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How data qualifies claims decisions. For carriers concerned about rising casualty costs, data intelligence now plays a key role in qualifying injury causation. (Photo: A. Kacinskas)

For auto casualty insurers, a focus on fraud detection requires differentiating medically necessary clinical treatment that is causally related to an auto crash. The solution lies with recognition of injury risk in the collision as well as linkage to health conditions that may influence the injured party’s evaluation and treatment. The combined assessment of specific injury risk and relevant clinical treatment in the unique circumstances of the vehicular trauma—at scale—demands technology.

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