Shift Technology Solutions
Shift Technology provides AI-driven solutions for fraud detection, risk assessment, and claims processing in the insurance sector, enhancing operational efficiency.
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Description
Shift Technology offers a suite of AI-driven solutions tailored for the insurance industry, enhancing decision-making processes across various functions. The primary products include:
1. Claims Fraud Detection: This platform focuses on identifying fraudulent claims effectively, significantly reducing investigation cycles. It integrates external data sources to improve decision-making and has been adopted by leading P&C insurers. In 2021, over $5 billion in claims fraud was identified using this system.
2. Improper Payment Detection: Targeting healthcare fraud, waste, and abuse, this solution improves detection accuracy and efficiency. With a 200% boost in investigative efficiency and a threefold increase in detection accuracy, it enables investigators to access relevant data swiftly, uncovering valuable fraud cases more effectively.
3. Claims Document Decisions: This AI solution automates the analysis of claims documents, enhancing processing accuracy and allowing claims handlers to concentrate on more valuable tasks. It achieves document processing accuracy comparable to that of experienced human adjusters, thereby expediting claims settlements.
4. Underwriting Risk Detection: Designed to identify hidden risks in policy applications, this platform aids insurers in making informed underwriting decisions. It leverages AI for real-time alerts about potential risks, including premium leakage and policy hijacking, while maintaining a high level of explainability in its findings.
Overall, Shift Technology aims to streamline the operations of insurers by automating key processes, thus improving accuracy and efficiency in critical decision-making.
Features
AI-Driven Analytics
Utilizes advanced AI algorithms to analyze and detect patterns of fraud and risks across various insurance processes.
Integration with External Data Sources
Enhances decision-making by integrating data from multiple sources to provide a comprehensive view of claims and risks.
Real-Time Alerts
Sends immediate notifications regarding potential fraud or risks, allowing for prompt investigative actions.
High Processing Accuracy
Achieves document analysis accuracy on par with experienced human claims adjusters, ensuring reliable results.
Streamlined Claims Management
Improves operational efficiency by automating repetitive tasks, allowing staff to focus on higher-value activities.
Tags
Documentation & Support
- Documentation
- Support
- Updates
- Online Support