
Fast-track LTC and Disability claims and detect fraud with ClaimSearch, the insurance industry's largest claims database.
Vendor
Verisk
Company Website
ClaimSearch® Complete Life gives long-term care (LTC) and long-term disability (LTD) carriers essential claims data and predictive analytics for real-time insights to find offsets and combat fraud.
The best tools for optimizing claim handling, combating fraud, and identifying offset opportunities.
ClaimSearch Complete Life enhances fraud detection for insurers with flexible business rule analytics and detection scenarios for claim scoring. These rules quickly pinpoint potential fraud and offset identification, so you can proactively mitigate risks and protect your bottom line.
Get a comprehensive view of claims
ClaimSearch gives you a 360-degree view of your claim. Access real-time information at first notice of loss (FNOL) and receive automated updates throughout the claims lifecycle.
Increase efficiency through automation
Streamline LTC and disability insurance claims with automated features that match claim results in real-time, reducing manual tasks and improving operational efficiency.
Achieve accurate outcomes with entity resolution
Data enrichment and entity matching processes in ClaimSearch increase accuracy and improve analytics to enhance decision-making.
Who uses ClaimSearch?
- More than 95% of insurers
- 1,000+ self-insureds
- 9,000 SIU professionals contributing investigative outcomes
- All 27 workers’ comp insurance funds
- Third-party administrators
- State fraud bureaus
- Law enforcement agencies
Visual insights to improve claims investigations
Dashboards show you:
- Scored claims in real time
- Deep insights into reason codes used in claim scoring
- Questionable claim exposures in your geographical book of business
- Insights into loss history dynamics via ClaimSearch®
Features and capabilities
Complete insights with comprehensive data
Access over 1.8 billion claim records, with 175,000 new additions daily. Identify offsets from multiple lines of business including auto, casualty, and life.
Proactively detect fraud with our insights dashboard
Customize your dashboard to spot potential fraud early. Gain automatic access to essential claim details and alerts, with integrated monitoring of risk factors and key performance indicators (KPIs).
Discover hidden patterns with ClaimSearch Visualized Match Reports
Identify matching claims across multiple lines of business. ClaimSearch leverages proprietary entity resolution to find identical real-world entities that might be obscured by errors or inconsistencies in data.
Optimize risk management with advanced claim scoring
Manage fraud risk with a real-time claims dashboard. Filter and analyze fraud dynamics, triage high-risk claims, and streamline straight-through processing. Customize business rules to meet your specific needs.
Protect your data with our security commitment
Leverage our decades of experience to ensure data security. We safeguard sensitive information and comply with all privacy regulations, providing you with reliable protection and peace of mind.
Build customized detection scenarios
Explore and create custom fraud detection scenarios with the architect component. Use hundreds of analytic components and data to identify specific claims and immediately put your scenarios into production without IT lift.