Risk fraud detection solutions
cut down fraud associated costs by up to 45%

Time to fight insurance and financial fraud!

Research indicates that 30% of the public say they will consider submitting fraudulent claims. Risk 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 Risk 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 Risk 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

What can Risk do for your organization? Risk using third party services

Operating Risk Management services with Risk

Nemesysco cooperates with professional 3rd parties dedicated service centers, easing the Risk 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. Risk In-House system

Embedding Risk processes internally

Phase 1

The call center agents use tailored conversation scripts for each type of claim.

Phase 2

Claims manager quickly identifies claims with repeating risk indications and clears quickly Low Risk clients for payment.

Phase 3

The 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.

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