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What is Shift Claims Fraud?

Shift Technology’s Claims Fraud platform revolutionizes insurance fraud detection by combining AI, data integration, and investigative tools into one solution. Designed specifically for insurers, it identifies fraudulent claims at first notice of loss (FNOL) and throughout the claims lifecycle, enabling carriers to act before damage escalates. Its advanced AI models continuously learn from millions of claims and cross-carrier data, uncovering hidden patterns and sophisticated fraud rings. With the Insurance Data Network, insurers benefit from industry-wide intelligence, gaining the ability to connect dots between people, providers, and claims in real time. This reduces false positives and ensures investigators focus on the highest-impact cases, ultimately accelerating resolution. Shift also integrates external data sources and offers eForm, workflow, and reporting features to enhance operational efficiency. Trusted by over 115 insurers, it has detected 13M+ suspicious claims and helped identify billions in fraudulent payouts. Global carriers like AXA, Assurant, and L’olivier report measurable benefits, from millions saved to improved fraud prosecution outcomes. Recognized by Celent as a luminary in fraud detection, Shift stands at the forefront of insurance technology innovation. By blending scale, speed, and intelligence, it equips claims teams, SIUs, and executives with a powerful weapon against fraud.

What is Curacel?

Curacel's innovative platform, powered by artificial intelligence, enables insurance companies to monitor fraudulent activities and streamline claim processing with efficiency. It simplifies the collection of claims from providers while offering automatic verification capabilities. Through Curacel Detection, insurers can effectively pinpoint and mitigate instances of fraud, waste, and abuse throughout the claims process. By gathering claims from providers, the system actively works to prevent any potential losses due to these issues. Our analysis of the Health Insurance sector revealed that significant value loss often occurs during the claims process, which remains largely manual and vulnerable to various forms of exploitation. The implementation of our AI-enhanced solution significantly minimizes waste, enhances efficiency for insurers, and reveals previously obscured value opportunities. Ravel insurance distinguishes itself by offering on-demand policies that provide coverage for short durations, catering to the needs of policyholders and insured parties alike, both of whom seek prompt and precise claim resolutions. By focusing on speed and accuracy, Ravel ensures a smoother experience for all involved.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Shift Technology

Date Founded

2014

Company Location

France

Company Website

www.shift-technology.com/products/claims-fraud

Company Facts

Organization Name

Curacel

Company Location

Nigeria

Company Website

www.curacel.co

Categories and Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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