Insurance Fraud

Reduce the time, effort, and risk of your company’s insurance fraud investigations to make a serious, lasting impact on the bottom line.

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Eric O., Director of Compliance Audits

High cost of fraud

INSURANCE FRAUD PER YEAR
The FBI estimates the total cost of non-health insurance fraud at $40 billion per year.

SAY OVERSTATING CLAIMS OK
Nearly 1 in 3 Americans surveyed say it’s acceptable to overstate claims to insurers.

PER YEAR
Per the NICB, insurance crime costs U.S. businesses $20 billion a year.

Smart integrations, advanced reporting and user-configurable workflows make this the most powerful software tool kit in the industry.

Easily integrate with your claims system
Seamless integration allows Case IQ to create a new case file whenever suspicious activity is flagged. This dramatically cuts admin time.
Identify risk areas more precisely
Automated risk scoring allows you to easily tailor risk profiles, then create score-based workflow rules including notifications and task assignments.
Simplify compliance with ever-changing regulations
By automating the filing of SARs/STRs directly from the application, you can meet deadlines, get approvals and ensure every report gets filed correctly.
Keep all case data in one place
Save precious time with a centralized database to secure all case information, including audio and video files, images, supporting documents and more.

How to Conduct Effective Insurance Fraud Investigations: Your Ultimate Guide