CSC's Fraud Analytics Suite™ gives insurance carriers the ability to identify fraud before the claim is paid. Fraud Analytics Suite can have a major positive impact on a carrier’s loss ratio because it provides a comprehensive approach to identifying suspicious claims.

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Fraud Analytics Suite
This software tool combines complementary technologies for detecting and managing
suspicious claims from the first notice of loss and re-scoring throughout the life of the claim.

A Comprehensive Approach to Identifying Suspicious Claims

The keys to a successful fraud identification program are early, swift detection and quick, comprehensive investigations. Fraud Analytics Suite is an early fraud detection expert system developed to streamline this process.

Fraud Analytics Suite combines predictive data modeling technology, identity search technologies, fraud indicator business rules, company claims information and industry data sources to help flag suspicious claims as early as the first notice of loss.

Fraud Analytics Suite allows you to:

• Detect fraud early
• Identify the right claims to focus on
• Automate time-consuming processes
• Streamline workflow
• Quickly identify suspicious participants or patterns in claims

Fraud Analytics Suite requires minimal adjuster intervention yet provides a consistent and systematic review of all claims. In the event a claim is deemed suspicious, the workflow rules prioritize and organize claims so the appropriate action can be taken. Fraud Analytics Suite increases the quality and timeliness of referrals to the SIU, ensuring investigators focus on the highest payback opportunities.

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