Analytics Area Business Questions
Claims Settlement Analysis
  • How can one detect fraudulent claims using business rules and statistical analytics?
  • How can one optimize the Claims processes that includes activity optimization, payments optimization, etc.?
  • How can one develop a fraud-propensity score using the existing transactional data?
  • How can an insurer predict and identify the fraud activities before it impacts the business?
Fraud, Waste & Abuse (FWA)
  • How can one leverage the existing data to discover previously unknown fraud schemes?
  • Can one differentiate between the opportunistic fraud and the professional fraud?
  • How can one develop a fraud-propensity score using the existing transactional data?
  • How can an insurer predict and identify the fraud activities before it impacts the business?

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