Fraud Management

What's Driving the Digital Claims Revolution?
Risk Management What's Driving the Digital Claims Revolution?

The very fabric of the insurance and healthcare industries is being rewoven as the long-standing, paper-laden process of handling claims gives way to a dynamic, digital-first reality. This profound transformation is more than a simple upgrade; it is a comprehensive revolution fueled by

Governor Hochul Unveils Plan to Lower Auto Insurance Costs
Risk Management Governor Hochul Unveils Plan to Lower Auto Insurance Costs

New York drivers have long navigated some of the most expensive and complex auto insurance markets in the nation, with annual premiums soaring nearly $1,500 above the national average, a significant financial strain on working families and businesses. In response to this persistent challenge,

Who Is Winning the AI Insurance Fraud Arms Race?
Insurance Who Is Winning the AI Insurance Fraud Arms Race?

The silent, digital battleground of the insurance industry has been transformed by a new and powerful weapon, as generative artificial intelligence now enables the creation of fraudulent evidence so convincing it challenges the very nature of truth. This research summary explores the escalating

Can AI Master the Insurance Moment of Truth?
Risk Management Can AI Master the Insurance Moment of Truth?

The critical interaction between an insurer and a policyholder, often occurring during a time of significant personal distress, has long been defined as the industry's "moment of truth," and for decades, this moment has been managed almost entirely by human hands. Now, a profound technological

When Is a Policy With No Coverage Still Relevant?
Risk Management When Is a Policy With No Coverage Still Relevant?

A landmark ruling from the Colorado Court of Appeals has sent a clear message to the insurance industry, imposing a significant $35,600 penalty on Esurance Property & Casualty Insurance Co. for its failure to promptly disclose an auto insurance policy. The decision in Bohanan v. Esurance Property &

How Are Insurers Fighting Sophisticated Fraud?
Risk Management How Are Insurers Fighting Sophisticated Fraud?

The pervasive and escalating issue of insurance fraud now imposes a multi-billion dollar tax on honest customers annually, compelling insurers to mount an increasingly sophisticated and data-driven defense. As economic pressures mount, the temptation for fraudulent activity has intensified, leading

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