Claims management for a top health insurer in Hong Kong
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Qantev's advanced AI-driven FWA detection module detects complex over-billing and fraudulent patterns, at scale, and gives you actionable insights for investigation management.
Anomaly detection hit rate.
Increase in SIU team efficiency.
SIU team efficiency (number of alerts handled per year).
More than 75 AI-driven patterns and constant learning.
AI-patterns to block claims pre-payment or send alert for post payment.
Improvement of loss ratios by flagging of abnormal claims.
4-6 months average deployment for quick business wins.
Specialized for health & life. and AI-driven for high and accurate detection.