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.
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