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AI-powered fraud detection platform specifically for claims management that provides real-time risk assessment, automated flagging of suspicious claims, predictive analytics, network analysis to detect fraud rings, and integration with existing claims systems. Offers a hybrid scoring model combining expert rules, predictive models, and text mining.
AI-powered tools that identify suspicious patterns, anomalies, and potential fraudulent activities in claims data. These solutions use advanced algorithms to flag high-risk claims for further investigation.
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