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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 NetMap?

Reveal the hidden connections and relationships among claimants, providers, and businesses to aid in identifying systemic insurance fraud. The advanced analytics provided by NetMap significantly enhance the Special Investigations Unit's ability to discover fraudulent networks within their claims. This software quickly analyzes claim information, public records, and other relevant data to reveal trends indicative of fraudulent activities. Equipped with powerful analytics and visualization capabilities, SIU analysts can rapidly pinpoint intricate patterns of deceit. By transforming what typically takes weeks of investigation into mere hours, NetMap not only boosts the efficiency of organized claims fraud investigations but also speeds up the transition from detection to referral, leading to a more effective strategy for tackling fraud. Furthermore, employing these analytical tools results in better-informed decision-making and contributes to improved outcomes across the insurance sector, fostering a more secure environment for all stakeholders involved.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS
Windows

Customer Service / Support

Standard Support

Customer Service / Support

24 Hour Support

Training Options

Documentation Hub
Online Training
On-Site Training

Training Options

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

Verisk Analytics

Date Founded

1971

Company Location

United States

Company Website

www.verisk.com/insurance/products/netmap-analytics/

Categories and Features

Fraud Detection

Custom Fraud Parameters
For Insurance Industry
Investigator Notes
Pattern Recognition
Transaction Approval

Categories and Features

Fraud Detection

Check Fraud Monitoring
Custom Fraud Parameters
For Insurance Industry
Internal Fraud Monitoring
Investigator Notes

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