Skopenow - Insurance | Identify High-Risk Claimants and Fraud at Scale

How Does Skopenow Help Insurance Carriers?

Problem

Identifying high-risk policyholders and claimants among millions of claims is challenging, slow, and costly, requiring research that often misses essential details.
Solution

Skopenow analyzes hundreds of public data sources, flagging high-risk individuals and businesses, allowing insurance carriers to limit their exposure.

Solutions

Entity Investigations

Reduce fraud by surfacing and analyzing contradicting evidence across the internet.

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Situational Awareness

Review claims for location-driven insights like orchestrated accidents or insurance claims related to weather damages. Receive real-time alerts, enabling swift action.

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Claimant Due Diligence

Evaluate entities at scale to identify and quantify risk. Surface potential red flags and undeclared businesses through scoring and filtering, helping loss adjusters and claims managers triage their cases more efficiently.

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Link Analysis Charts

Surface connections to fraud rings involved in schemes like crash-for-cash or medical fraud.

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Pre-Check has ensured that our claims team can identify red flags more accurately. Skopenow was instrumental in our detection of a major fraud ring involving over 100 entities."

SIU Manager, Major Insurance Carrier

Use Cases

Workers’ Compensation

Identify insight indicating fraudulent activity impacting workers' compensation claims. Review activities conflicting with claimant eligibility.
Auto Liability

Efficiently process auto claims to identify fraudulent activity for undisclosed causes of damages.
Healthcare Fraud

Surface inconsistencies in provider or supplier information through public and online data analysis.
Disaster-Related Property Fraud

Identify fraudulent property damage claims following a disaster.

How it Works

Integrate Skopenow into Claims Workflows

Through Skopenow, claims teams and special investigations units are empowered to streamline fraud detection. Skopenow supports investigative processes and enables informed risk-based decisions on claims. With robust data processing and intuitive functionality, Skopenow facilitates intelligence gathering and improves outcomes for insurance carriers.