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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 Guidewire ClaimCenter?

Guidewire ClaimCenter is recognized as a leading platform for managing claims, specifically designed to enhance the entire claims lifecycle for property and casualty (P&C) insurance companies. This robust system includes a diverse range of features that facilitate everything from the initial claim submission to the final settlement, allowing insurers to process claims more quickly and accurately. Key functionalities include automated workflows, integrated analytics, real-time performance monitoring, and advanced fraud detection tools, all contributing to improved operational efficiency and elevated customer satisfaction. Serving various insurance segments, such as personal, commercial, and workers' compensation, ClaimCenter can function either as a standalone solution or as part of the broader Guidewire InsuranceSuite. By leveraging ClaimCenter, insurers can not only streamline their claims procedures but also acquire valuable insights that support strategic decision-making, ensuring they remain responsive to evolving market dynamics. The successful deployment of this platform can result in marked enhancements in efficiency and service quality, ultimately leading to stronger customer loyalty and business growth. Additionally, the adaptability of ClaimCenter allows insurers to continuously refine their processes in a competitive landscape.

Media

Media

Integrations Supported

Guidewire

Integrations Supported

Guidewire

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

Guidewire Software

Date Founded

2001

Company Location

United States

Company Website

www.guidewire.com/products/core-products/insurancesuite/claimcenter-claims-management-software

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

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

P&C Insurance

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management

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