RiskShield is a smart claim evaluation solution to optimize your claims handling process. As a supervised self-learning system, our decision engine automatically assesses the fraud risk of a reported insurance claim.
How does it work? An insurance claim automatically classified by RiskShield as inconspicuous can be settled faster and is more cost-effective, thus strengthening customer loyalty. The solution incorporates proven technologies such as fuzzy logic, pattern recognition, dynamic profiles and also supports external lists and databases to score claims quickly and effectively. Business rules can be enhanced and developed in real-time as new fraud patterns emerge, without any IT coding or system downtime.