How Does Skopenow Help Insurance Carriers?
Problem
Identifying high-risk policyholders and claimants among millions of claims is challenging, slow, and costly, requiring manual research that often misses essential details.
Solution
Skopenow instantly analyzes thousands of public data sources, flagging high-risk individuals and businesses, allowing insurance carriers to limit their exposure.
Solutions
People & Business Investigations
Reduce fraud by surfacing and analyzing contradicting evidence across the internet, such as unreported accidents or undisclosed relationships. Easily review AI flagged behaviors like physical activity, vehicle usage, and travel.
Due Diligence
Automate processes to evaluate digital footprints at scale and quantify risk. Identify possible fraudsters and their businesses through risk scoring, optimizing the focus of loss adjusters and claims managers on high-risk individuals.
Link Analysis
Rapidly uncover and visualize networks of people and businesses across every dimension of their digital presence and uncover connections indicating schemes like crash-for-cash or medical fraud.
Situational Awareness
Flag claims for location-based insights or fraud signals derived from keywords and events, like orchestrated accidents or suspicious home insurance claims. Receive instant verification, enabling swift action.
Use Cases
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Workers’ Compensation
Analyze claimants' social media activity to identify fraudulent behavior impacting workers' compensation claims. Detect claimants participating in activities conflicting with their eligibility.
Auto Liability
Efficiently process auto insurance claims to identify fraudulent activity. Conduct OSINT investigations on claimants and third parties, revealing histories of fraudulent claims or undisclosed relationships impacting eligibility.
Healthcare Fraud
Detect individuals or organizations engaged in healthcare fraud, such as billing for non-rendered services or submitting false claims. Utilize court records and social media activity to identify suspicious claims.
Disaster-related Property Fraud
Identify fraudulent property damage claims following a disaster. Quickly uncover duplicate or exaggerated claims using publicly available information.
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.