Case Study Agis

FICO™ Insurance Fraud Manager doubles fraud detection performance for Agis

The healthcare insurance industry in the Netherlands has undergone a major change in recent years. A mostly nationalized system only a few years ago, healthcare today is predominantly privatized, which puts intense pressure on
insurers to be competitive. As one of the five largest Dutch health insurance providers, Agis Zorgverzekeringen understands this pressure all too well. Besides having to provide high-quality service at competitive prices, Agis executives knew that undetected fraud was costing the company millions of euros each year.

"FICO Insurance Fraud Manager was by far the best solution compared to the other two we tested,” said Van Doorn. “And we were impressed by FICO’s strong track record in decision management technology—its predictive analytics and neural
network technology."
-Erik Van Doorn, Manager, Process Quality and Support, Agis Zorgverzekeringen

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