Whitepaper
For Insurance
Insurance Fraud Detection & Investigation Software
Automatically identify organized crime groups and detect suspicious claims with up to 90% accuracy.
Overview
Leverage flexible scores, ML, AI, and other advanced capabilities to quickly stop your biggest fraudsters.
Automatically identify organized crime groups and detect suspicious claims with up to 90% accuracy - with flexible scores, ML, AI, and advanced graph analytics tuned to insurance-specific fraud patterns.
Data Integration
Connect any or all of your data, in one place
DataWalk is fraud analytics software where all of your data is visible, connected, and available for analysis. This includes data you may have from your claims system(s), CRM, other internal sources, external subscription services, OSINT sources such as social media, and services such as NICB or ISO. If needed, DataWalk can easily scale to handle billions of records.
Detection
Automatically detect organized crime groups
DataWalk’s clustering technology enables fast, automatic identification of suspicious networks, enabling you to quickly detect organized crime groups. Being able to quickly identify and defend against these criminal organizations can help you to dramatically reduce fraud losses.
Accuracy
False positive rates as low as 10%
DataWalk provides a simple interface for quickly generating powerful claim scores. These scores can be based on a combination of expert rules, clustering (social network analysis), neural networks and other technologies to provide more effective scoring of claims or cases. Expert rules are flexible and easily tuned, enabling you to continually improve detection accuracy and reduce false positive rates to as low as 10%.
Transparency
Transparent scoring
Some alternative insurance fraud detection software products behave as a “black box,” automatically identifying suspicious claims, but without enabling you to understand the triggers and conditions. With DataWalk scores are transparent, so that you can fully understand what generated a high score or triggered an alert.
Automation
Automate and operationalize results
The DataWalk platform is designed to be a part of your Enterprise workflow. DataWalk has open APIs to import/export data from/to other systems, and to enable other systems to initiate DataWalk analyses or extract data or results from DataWalk. Suspicious claims can automatically be forwarded to SIU, without the need for manual intervention. DataWalk also includes basic case management functionality, or can interface with your existing case management system.
Triage
Accelerate triage and investigations
DataWalk’s extreme accuracy in fraud detection may enable you to dramatically accelerate - or even eliminate - triage. When you need to investigate a claim, DataWalk’s integrated investigations facility helps you efficiently perform both simple and complex organizations.
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