As fraud schemes continue to mutate and grow in complexity, they present irksome puzzles for even the most talented and knowledgeable SIUs and law enforcement officials. In order to identify sophisticated, large-scale rings and isolated incidents that siphon precious resources from P&C insurers and consumers alike, the average claims professional or investigator must employ a combination of technology and analytical savvy, pairing cutting-edge software tools with imagination and tenacity.
Today, Michelle Bergeron, SIU Analytics Program Manager at Esurance and 2009 recipient of IASIU's "Analyst of the Year" award, advised attendees at the IASIU 26th annual seminar about how to fine-tune their approaches by properly analyzing policy data and sales system information in the workshop titled, "Policy Data: Analyze That."
The presentation incorporated a meld of lecture and live demonstrations via multiple software tools readily available to analysts. Bergeron kicked off the discussion by sharing techniques used to unravel real pervasive fraud schemes, supplying anecdotal evidence of what works and what may be necessary beyond your modus operandi to aggressively target fraud.
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