Insurance companies can use claims automation to gather data from across the internet and insurance databases to identify potential fraud. The system can flag a suspicious bill based on similar damages or injuries seen in the history of previous bills, triggering an alert and potential assignment to a special investigative unit (SIU) team member. This method reduces risk by identifying potential fraud, as approximately 10% of property and casualty claims are fraudulent. With claims automation, insurance firms can better triage the 90% of good claims for fast-track settlement or white-glove treatment.
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