Verisk and Carpe Data Streamline Claims Fraud Detection

Verisk and Carpe Data Streamline Claims Fraud Detection

In an era where sophisticated insurance fraud poses a continually escalating financial threat to property and casualty insurers, the imperative for more integrated and intelligent detection tools has never been more critical. The industry has long grappled with fragmented systems and data silos that hinder efficient investigation, often forcing claims professionals to navigate multiple platforms to piece together a complete picture of a potential risk. This operational friction not only delays legitimate claims processing but also creates opportunities for fraudulent activities to go unnoticed. A new strategic partnership aims to dismantle these barriers by embedding next-generation data solutions directly into one of the industry’s most established claims platforms, heralding a more unified and streamlined approach to identifying and mitigating fraud from the outset.

Integrating Advanced Analytics into Established Workflows

The collaboration between Verisk and Carpe Data directly confronts the pervasive industry challenge of siloed systems by integrating specialized fraud detection insights into the widely used ClaimSearch® platform. This strategic move is designed to enhance operational efficiency for property and casualty (P&C) insurers by eliminating the need for claims professionals to toggle between disparate systems. Historically, incorporating new data sources or analytical tools often resulted in significant integration backlogs and workflow disruptions, requiring extensive IT support and creating costly delays. By embedding Carpe Data’s capabilities within the existing ClaimSearch ecosystem, insurers can now access a powerful stream of fraud-related intelligence without undergoing a complex and resource-intensive implementation process. This seamless integration provides claims handlers with a centralized hub for information, enabling them to make faster, more informed decisions and focus their attention on legitimate risks rather than administrative hurdles. The core objective is to deliver a solution that saves both time and money.

Enhancing Efficiency and Accuracy for Claims Professionals

This partnership equips claims adjusters with two potent tools designed to deliver targeted, actionable intelligence. The first, Online Injury Alerts, provides meaningful and carefully filtered updates on open injury claims. This feature is engineered to cut through the digital noise, presenting adjusters with only the most relevant information that may indicate misrepresented or fraudulent activity, thereby preventing them from being overwhelmed by a flood of irrelevant data. The second tool allows for the generation of comprehensive Investigative Reports with a single click. These courtroom-ready documents consolidate crucial information, including social connections, verified screenshots, and detailed citations, into a single, cohesive report. This documentation can be exported directly into existing claim systems, ensuring a consistent, repeatable, and arms-length verification process across all claims. By providing these “all-signal, no-noise” insights, the integration empowers claims professionals to quickly identify red flags, manage costs more effectively, and ensure fair and consistent handling of every case.

A New Standard for Digital Claims Management

The successful integration of these advanced analytics into a foundational industry platform marked a pivotal moment in the evolution of digital-first claims management. This collaboration exemplified a significant and growing trend within the insurance sector: the strategic fusion of highly specialized, next-generation data with widely adopted, core operational systems. Insurers were provided with a more robust and unified defense against the increasingly diverse and sophisticated threats of fraudulent activity. The partnership effectively demonstrated how established technology providers could leverage the innovations of specialized data firms to deliver immediate value to their clients. By centralizing critical fraud detection tools, the initiative not only improved the efficiency and reliability of claims processing but also set a new benchmark for how the industry could harness technology to create a more resilient and intelligent operational ecosystem. This move ultimately bolstered the ability of insurers to protect their assets while simultaneously enhancing service for legitimate policyholders.

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