Shift Claims Fraud

Shift Claims Fraud

Shift Technology
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About

Benford’s law to detect patterns of inappropriate disbursements. Searches Quickbooks or other bookkeeping software audit trail reports for unusual actions such as voids and deletions. Identify multiple payments for the same amount on the same day. Reviews payroll runs for payments in excess of salary or hourly rate. Find payments issued on non-business days. Calculations of statistical parameters to identify outliers that could indicate fraud. Test for duplicate payments. Review accounts payable vendor files for similar names. Check for fictitious vendors. Compare vendor and payroll addresses Z-Score and relative size factor test. Data monitoring and surprise audits are correlated with some of the largest reductions in fraud loss but only 37% of all organizations employ these controls. The median loss of a business with less than 100 employees is $200,000. Small business has fewer resources to detect and find fraud.

About

Shift Technology’s Claims Fraud solution helps insurers detect and prevent fraudulent activity with AI-powered precision. By analyzing patterns across carriers, policies, and external data, it identifies suspicious claims in real time. The platform accelerates investigations, reduces false positives, and improves overall decision-making accuracy. With the Insurance Data Network, insurers gain a unique industry-wide view to uncover complex fraud schemes that would otherwise go unnoticed. Trusted by over 115 insurers worldwide, Shift has detected more than 13 million suspicious claims and saved billions in potential losses. Its technology empowers claims leaders, SIU teams, and executives to fight fraud faster and more effectively.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Healthcare providers and organizations interested in a medical practice employee fraud detection solution to prevent fraud

Audience

Shift Technology’s Claims Fraud solution is ideal for insurers, SIU leaders, and claims executives who need AI-driven tools to detect, investigate, and prevent fraud with speed and accuracy

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

$1,400 one-time payment
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

MedCXO
United States
medcxo.com/fraud/

Company Information

Shift Technology
Founded: 2014
France
www.shift-technology.com/products/claims-fraud

Alternatives

Alternatives

NetMap

NetMap

Verisk Analytics
FraudPoint

FraudPoint

LexisNexis
Shift Claims

Shift Claims

Shift Technology
Fraud.net

Fraud.net

Fraud.net, Inc.
Insurance Data Network

Insurance Data Network

Shift Technology

Categories

Categories

Fraud Detection Features

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For eCommerce
For Insurance Industry
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Integrations

No info available.

Integrations

No info available.
Claim CPA Fraud Detection Service and update features and information
Claim CPA Fraud Detection Service and update features and information
Claim Shift Claims Fraud and update features and information
Claim Shift Claims Fraud and update features and information