Software Monitors W.Va. Fraud

West Virginia has implemented investigation management software to enable the Insurance Commission’s Fraud Unit to monitor the growing volume of investigations and multiple investigators in various locations to collaborate and share information.

Gary Griffith, Fraud Unit director, a 23-year veteran of the West Virginia State Police, wanted to receive automatic alerts when there had been no recorded activity in an investigation for a specified period. And he wanted a system that would make it easier and far less time-consuming for his staff to produce detailed, chronological reports of their investigations and findings.

The Fraud Unit got all that, and more, when Griffith chose i-Sight Investigation Management Software from Customer Expressions’ customizable, web-based investigation software, case management and complaint-handling solutions. The division employs 17 investigators, but Griffith expects that number to grow to about 24.

In the past, suspected cases of insurance fraud were handed over to state or local police for investigation. The task of logging and managing all of those cases “was basically just done with a paper filing system and human memory,” Griffith said.

From Griffith’s standpoint, the i-Sight investigation software offers a number of benefits. It is remotely hosted; it is Web-based; the only requirement is a computer and an Internet connection.

Accuracy is an important consideration. With i-Sight a button is pressed and the system spits out a complete written report, saving man-hours and eliminating duplication of effort.