RiskShield Check 'n' Score
RISK SCORING AS A SERVICE
Automatically identify suspicious claims early in the claims handling process with our scoring as a service tool
The Checker
RiskShield Check 'n' Score was designed in close collaboration with the National Insurance Crime Bureau (NICB) in order to help adjusters, analysts and investigators automatically identify suspicious claims in real-time. The quality of claims that reach the desks of the Special Investigative Units will increase and time will be saved once the suspicious claims are identified.
The Scorer
If there is a match in the NICB data, a response containing the type of match as well as a RiskShield score with specific details on the hit is delivered. The score provided for each result indicates the matching quality between the requested information and the results. Higher scores indicate higher similarities between the search request and the finding. An entity can also be searched by sending a request to the service. RiskShield’s underlying algorithms use a set of matching strategies to find hard and soft matches.
The Router
The scoring service enables insurance companies to consistently and automatically check all entities inside their claims for NICB data matches. It is designed to eliminate the additional steps associated with searching the NICB data. RiskShield Check 'n' Score supports the identification of suspicious entities in any claim as part of the digitalization of the claims handling process. Claims with findings will be identified early in the process to enable appropriate workflow decisions.
Follow our decision tree to find out if we can help you optimize your claims handling process:
Multiple Databases
Do you use other databases to check on entities within your claims, customer records and payment transactions? Let's talk about how we can automate and provide a real-time scoring system for this process!
RiskShield Check 'n' Score offers you the following benefits:
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Automatically run all claims against NICB data in claims handling process
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Real-time access to all databases enabling quick decision making
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Highly sophisticated fuzzy search engine increasing database search accuracy
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We will catch John Smythe when John Smith is searched
Working with INFORM
INFORM is a global leader in advanced risk management solutions that mitigate financial crime risk and optimize operational claims processes. Check 'n' Score taps into the power of RiskShield which is a self-learning anti-fraud and AML monitoring solution with superb detection results that are reliable, fast and responsive. More than 45 insurance companies in the world, including AXA and Zurich Insurance rely on RiskShield. INFORM employs over 800 staff from more than 30 countries. Our USA office is located in Atlanta, Georgia.