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InsuranceClaims ManagementFraud Detection (Claims)

illumifin Fraud Sentry

Machine-learning risk-scoring and SIU across the claims cycle, with a long-term-care focus.

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Overview

illumifin's Fraud Sentry applies machine-learning risk-scoring and SIU capabilities across the claims cycle, with particular strength in long-term care. It identifies high-risk claims for further investigation.

The platform serves insurers and administrators, especially in long-term care, that need risk scoring integrated with their claims operations.

Key Features

  • + Machine-learning risk scoring
  • + SIU across the claims cycle
  • + Long-term-care focus
  • + High-risk-claim identification
  • + Investigation support
  • + Analytics and reporting

Integrations

Open APICore claims systems
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