Software & Technology
Virtual Advantage
Virtual Advantage’s application, SCOUT is a secure, web-based case management solution for SIUs, government, and investigative agencies to conduct investigations of potentially fraudulent insurance claims. Offerings range from fully customized and integrated to standardized applications. Other services include full customer support, training, maintenance, back-up, hosting, and regular system enhancements.
Contact: Justin Lankes, 3905 Rochester Rd, Royal Oak, MI 48073 Phone: 248-577-0994
Aithent
The Aithent Fraud Prevention and Investigation solution is a one-stop answer in the next generation of investigative convenience. The FPI Web solution leverages Aithent's experience in enabling global institutions to efficiently track and identify changing patterns of frauds while supporting investigators in different cases. FPI Web is user-friendly and easy to install.
Contact: Doug Feder, 17 State Street, 6th Floor, New York, NY 10004 Phone: 212-725-7646 x 3120
Axonwave Software
The Axonwave solution complements existing auditing processes by analyzing unstructured textual data sources and extracting the hidden clues that lead to more comprehensive fraud and abuse detection. The software can identify and extract relevant data elements from call center logs, case management databases, and other narrative data sources.
Contact: Chris Ramsey, 1625 W. Campbell Avenue, Campbell, CA 95008 Phone: 866-428-2424
BRT Laboratories, Inc.
BRT Laboratories, Inc is an independent DNA Testing Laboratory. Whenever identification is in question, DNA testing can provide an answer. From identity verification to eliminate a claims dispute, to airbag testing to determine the driver of a vehicle, call BRT to see how DNA testing can help solve your cases.
Contact: Alison Shao, 400 W. Franklin St., Baltimore, MD 21201 Phone: 443-449-2132
Crashport
We analyze low-impact crashes using simulation, enabling you to calculate and visualize the forces exerted on the occupant to prove fraud and/or buildup of soft-tissue claims.
Contact: John Burge, 2512 Artesia Blvd. Ste 150B, Redondo Beach, CA 90278 Phone: 310-491-3547
Deception Discovery Technologies
Deception Discovery Technologies delivers new technology that analyzes language-based cues to deception and presents findings in an easy-to-use format. Deception Discovery Technologies allows you to automate and standardize the fraud detection process. Deception tagging analyzes each claim and highlights relevant portions of statements from the claimant.
Contact: Joan Bachenko, 4915 W 35th St. Suite 200, Minneapolis, MN 55416 Phone: 240-414-1616
Forensic Accountants Inc.
We provide forensic accounting services, which includes insurance investigation, fraud detection and litigation support. Our investigation of the records identify inconsistencies, inaccuracies and cases of outright fraud. We're trained to find the financial truth!
Contact: David Glodstein, P.O. Box 745, Jericho, New York 11753 Phone: 516-681-2772
Full Capture Solutions
Full Capture Solutions offers a semantic-based analytic model that effectively detects potential incidents of claim fraud. 'FCSi Fraud Capture' crawls through structured and unstructured claims data to identify files with suspicious data patterns and concepts. Fully customizable, the product digitally “tags” files, allowing specific claims requiring SIU investigation to be pinpointed and triaged.
Contact: Jim Tantillo, 330 Roberts Street, Suite 400, East Hartford, CT 06108 Phone: 860-291-9517 x106
Infoglide Software
Infoglide’s Identity Resolution Engine (IRE) goes beyond claims scoring and predictive modeling to identify hidden relationships between claimants, insureds, witnesses, service providers, addresses, vehicles, and property; highlights multiple occurrences of the same identity without modifying the data; and reduces false positives/negative from search results.
Contact: Julie Garcia, 6500 River Place Blvd., Bldg. 2, Suite 101, Austin, TX 78730 Phone: 512-532-3533
Jupiter Analytics
ClaimsMiner is a software solution that uses Advanced Computer Analytic Modeling techniques to detect overpayments, fraud, waste and abuse for Healthcare and Workers Compensation. ClaimsMiner is available for Insurance companies, TPA's and Self Insured Entities and is available on an Outsourcing basis or Product basis.
Contact: Peter Checketts, PO Box 8550, Rancho , Santa Fe, California 92067 Phone: 858-756-0236
Kwan Software Engineering/VeriPic (R)
VeriPic Digital Photo Lab with Authentication protects against insurance fraud when using digital photos. VeriPic is software that manages digital photos and detects if any changes have been made. As well as authenticating the photos, VeriPic encrypts the photos so that unauthorized parties cannot view the photos.
Contact: Kellie Sanker, 1030 E. El Camino Real, #243, Sunnyvale, CA 94087-3759 Phone: 408-745-1538
MIB Solutions, Inc.
The Claims Activity Index is the first industry-wide, anti-fraud data exchange for life insurance claims. The service rapidly alerts claim investigators to the filing of multiple claims for the same insured across different carriers. Search replies from this database identify other carriers so users can immediately speak with their peers in corresponding investigative units to share vital information to help efficiently, and effectively, adjudicate claims.
Contact: David Aronson, 160 University Ave, Westwood, MA 02090 Phone: 781-751-6136
Myogauge Corp
Myogauge has clinics nationally that examines personal injury claims with a portable isometric and range of motion muscle testing unit. Fraudulent claims are graphically displayed and supported with lab tested irrefutable documentation
Contact: Stan Kaplan, 80D Jefryn Blvd., Deer Park, NY 11729 Phone: 631-242-1234
SAFEST
SAFESTONLINE is a web based fraud assessment and management system designed for claims adjusters. Covers P/C, life, worker's compensation and more. Developed by an internationally recognized insurance fraud investigator and a mathematician.
Contact: Bill Lundy, 313 Price Place, Madison, WI 53705 Phone: 608-206-2350
VeriPic, Inc.
VeriPic® is software that works with digital cameras to make easy photo management with authentication a reality. It's not uncommon to have hundreds or thousands of photos that have to be managed, shared, secured and authenticated. VeriPic® makes it easy to work with large numbers of photos quickly!
Contact: Kellie Sanker, 2360 Walsh Ave., Santa Clara, CA 95051-1301 Phone: 408-496-1200 x 134
ViewLinks
Business Intelligence and Insurance Fraud detection by Visual Maps (Correlations) and robust Rule Engine using statistical algorithms, Data mining and Scoring mechanism.
Contact: Muli Segal, 44 A Nachmani St., Tel Aviv, Israel Phone: 972-54-326608
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