Insurance Fraud Detection

Use real-time data to detect and resolve suspicious claims, and dramatically lower false-positive rates.

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Catch and stop insurance fraud and create more efficient investigations with Daisy’s AI by augmenting data that will dramatically lower false-positive rates.

Reduce fraud costs and save time and money

Daisy’s risk management platform saves millions of dollars in claims payments by allowing insurers to quickly detect and efficiently investigate fraudulent claims.
 

  • Increase fraud, waste, and abuse capture rates.
  • Using a combination of probabillistic rules, fuzzy rules, and rule mining, Daisy identifies various classes of anomalies.

Lower false positive rates by at least 50%

Fewer false positives lead to more productive investigations and improved loss ratio.
 

  • Daisy’s fuzzy logic aggregates suspicion from billions of simulated decisions.
  • Daisy’s suspicion index maximizes the impact of your special investigation unit’s efforts.

Lower false positive rates by at least 50%

Fewer false positives lead to more productive investigations and improved loss ratio.
 

  • Daisy’s fuzzy logic aggregates suspicion from billions of simulated decisions.
  • Daisy’s suspicion index maximizes the impact of your special investigation unit’s efforts.

Reliable, sustainable, and secure

Daisy augments traditional business rules, watch lists, and tip lines with powerful machine intelligence to find collusion, non-obvious relationships, and outliers.

Daisy’s Theory of Risk™ will:
 

  • Capture novel fraud attempts the first time they are encountered.
  • Help achieve direct bottom line savings.
  • Provide real-time actionable claim insights.

Our proven track record speaks for itself

Lower false positive rates by at least 50%

Most fraud solutions use statistical analysis to find fraud, with an inherently high false-positive rate built in. Daisy’s use of optimal control techniques delivers more accurate outcomes.

Capture waste and abuse to drive 10x ROI

Daisy’s Theory of Risk™ finds fraud and identifies high volume waste and abuse behaviours that can deliver huge returns on investment.

Daisy’s suspicion index leads to dramatic increases in automated processing volumes

Daisy’s suspicion index increases customer satisfaction levels by flagging anomalies and identifying claims that can be paid or partially paid immediately with no review and releasing reserves.

Explore Our Other Insurance Solutions

Insurance Assessment

From fraud avoidance to increasing straight through processing, Daisy’s Insurance Assessment identifies previously uncovered value and business opportunities for your company.

Claims Automation

Identify high-value fraud investigation and segment claims for automation.

Underwriting

Use AI-Powered Underwriting to evaluate 100% of claims data, align prices with risk, and drive higher profits while lowering operating costs.

Loss Ratio Optimization

Find the optimal combination of pricing, underwriting, fraud avoidance, and claim processing decisions to determine the desired loss ratio.

Contact Us

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