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How Can Decision Intelligence Help Identify Medical Provider Facilitation & Collusion?
⚠ Year after year, we’ve sadly seen a rise in medical provider & billing scams costing the industry millions of $$$ each time! Fraud related to medical practitioners using malpractice, shell companies and straw ownerships of clinics is on the rise. We've recently seen many repeated trends, including a specific case…
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Investigating Network Fraud: 4 Key Areas for Investigators
Following on from my article on why networks are important – I regularly talk with investigators on how best to identify and investigate organised network fraud. I am mindful that there are a lot of seasoned investigators out there so in this article I will be talking basics and from a perspective of using technology only…
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Event Roundup: Global Insurance Fraud Summit - Edinburgh
This month, the Quantexa team and customers participated in the Global Insurance Fraud Summit (GIFS). This summit aims to bring together global consortia and insurance organisations as well as law enforcement such as the Insurance Fraud Enforcement Department (IFED) and Interpol. Quantexa and our customers participated in…
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The changing shape of fraud in the UK market - ABI Fraud Statistics
With the latest release of the ABI fraud statistics, there have been some interesting numbers highlighted. The figures indicate that the total number of fraudulent claims detected fell by 19%. But looking deeper at the figures – whilst the number of fraudulent claims detected reduced, the average value of a suspicious or…
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Ministerial Visit | Baroness Neville-Rolfe Visits Quantexa
"High-tech skills will help to beat the fraudsters," says Baroness Neville-Rolfe, Cabinet Office Minister. Last week, Baroness Lucy Neville-Rolfe visited HQ to learn more about the modern tools we are providing the UK government with in order to detect and prevent fraud before it happens. Read the latest article from The…
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Podcast of the Month: Uncovering a $230m Fraud
Sergei Magnitsky was a tax advisor tasked with investigating an audacious crime of fraud in Russia. What he discovered went all the way to the highest levels of the Kremlin and implicated police and officials in the biggest tax fraud case in Russian history involving $230 million. And the cost of this discovery was his…
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📢 Recognition from market leading analyst firm Aite 📢
In their latest vendor report on anti-fraud technologies in the insurance sector Aite have recognised Quantexa as a leader in this space, especially due the flexibility and scalability to support larger, more diverse and multi-line insurance companies. Examples of this include: "One of the key differentiators for Quantexa…
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Is insurance fraud getting displaced?
As we talk to insurers globally, one trend that we are seeing more and more is that fraud is getting displaced to other lines of business away from the traditional lines of motor and property. For example - during the COVID pandemic, in the UK when individuals / businesses had their claims refused for business…