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Claims Management

18 Solutions

LexisNexis® Insurance Claims Management help Claims Departments and SIUs with the critical task of identifying high-risk claims earlier in the process, then moving all claims more efficiently and effectively through the channels, both resulting in substantial time and financial savings for your organization.
 

Accurint® for Insurance

According to industry studies, the annual cost of insurance fraud is between $85 and $120 billion, and is growing at a rate of 10% per year. Fight back with LexisNexis® Accurint® for Insurance, a powerful point-of-need solution that helps you investigate claims, detect potential signs of fraud and reduce your financial losses.

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Accurint® for Insurance Plus

A simple, affordable and efficient way to collect, analyze and leverage large amounts of data and investigative intelligence. All of the data and information you need is available in real-time and through easy-to-use, visual software tools that bring your data to life.

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Carrier Discovery™

Identify critical insurance carrier information on claimants and other parties involved in an accident at various points throughout the claims process. LexisNexis® Carrier Discovery™ can assist with call center scripting and make the adjusting process more informative and efficient through the life of the claim. Carrier Discovery can also address certain fraud indicators.

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ClaimFocus(SM)

LexisNexis® ClaimFocus(SM) is the industry's most comprehensive predictive modeling-based claims analytics system, helping insurers more effectively incorporate analytic technologies into vital aspects of their investigation and claims processes.

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Claims Decisions

Claims Decisions is a web-based claims administration solution that enables P&C carriers to improve claim outcomes with better decision support and lower expenses by delivering a solution configured for their environment. With best practices built into the claims adjudication processes, users can safely and effectively extend capabilities across the enterprise and direct to consumer, resulting in more control and increased customer satisfaction.

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Claims Discovery(SM)

LexisNexis® Claims Discovery(SM) is a separate, contributory, non-FCRA database available to insurers that contains the same type of information submitted to C.L.U.E.®.

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Claims Prefill

With LexisNexis® Claims Prefill services, you can quickly and efficiently automate the application process, saving time for your customer service representatives while enhancing the customer's experience. Claims Prefill services provide comprehensive, nationwide data through an interactive tool that populates a call center representative's screen, saving the representative from having to manually enter all the information related to the claim. The process also allows the call center representative to verify that the person calling is the actual claimant.

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FraudFocus INTERCEPT®

Leverages contributory claims submission processes to improve loss ratios and enhance process efficiencies. FraudFocus INTERCEPT® leverages your existing architectural framework for enhanced business insight through our proven methodology, advanced technologies and proprietary analytic techniques to automate and bring consistency to the fraud detection process.

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FraudFocus®

FraudFocus® is an effective fraud detection system that helps insurance companies proactively combat several types of fraud.

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Instant Age Verify

In today’s ever-changing world, companies are using many different methods to conduct business and reach increasing numbers of customers. When online, telephonic and in-person transactions involve products and services that legally require the purchaser or user to be of a specific age, companies must perform the appropriate due diligence in order to verify identities and ages – regardless of the manner in which the purchases are made. LexisNexis® identity verification and authentication solutions help give you the peace of mind you need to do business safely, securely and profitably.

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