The fraud ring, which included owners of litigation-funding companies, attempted to defraud insurance companies of more than $31 million.
Both health care providers and insurers should be aware of the potential for abuse of telemedicine services as well as the ramifications.
As more P&C insurers offer insureds the opportunity to file claims online, policyholders have come to expect a speedy and seamless claims experience.
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Proactively tackling fraud in an insurance business has never been more critical. Consumers have expected improved levels of service during the pandemic and migrated to online interaction, driving demand for claims automation. This paper demonstrates how identifying and acting on the Halo Effect is crucial to all aspects of risk management and how AI automation is necessary against fraud and risk to grow profits and retain customers.
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