AI-powered claim fraud defense: trusted by global insurers
Stay one step ahead of insurance claim fraud
It has become standard for insurance customers to expect insurers to underwrite more risks, in more and more varied policy types, with the speed and ease of digital document management. Meanwhile, sophisticated fraud techniques, data breaches and third-party leaks of personal information to the dark web have all given fraudsters more opportunity to submit spurious claims. This is where Qualitest’s AI fraud detection solution comes in.
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Use AI to detect 15 – 25% more claims fraud in your digital documents and trigger real-time alerts.
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Rapidly compare documents to uncover claim duplication.
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Automatically detect normal usage patterns and identify anomalies through machine learning.
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Save valuable time on unnecessary investigations; our solution does this outstandingly well for you.
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Reduce damages and loss by preemptively capturing fraudulent claims.
Revolutionize your claims data processing with the power of AI
With powerful AI capabilities embedded in your document verification and fraud detection, you instantly gain next-gen efficiency in your claims handling. Qualitest AI fraud detection solution scans every last document and significantly increases digital claims fraud detection by 15 – 25%. With the help of Qualitest’s AI fraud detection solution, you can:
Leverage cutting-edge AI to ensure your organization has maximized efforts to minimize the risk of claim fraud.
Claims evidence comes in different forms. Every inbound form, check, opinion, and summary of a medical visit looks different. Our AI solution learns all possible patterns, identifying both content, text, and visual details.
Every day, thousands of documents flow through your systems. With our solution’s practical dashboard, you can organize and monitor every stage, seeing how many documents are scanned, and identifying those that are clean, suspicious, or flagged as potentially fraudulent.
Measure system efficiency with clear metrics. Gain a significant increase in the detection rates, reduced fraudulent costs and damages, and save the time of your signing and investigation teams for true efficiency and coverage.
A next-gen weapon in your fight against fraud
Insurance fraud impacts millions of customers, leading to higher premiums and harming the general population. In the age of deepfakes, you need an effective solution to this major problem.
Qualitest’s fraud detection solution is an advanced AI tool to significantly reduce fraud cases, enabling you to offer more cost-effective services to your customers. It enables you to:
Ensure complete confidence in your claims process by comparing every registered document to historical records, effectively preventing fraud through duplicated claims.
Effortlessly detect and stop malicious document alterations and unjustified claims with our quick and precise manipulation detection capabilities.
Harness the power of our advanced AI to analyze vast amounts of data, uncover hidden patterns, and distinguish ‘normal’ patterns in valid documents, significantly enhancing detection speed and efficiency.
Protect your system with proactive ‘watchdogs’ that learn from past positive cases and continuously monitor for similar fraudulent characteristics, ensuring breaches never recur.
Transform scanned document content into actionable data, unlocking a new world of analytical insights, business intelligence, and enhanced operational capabilities.
Secures 40% Cost Efficiency with Expert Quality Engineered Managed Testing Services
01-Herausforderungen
Quality and agility issues were hampering the Agile transformation the Client had embarked upon.
Incumbent suppliers had become too comfortable with the status quo to deliver dynamic solutions.
02-Lösungen
Using AI tools, Qualitest devised a comprehensive Quality Engineering Strategy for present and future Business Assurance.
We laid out a roadmap to implement changes across culture, process and technology to mature their testing organization into a Quality Engineering function, building quality into every point in the product journey.
03-Ergebnisse
2,000 hours saved by utilization improvements. 100% critical scenarios automated. 47% regression automation achieved (increased from <5% in three months).
Defect rejection rate reduced by 85%. Defect detection rate increased by 3.6x. Defect removal effectiveness increased to 98%.
Lassen Sie uns wissen, wie wir Sie unterstützen können.
We’re ready to talk, how can we make your life easier?