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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 Pointer?

Fraud Detection Contemporary systems for preventing fraud often rely on documenting incidents and adhering to rules set by experts; however, this method frequently falls short due to the expansive and evolving landscape of fraudulent behavior. POINTER presents a progressive approach that efficiently detects fraudulent transactions by identifying anomalies in a user's typical behavior patterns. By employing a unique mathematical framework alongside sophisticated data mining techniques, POINTER creates a dynamic Personal Symbolic Vector that reflects user habits. Moreover, the system's incorporation of auto-learning capabilities enables it to adjust to genuine shifts in behavior over time. This continuous adaptability ensures that user profiles remain up-to-date and that the latest expert guidelines are utilized in fraud detection. In addition, POINTER minimizes the occurrence of false alerts, which in turn reduces the time staff need to spend on investigations and improves overall customer service. Organizations also have the flexibility to tailor these parameters to find the most effective approach for their individual requirements. Ultimately, this groundbreaking method transforms how institutions approach and address the challenge of fraud, paving the way for a more secure financial environment. By streamlining the detection process, POINTER not only enhances operational efficiency but also fosters greater trust between customers and institutions.

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

PotentiaN

Date Founded

2007

Company Location

United States

Company Website

www.potentian.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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