Traditional fraud detection techniques fail to uncover collusion between different entities involved in a claim fraud. Discovering the ring requires joining a number of tables in a complex schema such as Accidents, Vehicles, Owners, Drivers, Passengers, Pedestrians, Witnesses, Providers, and joining these together multiple times— once per potential role— in order to uncover the full picture.
Fraud cases missed due to lack of rules leveraging social networks can cause large dent to the exchequer of an insurer eroding shareholder value.
Hybrid approach for Fraud detection – Simple Business Rules as well Social network based rules
Model multiple business entities in a claim along with their relationships
Leverage Graph data science for community detection
Simple investigation UI for alert disposition
Advanced investigation capability for entities linked to a claim
Ability to define and/or modify rules
Historical analysis of alerts to optimize rules
What benefit will it provide?
Unearth hidden fraudulent claims improving detection and increasing fraud investigation
Why is it required?
What does it do?
IntelliDetect empowers Fraud Investigation Units with a tool that not only runs automated rules but also provides all the information required for investigation at their fingertips.