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Case Types

Insurance Fraud

Reduce the time, effort and risk of your company’s fraud investigations to make a serious, lasting impact on the bottom line.

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Case IQ has been a game-changer for our team. The software is very easy to use. We have been able to improve our workflow and accountability. With the configurable workflows and the reporting tool, we’ve been able to more quickly identify areas that need to be improved and train our staff.”

Eric O., Director of Compliance Audits
Data Points

High cost of fraud

$40B

INSURANCE FRAUD PER YEAR
The FBI estimates the total cost of non-health insurance fraud at $40 billion per year.

32%

SAY OVERSTATING CLAIMS OK
Nearly 1 in 3 Americans surveyed say it’s acceptable to overstate claims to insurers.

$20B

PER YEAR
Per the NICB, insurance crime costs U.S. businesses $20 billion a year.

How Case IQ Helps

Fighting the good fight

Smart integrations, advanced reporting and user-configurable workflows make this the most powerful software tool kit in the industry.

  • Easy claims system integration
    Seamless integration allows Case IQ to create a new case file whenever suspicious activity is flagged. This dramatically cuts admin time.
  • Strict compliance simplified
    By automating the filing of SARs/STRs directly from the application, you can meet deadlines, get approvals and ensure every report gets filed correctly.
  • Keep all case data in one place
    Save precious time with a centralized database to secure all case information, including audio and video files, images, supporting documents and more.
  • Identify risk areas more precisely
    Automated risk scoring allows you to easily tailor risk profiles, then create score-based workflow rules including notifications and task assignments.
Resources

Insurance Fraud

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