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A Leading Health Insurance Firm Leveraged Fraud Analytics to Identify and Prioritize the Investigation of Questionable Medical Claims | Read Quantzig’s Recent Success Story for in-Depth Insights

May 21, 2019
Fraud Analytics for a Health Insurance Service Provider (Graphic: Business Wire)
Fraud Analytics for a Health Insurance Service Provider (Graphic: Business Wire)

LONDON--(BUSINESS WIRE)--May 21, 2019--

A global data analytics and advisory firm, Quantzig, that delivers actionable analytics solutions to resolve complex business problems has announced the completion of their latest success story. During the course of this engagement, the fraud analytics experts at Quantzig helped a health insurance firm to deploy new strategies to identify false claims and allocate their resources efficiently.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20190521005427/en/

Fraud Analytics for a Health Insurance Service Provider (Graphic: Business Wire)

From healthcare and financial claims to insurance and product warranty claims, tackling fraud has turned out to be a major challenge for businesses worldwide. To address such issues leading organizations are focusing on developing robust solutions that would help them categorize and prioritize suspicious activities. As such, health insurance service providers are looking at leveraging fraud analytics to reduce significant wastage of resources by preventing fraud and abuse in the administration of health insurance claims.

The Business Problem: The client is a well-known healthcare insurance service provider based out of the United States. They wanted to leverage fraud analytics to identify the potential losses from healthcare frauds and errors in claims processing.

Our fraud analytics experts can help you build a fraud detection strategy to identify and prevent claims fraud. Contact us for more insights.

“Fraud analytics does not replace the traditional rules-based methods but it just adds up to your existing efforts to enhance business outcomes,” says a fraud analytics expert from Quantzig.

The Solution Offered : With several years of experience in offering advanced fraud analytics solutions, we understand the ‘pain-points’ encountered by healthcare players. To help the client tackle their challenges our experts proposed a systematic, analytics-driven approach that would provide the much-needed insights into false claims.

This success story is a classic example of how a client succeeded in leveraging fraud analytics to identify and prevent false claims. Request a free proposal to know more about the benefits of fraud analytics.

Quantzig’s fraud analytics solutions helped the client to:

Quantzig’s fraud analytics solutions offered predictive insights on:

About Quantzig

Quantzig is a global analytics and advisory firm with offices in the US, UK, Canada, China, and India. For more than 15 years, we have assisted our clients across the globe with end-to-end data modeling capabilities to leverage analytics for prudent decision making. Today, our firm consists of 120+ clients, including 45 Fortune 500 companies. For more information on our engagement policies and pricing plans, visit:https://www.quantzig.com/request-for-proposal

View source version on businesswire.com:https://www.businesswire.com/news/home/20190521005427/en/

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Anirban Choudhury

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SOURCE: Quantzig

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PUB: 05/21/2019 10:45 AM/DISC: 05/21/2019 10:45 AM


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