FRAUD DETECTION

Definition

Fraud detection encompasses data-driven and procedural techniques to identify misrepresentation or illicit activity in applications, claims, payments, or commissions. Insurers use identity verification, device fingerprinting, database cross-checks, pattern analysis, and human review toflag anomalies. Effective detection protects consumers, stabilizes pricing, and preserves carrier solvency by reducing avoidable losses.

Common Usage

Agencies deploy identity checks, device fingerprinting, and cross-database validation to flag inconsistencies. Suspicious patterns trigger enhanced review before issue, lowering claim costs and stabilizing pricing.