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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 Fraud Barrier?

To reduce the incidence of bad debts and the related costs of collection and recovery efforts, it is vital to avoid granting risk segments to applicants who provide false information on their applications. Keeping losses from serious fraud and write-offs stemming from fraudulent applicants to a minimum is essential. Moreover, it is important to ensure that the processes for detecting fraud do not compromise customer service or delay decision-making. This entails closely examining suspicious cases, analyzing the outcomes of application assessments, and making well-informed decisions. By automating fraud detection and investigation processes, organizations can significantly boost their operational efficiency. Ensuring that interfaces are user-friendly is crucial for maintaining low resource demands and minimizing operational expenses. Furthermore, the system should be designed to automatically assign cases for deeper investigation and generate a fraud likelihood score to prioritize subsequent actions. Adopting these strategies will ultimately enhance the effectiveness of fraud management, leading to improved financial stability. By fostering a proactive approach, businesses can better safeguard their operations against fraudulent activities.

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

Scorto

Date Founded

2001

Company Location

United States

Company Website

www.scorto.com

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

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

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