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Insurance › Claims Management › Fraud Detection (Claims)
Quantexa
Graph decision-intelligence for P&C claims fraud detection, powering carriers including Zurich.
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Overview
Quantexa runs a Decision Intelligence platform built on entity resolution, connecting internal and external data into 360-degree entity networks that reveal hidden relationships behind P&C claims fraud. By scoring claims in the context of those networks, it catches both organized rings and opportunistic fraud that single-record checks overlook.
In UK insurance it underpins Zurich's real-time claims platform, cross-checking claims against shared industry sources such as the CUE database and the Insurance Fraud Register, and the same entity-resolution core also serves AML, KYC and credit-risk use cases.
Key Features
- + Entity resolution into 360-degree networks
- + Contextual, network-based claim scoring
- + Internal and external data ingestion
- + Industry-data cross-checking (CUE, IFR)
- + Organized and opportunistic fraud detection
- + Shared core across AML, KYC and fraud
Integrations
Open APICore claims systems
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