscape?
Data Analytics How Is AI Changing the Health Insurance Landscape?

The health insurance industry stands at the cusp of a revolution, with artificial intelligence (AI) paving the way for transformative change. As technology advances, the efficiency and precision with which insurance companies operate have witnessed unprecedented improvements. Particularly, AI's

How Does Fraud Detect Impact Public Benefit Claimants?
Data Analytics How Does Fraud Detect Impact Public Benefit Claimants?

EPIC's Allegations The privacy watchdog EPIC has filed a complaint with the FTC against Thomson Reuters's "Fraud Detect" software, arguing that its faulty fraud predictions could erode public trust. The tool analyzes a range of personal data, including individuals’ shopping and social media

How is AI Transforming Medicare Fraud Detection?
Data Analytics How is AI Transforming Medicare Fraud Detection?

The US healthcare system is under significant financial strain due to Medicare fraud, with billions in losses every year. Traditional methods of manual checks are unable to cope with the vast number of claims, making the detection of fraudulent activities incredibly challenging. Artificial

How is AI Transforming Fraud Detection in Insurance?
Data Analytics How is AI Transforming Fraud Detection in Insurance?

The insurance industry is facing a critical challenge with fraudulent claims, which cause significant financial losses. As a result, there has been a heightened necessity for increased security measures. Enter Artificial Intelligence (AI), a beacon of cutting-edge technology, which is

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