With our Fraud Detection Solution, insurers can:
Identify genuine claims accurately
Reduce the number of false-positives
Reduce customer frustration and increase trust in the system
Our solution helps insurers:
Identify all suspicious behavior in their claims data
Proactively eliminate fraud before costly payments are made
Increase overall profitability as a result
Our Fraud Detection Solution delivers:
An automated investigative process
The elimination of manual effort
The elimination of time-consuming investigative tools (e.g., Microsoft Excel)
Our Fraud Detection Solution helps insurers:
Uncover previously undetected fraud
Find opportunities to recoup past losses
Maximize profits as a result
IDENTIFY RISK AND AVOID FRAUD
Mitigate emerging fraud and risk with Halo-based AI
Alerts for fraudulent activity
Our Fraud Detection Solution actions the Halo Effect to uncover anomalies in claims data, which improves the accuracy of fraud detection. It quickly identifies and alerts investigators to patterns and anomalies that may indicate fraudulent activity, even if it is undetectable by the human eye. Suspicious entities are easy to identify with our Daisy Suspicion Score & Suspicion Index.
Cutting-edge AI
Our technology applies reinforcement learning, fuzzy logic, and a proprietary mathematical theory (Theory of Risk™) to resolve identities, detect suspicious claims and avoid costly fraudulent payments, all while automating claims processing. When complex cases require human intervention, investigators receive contextual guidance from Daisy that supports decision-making.
End-to-end investigate process
Daisy’s Case Management capabilities accelerate the investigative process by enabling investigators and managers to track and manage high value, high complexity cases and better serve genuine customers.
AI made simple
Our patented software runs autonomously, preventing human error in your investigative process. Daisy takes the complexity out of artificial intelligence; we provide plain-language explanations for all our alerts.
340 King Street East, 4th Floor, Toronto, ON M5A 1K8
Phone: 905-642-2629