Insurance Fraud Detection
Action the Halo Effect to uncover fraud, waste, and abuse
OUR SOLUTION
Avoid costly fraudulent payments
Daisy’s AI-powered Fraud Detection Solution applies reinforcement learning and fuzzy logic to resolve identities, detect suspicious claims and avoid costly fraudulent payments.
Our solution includes Case Management to ensure Investigators can manage their work from initial suspicion all the way to case closure and recoveries.
We’re offering
A Fraud Detection Solution that makes an impact
Identify genuine claims accurately
Reduce the number of false-positives
Reduce customer frustration and increase trust in the system
Identify all suspicious behavior in their claims data
Proactively eliminate fraud before costly payments are made
Increase overall profitability as a result
An automated investigative process
The elimination of manual effort
The elimination of time-consuming investigative tools (e.g., Microsoft Excel)
Uncover previously undetected fraud
Find opportunities to recoup past losses
Maximize profits as a result
The features that make us unique
Alerts for fraudulent activity
Cutting-edge AI
End-to-end investigate process
AI made simple
GIVE US A CALL!
Learn more about how we’re identifying the Halo Effect – outliers in high-volume claims data – to minimize fraud, waste and abuse.