Insurance fraud continues to erode profitability
As fraudsters and the technology they use becomes more sophisticated and interconnected, traditional rules‑based and siloed approaches struggle to keep pace — creating blind spots, false positives, and slow investigations that results in increasing loss ratios, operational costs, and customer friction.
Building A Market-Leading Vision For Decision Intelligence
Delivering a category-defining vision for fraud and financial crime prevention - combining agility, scalability, and proven impact to help insurers lead with data-driven intelligence.
More Control
More Control
Desire to take more control of fraud detection and analytics strategy
Build Your Own
Build Your Own
Leverage leading in-house data and technology capabilities to "build your own" with full self-sufficiency
Accelerated Journey
Accelerated Journey
Expedite your journey by bringing world-class digital-ready tools with flexible analytics
Market Leading
Market Leading
Maintain leading position in fraud with category-leading capabilities such as entity resolution, graph and streaming integrations
Future Proof
Future Proof
Future-proof fraud protection across the value chain — extensions to internal etc.
HOW WE SOLVE IT
Next generation counter-fraud capabilities
Unify your data estate
Unify internal systems and enrich with external data (corporate registries, industry claims etc) to understand risk holistically
Create a customer and counterparty view
Connect data to reveal hidden relationships across customers, claimants, providers, assets, and organizations
Apply proven fraud analytics
Detect even the most sophisticated claims fraud with scorecards grounded in contextual data for higher accuracy and better prioritization
Powerful investigation tools
Accelerate fraud investigations and uncover hidden relationships with more accurate contextual intelligence and AI decisioning
THE IMPACT
What we have achieved
$>3Bthe amount of fraud Quantexa has helped organizations detect
in false positive alerts through enrichment
up to 90% increase in fraud impact savings
in loss ratios from improved claims segmentation
WHERE WE HELP
Our Insurance Fraud solutions
Application and Underwriting Fraud
Identify fraud across the full customer lifecycle and all distribution channels.
Claims, Billings, and Provider Fraud
Block fraudulent payments and stop claims leakage across the claim, billing and payment lifecycle.
Internal Fraud Detection
Detect insiders engaged in defrauding the insurance organization or the firm’s customers.
Complex Investigations
Perform complex investigations across all data to identify new and unknown risks.
Increased counter fraud effectiveness and efficiency across the enterprise
Improve loss ratios
Improve loss ratios
Reduce leakage, prevent fraud, and deliver indemnity savings, improving loss ratios by 1-3%
Reduce customer friction
Reduce customer friction
Enhance customer experiences and accelerate approvals for genuine borrowers
Augment operational efficiency
Augment operational efficiency
Power touchless processing for straight-through claims and streamline analyst workflows
Transformation across the enterprise
Transformation across the enterprise
Power transformation across the enterprise with Customer Intelligence, FinCrime, and Data Modernization solutions using the same data foundation
Decision Intelligence solutions built on our platform
Data Modernization
Build a trusted data foundation to deliver context for decision-making.
En savoir plusCustomer Intelligence
Enhance customer experience and accelerate revenue growth with a 360-degree connected view of customers.
En savoir plusKnow Your Customer
Detect risk in real time to identify unknown risks and deliver more accurate risk ratings.
En savoir plusRisk Management
Revolutionize risk assessment with a holistic understanding of borrowers, their counterparties and relationships.
En savoir plusFinancial Crime
Take a unified approach to fighting financial crime and fraud with our Contextual Monitoring solutions.
En savoir plusAML and Investigations
Reduce false positives and focus on real risk by modernizing your AML monitoring, detection, and investigation.
En savoir plusFAQs
Do you provide real-time capabilities to prevent fraud?
A new contextual approach is required to improve fraud prevention, detection, and investigation. Market participants have raised challenges with using real-time capabilities which are missing risk and blocking legitimate payments or adding friction, which is impacting the customer experience.
However, Quantexa can detect suspicious transactions in near-real-time and alert to ensure high-risk transactions can get immediate attention. Quantexa can also augment with existing technology to provide additional context to illuminate high-risk transactions or provide confidence through mitigating factors that the transaction is legitimate and non-fraudulent.
What out-of-the-box models do you have?
Detection Packs for fraud deliver higher true positives, lower false positives. For additional coverage, we have knowledge and IP, but we will work with your teams to develop using your own data.
