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Insurance › Claims Management › Fraud 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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