Fraud hurts. Time to fight back.

Time to fight insurance and financial fraud!

Research indicates that 30% of the public say they will consider submitting fraudulent claims. RA7 system for risk assessment detects in insurance claim calls the unique vocal characteristics that indicates high probability of fraud or concealment of information.

KNOW Your Customer

RA7 solutions are designed as a combination of software elements and carefully designed conversation scripts made to cover each insurance case from all angles, measuring the claimant’s emotional reactions and consistent indications for the list of relevant topics.

The RA7 system was designed with 3 goals in mind:

Increase fraud detection rates

Significantly increase your organization’s fraud detection rates

Improve customer service

Improve your customer service and speed up claims settlement time

Streamline & standardize

Optimize your risk detection, investigation and settlement processes

RA7 USING THIRD PARTY SERVICES

Risk Management services with RA7.

In some territories, Nemesysco cooperates with professional 3rd parties dedicated service centers, easing the RA7 integration into your claim processing system. Please contact us to learn more about this venue and its availability in your territory, or if you wish to operate a Nemesysco service center in your region.

RA7 IN-HOUSE SYSTEM

The technology and processes are used by the insurer’s staff and managed internally:

  • Phase 1: Call center agents use tailored conversation scripts for each type of claim handled by phone.
  • Phase 2: Claims manager quickly identifies claims with repeating risk indications and clears quickly Low Risk clients for payment.
  • Phase 3: Special Investigations Unit (SIU) follows the leads detected in the first call & investigation quality improves: Less irrelevant cases to follow / Investigators can conduct telephone interviews with RA7 online analysis, saving expensive time and resources.

Want to learn more about our solutions?

Have a question? We are happy to answer.





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