Insurers that want to establish effective anti-fraud programs or enhance the effectiveness of existing programs must take a comprehensive approach to dealing with this pervasive problem.
Although U.S. property and casualty insurers pay approximately $50 billion per year in medical claims, carriers are a long way from reaching peak efficiencies in analyzing and processing those claims.
The claim function is a key factor in the overall competitiveness of insurance carriers. Claims represent a significant portion of an insurer's balance sheet, consuming nearly 80 percent of the
In an era of heightened competition, increasing customer expectations, and the need to deliver greater shareholder or policyholder value, insurers are faced with significant pressure.