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Predictive Models for Insurance Claims Fraud Detection

Custom model development for more effective and consistent fraud detection

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Annual insurance fraud losses are measured in billions of dollars, and while four out of five insurers have formal anti-fraud programs, fraud losses continue to mount. FICO helps carriers significantly improve their anti-fraud programs through custom fraud detection models. FICO's approach leverages in-depth discussions with an insurer's expert adjusters, the systematic collection of historical data and the application of powerful analytical technologies. FICO insurance clients have reduced fraud losses by as much as 20 % to 50 %.