Claims Solutions

ClaimSearch

ClaimSearch^® is the world’s largest property/casualty claims database and a robust fraud detection platform that enables fast-tracking and seamless access to integrated investigative tools.

The first line of defense against claims fraud

Entering a claim into ClaimSearch triggers a comparison with over 1.7 billion claims. If a match is found, the adjuster receives the corresponding claim details and alerts associated with the submitted claim.

Powerful claim insights for insurers, self-insureds, TPAs, and more

ClaimSearch serves thousands of insurers, all 27 workers’ comp insurance funds, more than 400 self-insureds, many third-party administrators, plus state fraud bureaus and law enforcement agencies.

Deep data for faster, more precise decisions

Determine if claims can be fast-tracked or if they require a closer look with at-a-glance insight. ClaimSearch has 1.7 billion claims, 200 supplemental data reports, 58 million provider medical bills, 500,000 daily legal case results, plus third-party data and your historical claims.

Advanced analytics for clear action steps

Advanced analytic technologies, such as AI, machine learning, and predictive analytics, mean your claims professionals are equipped to make fast and precise decisions throughout the life of a claim.

Who uses ClaimSearch?

More than 97% of insurers
1,000+ self-insureds
All 27 workers’ comp insurance funds
Third-party administrators
State fraud bureaus
Law enforcement agencies

Who uses ClaimSearch?

Two Colleagues Reviewing Laptop In Office

Claims Alerts Dashboard

Determine if claims can be fast-tracked or if they require a closer look with at-a-glance insight. The dashboard displays specific alerts, where applicable, and a timeline of matching claims with loss type. Drill down for more details on alerts and matches.

Features and capabilities

Vital first check against fraud with match reports

If a match is found, the adjuster receives the corresponding claim details and alerts associated with the submitted claim.

Find fraud at scale with digital media forensics

Discover prior-loss photos within match reports on ClaimSearch when available. Cutting-edge forensics analyze metadata and detect duplicate images to uncover potential fraud.

Business intelligence dashboards

Visual insights and key performance indicators (KPIs) help manage claims and compliance processes.

Automatically satisfy compliance reporting requirements

Reporting claims to ClaimSearch handles many reporting needs without extra work from your staff. We report claims to regulatory agencies on your behalf and check your claims against various federal and state databases and criminal watch lists.

Related resources

Explore our media series and learn more about the remarkable features and benefits of ClaimSearch.

White paper

Illuminate unseen claims fraud with advanced analytics

Organized fraud rings target insurers with the weakest fraud detection programs. Is your company on their hit list?

Download the white paper

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Article

Tips to improve match report results in ClaimSearch

Every day, claims professionals are challenged with evaluating and processing claims quickly and accurately.

Read the article

Article

Life insurance fraud: A holistic claims view key to detection

Life insurers can face a myriad of challenges today. Some of those issues have plagued the industry for years—such as stagnant premium growth and low interest rates—while others are new—like changing customer expectations and disruptive innovations such as on-demand policies and selfie underwriting (yes, that’s a thing).

Read the article

Do more with the Verisk ecosystem

ClaimSearch seamlessly integrates with Verisk’s full suite of claims solutions that provide compliance, claims development, and deeper fraud analysis tools.

Claim history insights through Guidewire

Get all the functionality of the ClaimSearch visualized claim intelligence platform without leaving Guidewire ClaimCenter.

Learn about ClaimSearch Accelerator for Guidewire

ClaimSearch Complete Life

Fast-track LTC and Disability claims and detect fraud with ClaimSearch, the insurance industry's largest claims database.

Learn about ClaimSearch Complete Life

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

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

Missing details to complete claims

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

Learn about Research Hub

Medical provider scoring

Advanced analytics and expert clinical oversight to detect medical provider fraud, waste, and abuse.

Learn about Provider 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

Contact us to learn more

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

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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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