Claims scoring has emerged as an effective way to mitigate losses stemming from fraud. Insurers begin by establishing a rules-based system. Scores are predicated on the rules. If a score reaches a certain threshold, an insurer flags the claim and takes appropriate action.Will Fulton, president of Charlestown, Mass.-based technology solutions provider First Notice Systems, says that "insurers place a weight on custom fraud indicators during call flow to a call center."

First Notice Systems offers insurers ClaimsCapture to detect suspicious claims earlier in the process. The solution is largely targeted to auto insurers. A score is tallied for all fraud indicators and the score is compared against custom thresholds established by insurer.

Register or login for access to this item and much more

All Digital Insurance content is archived after seven days.

Community members receive:
  • All recent and archived articles
  • Conference offers and updates
  • A full menu of enewsletter options
  • Web seminars, white papers, ebooks

Don't have an account? Register for Free Unlimited Access