Fraud Detection & Prevention Program Case Study

Fraud Detection & Prevention Program Case Study Independent research firm Celent describes key best practices in the use of technology in its report, "Model Insurer 2010: Case Studies of Effective Technology Use in Insurance." Celent's vision is to try to answer an apparently simple question: "What would it look like for an insurer to do everything right with today's technology?" Given the recent economic environment, this question is more applicable today than ever before.

This report excerpt includes a case study describing how Highmark, a model insurer, use its claims system to power a comprehensive fraud prevention and detection program and its success in achieving pricing accuracy, reducing losses and using metrics.

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