Frequent flier fraudsters spend a lot of time thinking of ways to get around your Claims Teams. One of the most effective and efficient ways for SIU's to stay ahead of them is analytics - creating innovative datamining queries to bring the fraud to you for investigation.
What is the primary quality that you look for in an SIU Analyst? In my time as a Regional SIU Manager, as I hired many analysts, that question continued to present itself seeking my answer. Experience? Aptitude? Attitude? Education? What is the key?
As a new manager many years ago, decision making came at me as a strange mix of hurry up and slow down. Over the years I have learned (and I'll admit had to relearn many times) that 'unintended consequences' are key to your decision-making timeline. Move too fast, they come barreling at you later! Delay too long and invite more! But they are
Every year begins with much hope as the "new" year takes off like a tourist on a jet plane. Unfortunately, as much as we wish a new year meant a clean slate and doing away with all the bad & forgettable issues of the previous year, we all know that reality is much different. The tourist eventually returns home and finds it all just as he left it!
Last year brought many new challenges and adversity into ALL our lives. Even if you are fortunate enough to not have had anyone in your family affected by COVID-19, it affected, and continues to affect all aspects of our lives.
The National Insurance Crime Bureau (NICB) is continuing to monitor the impact the coronavirus (COVID-19) is having on consumers, our membership, law enforcement, and our strategic partners. This resource center hosts the latest information surrounding the virus and what is happening in our states from a fraud perspective.
As the world continues to navigate the impacts of COVID-19, the potential exists for bad actors to look for ways to target consumers and the insurance industry. We should all be on the lookout for crooked physicians, attorneys, and patients attempting to commit insurance fraud by submitting false and exaggerated medical claims. We should also be aware of possible scams involving business interruption, online hackers looking to steal critical personal data, and other efforts to commit insurance fraud. We know these are just a few of the potential scams, and we no doubt could see many more in the coming weeks and months.
NICB remains vigilant and engaged with our law enforcement partners around the nation. We will continue to track potential fraud trends in the coming weeks and keep our members informed on the latest developments.
If you see a trend, please reach out to your NICB points of contact.
“This connector allows for complete searching of large amounts of records in a very short period of time and creates a fantastic visual product that is easy to understand and easy to explain.”
"IBM i2 is thrilled to be part of this innovative collaboration. The ability for customer to easily access TransUnion incredibly rich data, through the ARKHOS Connector, will vastly propel customer's ability to analyze and investigate potential threats in real time."
ARKHOS Data Fusion with NICB Stream allows insurance and law enforcement special investigation units to instantly find hidden links between entities from several data sources at once, organized into one detailed report. ARKHOS Data Fusion uncovers suspicious patterns, concealed relationships from several background sources at once; thereby, cutting down on SIU analysts' valuable time and saving you time and money!
Connect with us (Booth 103) and learn how Globlue, in partnership with NICB launches NICB+. A real time Stream available on ARKHOS Data Fusion that applies Identity Resolution capabilities to NICB datasets, allowing insurance companies to perform live searches using ARKHOS Advanced Analytics across NICB, internal claims data and external sources.
If you are already familiar with ARKHOS
& would like to schedule a free demo click here.