Shift Technology Teams with Accenture to Enable Seamless Fraud Detection in Guidewire’s Claims-Management Solution
2019 JUN 12 (NewsRx) -- By a
Deployed in a software-as-a-service (SaaS) model, FORCE applies advanced artificial intelligence and data science to an insurer’s claims and claims-related data to automatically detect potentially fraudulent claims. By analyzing vast amounts of data from multiple sources, FORCE dynamically generates a fraud score for each claim that indicates how suspicious the claim is, contributing factors, and how the claim could be investigated. The technology also delivers contextual guidance for investigation and resolution.
“There’s a marked effort by forward-thinking insurers to continue modernizing their processes and procedures, and fraud detection is clearly the next frontier,” explained
The integration of FORCE into Guidewire ClaimCenter enables insurers to resolve non-fraudulent claims faster by making real-time assessment of the risk of fraud during the entire lifecycle of a claim - including at first notice of loss (FNOL), during any relevant updates, at payment, and even on demand. Automating an insurer’s claims can accelerate claims processing, significantly reduce operational costs and improve the insured’s customer experience.
“We use innovative solutions to help insurers accelerate their digital transformations,” said
More information about the solution can be found here. About Shift Technology Shift Technology delivers the only AI-native fraud detection and claims automation solutions built specifically for the global insurance industry. Our SaaS solutions identify individual and network fraud with double the accuracy of competing offerings, and provide contextual guidance to help insurers achieve faster, more accurate claim resolutions. Shift has analyzed hundreds of millions of claims to date and was named by CB Insights to the 2018 Global AI Top 100. For more information please visit www.shift-technology.com. View source version on businesswire.com: https://www.businesswire.com/news/home/20190528005055/en/
(Our reports deliver fact-based news of research and discoveries from around the world.)


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