Asseco FDS-I
Fraud Detection System for Insurance
Increase the effectiveness of insurance fraud detection and reduce financial losses.
Asseco FDS-I - increased efficiency in the fight against insurance fraud.
The system is monitoring and verifying the claim reports already at the moment of their registration. It identifies and marks claims, that may be fraudulent. In this way, it facilitates the tasks of anti-fraud teams, which can focus on an in-depth analysis of the cases selected by Asseco FDS-I.
Asseco Fraud Detection System for Insurance (Asseco FDS-I) - an operating tool for insurance companies that enables automatic classification of claims and detection of fraud at every stage of claim settlement, as well as during the sale process. Asseco FDS-I increases the effectiveness of fraud detection and reduces financial losses caused by undue payments.
Main benefits
Fast and successful.
Based on parametrized rules, Asseco FDS-I is monitoring all claims in real time, from the stage of their registration. They are automatically categorized online to:
– secure claims, that can be routed to a simplified path,
– suspect claims, that can be immediately forwarded to the anti-fraud team,
– other claims, that are handled on a standard path.
As claims’ data is updated, e.g. with information from an expert, the system automatically reclassifies the claims, which allows a change of the procedure path.
Accurate and comprehensive.
The system uses current and historical data of incidents, which are obtained from the insurance company’s claims database, from the Insurance Guarantee Fund (UFG) and from the Integrated Platform for Identification and Verification of Insurance Crime Phenomena (ZPIiWZPU). It analyses collected information and relations between the entities (e.g. injured party, perpetrator, driver) and objects (e.g. vehicles) participating in the incident. In this way the system effectively identifies the fraud symptoms and possible connections, what allows a better fraud detection.
Flexible and up-to-date.
Asseco FDS-I was built in a way that enables insurance companies to easily adapt the system to changing types of threats in the insurance area. This allows them to react quickly to the emergence of a new fraud schemes.
The system enables users to create expert rules, defined in the form of expressions or decision boards. It also allows to use analytical models, available in the form of services, e.g. created using Machine Learning and AI tools.
Effective and efficient.
The FDS-I module has been equipped with a dashboard – a set of basic reports, allowing for the ongoing evaluation of the system’s performance. They provide, among other things, data on the stream and distribution of claims in particular segments, the amount of damage directed to specific paths, as well as the effectiveness of scoring algorithms and rules. Based on that, the administrator can easily adjust the system to the current needs of loss adjusters and anti-fraud team.
Bet on the efficient fraud detection!
FDS-I - protects those who insure!
The system increases the effectiveness of the organization's operations, and its flexibility and parameterization capabilities enable quick adjustment to new fraud schemes and organization requirements.