Claims Solutions

Anti-Fraud One – Government

Streamline detecting insurance fraud by seamlessly integrating Anti-Fraud One for Government into the investigation process.

The uphill battle facing state insurance fraud bureaus

With personnel retention at an all-time low, the volume of referrals frequently overwhelms investigators. Manual processes impede case prioritization, leading to delays in investigations and prosecutions. When coupled with limited access to industry data for connecting the dots, the odds are stacked against state fraud investigators, until now

Get the industry’s premier solution for insurance fraud bureaus

Anti-Fraud One – Government boosts efficiency, and allowing you to help more people and fight crime in your state with less resources.

Access the industry’s largest database

Gain unparalleled visibility into more than 1.8 billion P&C claims through ClaimSearch^®, the industry’s most comprehensive fraud-fighting claims database representing 97% of industry claims. With over 168,000 new claims analyzed daily, your bureau can identify patterns, verify information, and accelerate referrals with confidence.

Score referrals with advanced analytics

Anti-Fraud One – Government combines behavioral analytics Claim Scoring and Network Analysis, linking referrals to insurance criminal collusive activity. The platform prioritizes high-risk referrals and exposes hidden connections between people and entities within ClaimSearch, helping you detect potential organized fraud with precision and speed.

Integrate seamlessly with minimal IT effort

Deploy quickly with a flexible platform that adapts to your bureau’s customized needs. Anti-Fraud One – Government connects directly with ClaimSearch for a streamlined setup and powerful data integration, delivering results with little to no IT lift.

Features and capabilities

Referral scoring

Score and triage industry fraud referrals with expert business rules and the ability to customize rule sets.

Link analysis

Analyze vast data sets to quickly identify criminal fraud rings.

Industry-based data assets

Verisk’s vast, industry-based datasets can proactively fuel insights across the insurance lifecycle, and our experts can help strategize how to leverage these assets to meet critical needs.

Related resources

Keep up with the latest news and our forward-thinking insights.

Case study

Making Florida a leader in the fight against claims fraud

Learn how Florida’s Division of Investigative and Forensic Services transformed to embrace automation and handle high volumes of referrals by leveraging industry data.

Download the case study

Webinar

Boosting Efficiency in Fraud Investigations

This webinar explores how to build a robust business case for improving efficiency in fraud investigations and analyzing the impact of this investment.

Watch the webinar on demand

Flyer

Score referrals and investigate with efficiency

Anti-Fraud One – Government automates processes and provides state fraud bureaus with access to industry-wide data.

Download the flyer

Article

Who Commits Insurance Fraud, part 1: “But is insurance fraud even a crime?”

Everyone in our industry knows that insurance fraud is a serious problem that costs Americans more than $308 billion annually. But does that awareness extend to the people who purchase insurance policies? Possibly not.

Read the article

Article

Who Commits Insurance Fraud, part 2: What motivates insurance fraud?

The prevalence of insurance fraud raises important questions about its status as a criminal act. In a recent study we conducted jointly with the Coalition Against Insurance Fraud, we delved deeper into perceptions and attitudes toward insurance fraud.

Read the article

Do more with the Verisk ecosystem

Anti-Fraud One – Government is part of a full suite of claims solutions that provide compliance, claims development, and deeper fraud analysis and tools.

The world’s largest P&C claims database

Fast-track claims while improving fraud detection with access to data from more than 1.8 billion claims.

Learn about ClaimSearch

Colleagues Viewing Solutions On Multiple Displays

Claim scoring through predictive analytics

These models deliver enhanced claim scores and reason codes to detect potential fraud and support investigations.

Learn about Claim Scoring

Workers Viewing Coordinates On Multiple Screens

Advanced link analysis to fight organized insurance fraud

Discover the hidden relationships and connections among claimants, providers, and businesses.

Learn about Network Analysis

Missing details to complete claims

Get hundreds of supplemental data reports to enhance claim analysis and investigations.

Learn about Research Hub

Fraudulent images in claims identified

This automated process applies a series of algorithms to every customer-submitted loss photo to expose anomalies.

Learn about Digital Media Forensics

Contact us to learn more

We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:

Chat now

Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

Main toll-free:

1-800-888-4476

Global toll-free:

International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489

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