Claims Data Solutions

10/31/2023 - 4 min read

Introducing Recovery Reversal: Your Key to Regaining Control Over Medicare Conditional Payments

Verisk developed a new solution - Recovery Reversal - to claw back the Medicare overpayment or offset.

6/30/2022 - 2 min read

Claims commitment: Empowering insurers on the innovation journey

The insurance industry has experienced tremendous change in the past few years.

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5/31/2022 - 3 min read

New ways of accessing policy information speed claim settlements

Claim handlers spend a lot of time on the phone trying to get third-party policy information for subrogation purposes or to validate coverage.

5/12/2022 - 3 min read

Make your suspected fraud referrals stand out to law enforcement

How can you ensure your suspected fraud referral will grab the attention of law enforcement?

3/15/2022 - 4 min read

Why data is the key differentiator in fraud detection

Organizations have been investing heavily in AI recently, and the insurance industry is no different.

3/7/2022 - 3 min read

Is your organization vulnerable to emerging provider fraud trends?

The concept of new and emerging provider fraud trends doesn’t only apply to recent medical providers showing up on your radar.

2/11/2022 - 3 min read

Keeping pace with anti-fraud innovation

Customer expectations for faster, more convenient service have been one of the key drivers of innovation for insurers.

1/26/2022 - 4 min read

Low-exposure medical provider fraud may be costing you millions

Visualize Space Anti Fraud Tech Meet 738x415

1/18/2022 - 3 min read

Taking flight: Exploring anti-fraud technology with better pilots

Digital adoption and automation have rapidly accelerated the past two years, and fraud management needs to keep pace.

12/14/2021 - 2 min read

Enhancing Customer Experience and Innovating for the Future as Verisk

Insurance industry advances towards digital transformation of enterprise-wide processes and systems, the need for trusted partners in this journey has never been greater

12/13/2021 - 3 min read

Uncovering digital media fraud with advanced forensics

Straight-through processing is considered the holy grail of digital claims—where insurers can intake, process, and pay claims automatically

11/10/2021 - 4 min read

Why embracing ethical AI is critical for insurers

As insurers’ interest in artificial intelligence (AI) grows, we must not only embrace its immense capabilities but also work to mitigate its potential risks.

11/8/2021 - 3 min read

Image forensics: How photo data can reveal claims fraud

10/7/2021 - 3 min read

Is that loss photo legit? Fighting digital image fraud

Photo-based claims estimates have been a growing trend the past few years in the insurance industry, and once the pandemic hit, that trend accelerated significantly.

5/12/2021 - 1 min read

Insurers protected from fraud, waste, and abuse in P-Stim procedures

Medical provider fraud, waste, and abuse— which have largely eluded most insurers—is an insidious, often unseen, problem that can damage insurers’ margins.