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whistleblowing app; whistleblowing; whistleblower protection directive; sapin II; retaliation; retribution; compliance tools; OSINT; OSINT investigation; insurance fraud; fraud detection; fraud intelligence; intelligence; commercial registries search; AI fraud detection; machine learning; risk assessment; person search; vehicle search; vehicle history; car search; car history; corruption; anticorruption system; gap analysis; iso 37001; iso 19600; iso certification; anticorruption training; compliance training; anti-corruption certification; ethics; integrity; honesty pledge; Whistleblowing-App; Whistleblowing; Whistleblower-Schutzrichtlinie; Sapin II; Vergeltung; Vergeltung; Compliance-Tools; OSINT; OSINT-Untersuchung; Versicherungsbetrug; Betrugserkennung; Betrugsaufklärung; Aufklärung; Aufklärung; Handelsregistersuche; KI-Betrugserkennung; Machine Learning; Risikobewertung; Personensuche; Fahrzeugsuche; Fahrzeughistorie; Autosuche; Fahrzeughistorie; Korruption; Antikorruptionssystem; Gap-Analyse; ISO 37001; ISO 19600; Iso-Zertifizierung; Antikorruptionstraining; Compliance-Training; Anti-Korruptionszertifizierung; Ethik; Integrität; Ehrlichkeitsversprechen; application de dénonciation ; dénonciation ; directive sur la protection des dénonciateurs ; sapin II ; représailles ; représailles ; rétribution ; outils de conformité ; OSINT ; enquête OSINT ; fraude à l'assurance ; détection des fraudes ; renseignements sur la fraude ; renseignements sur la fraude ; recherche dans les registres commerciaux ; détection de la fraude par IA ; apprentissage machine ; évaluation des risques ; recherche de personnes ; recherche de véhicules ; recherche de véhicules ; historique de véhicules ; recherche de véhicules ; historique de véhicules ; corruption ; système anticorruption ; analyse des lacunes ; iso 37001 ; iso 19600 ; certification iso ; formation anticorruption ; formation en conformité ; certification anti-corruption ; éthique ; intégrité ; engagement d'honnêteté; aplicación de denuncia de irregularidades; denuncia de irregularidades; directiva de protección de denunciantes; sapin II; represalias; retribución; herramientas de cumplimiento; OSINT; investigación OSINT; fraude de seguros; detección de fraudes; inteligencia de fraudes; inteligencia; búsqueda de registros comerciales; detección de fraudes de IA; aprendizaje automático; evaluación de riesgos; búsqueda de personas; búsqueda de vehículos; historial de vehículos; búsqueda de automóviles; historial de vehículos; corrupción; sistema anticorrupción; análisis de lagunas; iso 37001; iso 19600; certificación iso; capacitación anticorrupción; capacitación en cumplimiento; certificación anticorrupción; ética; integridad; compromiso de honestidad; whistleblowing app; whistleblowing; whistleblowing; diretiva de proteção de whistleblower; sapin II; retaliação; retaliação; ferramentas de conformidade; OSINT; investigação OSINT; fraude de seguros; detecção de fraude; inteligência de fraude; inteligência de fraude; inteligência; pesquisa de registros comerciais; detecção de fraude de IA; aprendizado de máquina; avaliação de riscos; pesquisa de pessoas; pesquisa de veículos; histórico de veículos; pesquisa de carros; histórico de carros; corrupção; sistema anticorrupção; análise de lacunas; iso 37001; iso 19600; certificação iso; treinamento anticorrupção; treinamento de conformidade; certificação anticorrupção; ética; integridade; promessa de honestidade; whistleblowing app; whistleblowing; whistleblowing app; whistleblowing; whistleblowing directive; sapin II; ritorsione; punizione; strumenti di conformità; OSINT; indagine OSINT; frode assicurativa; rilevamento frodi; fraud intelligence; intelligence; intelligence; ricerca nei registri commerciali; rilevamento frodi AI; machine learning; valutazione del rischio; ricerca persone; ricerca persone; ricerca veicoli; storia veicoli; ricerca auto; storia auto; storia auto; corruzione; sistema anticorruzione; analisi delle lacune; iso 37001; iso 19600; certificazione iso; formazione anticorruzione; formazione alla conformità; certificazione anticorruzione; etica; integrità; impegno di onestà; klokkenluider app; klokkenluider app; klokkenluider bescherming richtlijn; sapin II; vergelding; vergelding; vergelding; compliance tools; OSINT; OSINT onderzoek; OSINT onderzoek; verzekeringsfraude; fraudedetectie; fraude detectie; fraude intelligentie; intelligentie; commerciële registries zoeken; AI fraude detectie; machine learning; risicobeoordeling; personenonderzoek; zoeken naar personen; zoeken naar voertuigen; geschiedenis van voertuigen; zoeken naar auto's; corruptie; anticorruptiesysteem; analyse van leemten; iso 37001; iso 19600; isocertificatie; training in anticorruptie; training in naleving; anticorruptiecertificering; ethiek; integriteit; eerlijkheidsverplichting101

CLAIMS FRAUD DETECTION SERVICES

At ABC Transparency we have developed a simple three-step solution for the detection of high-risk claims in all lines of insurance business. We rely on our certified fraud examiners and a veridied fraud

prevention software to efficiently and effectively discover fraudulent claims and prevent their payments.

3 steps StopWatch - Oustourced Claims

Only 3 steps are needed to prevent fraud, reduce loss ratio and honour honest customers:

(a) - allow secure and protected access to data
Predefined types of data are collected and securely delivered to a designated server.

(b) - detect high risk claims with predictive analytics
Data are processed with verified fraud prevention software using adaptive key fraud indicators. Results are manually checked by certified
fraud examiners, who complete initial analysis reports, which are then delivered to the insurer.

(c) - confirm high risk assessments
Reports are reviewed by the insurer, who confirms or dismisses the initial risk assessments of the processed
claims. Our fee is charged only on confirmed high risk assessments.

And the result - up to 5 percentage point lower loss ratio

finish line
With our claims fraud detection services we significantly reduce our customers' costs of fraud and improve their
loss ratios for up to 5 percentage point.

Please ckeck our case studies below.

TRIGLAV INSURANCE CASE STUDY

Extensive communication campaign was set up to raise awareness of insurance fraud, with two distinct components: one for company employees and another for an external audience. Externally the aim of the campaign was to reinforce the message that insurance fraud is a criminal offence. In order not to convey a sense of fear but keep the message personal and informative, a viral campaign with the celebrated Croatian singer Severinawas we put together.

Have a look at the video

 

Internally an Anti-Fraud Unit was set up and their programmes were published in an internal newsletter, a special dedicated webpage was set up, and several training sessions were held.

Setting up of the Unit was accompanied by comprehensive communication support designed to significantly raise awareness of insurance fraud among both external and internal audiences.